Registration Fee US$100 ® INTERNATIONAL STUDENTS CELL ACHARYA NAGARJUNA UNIVERSITY, NAGARJUNANAGAR - 522510 APPLICATION FORM FOR PROVISIONAL ADMISSION ae: Please ra an Tor i ters Read Prospectus caeTally before am 1. Name of the Course Applied Z| Name ofthe Candidate | Family Name (Surname) First (Given Name) Middle Name | Fatiers wae | Family Name (Surname) First (Given Name) Midate Name. 4._| Sex tial / Female) 5._| Marital Status (Married/Un-married) pose Recent é._| Nationality rupert toporh ol 7. | Date of eireh(oo/mmrvvvy) “rn So | Country of Birth 9._ | Country of Gtizenship | 10, | Educational Qualifications Acquired SI. No. | Name of the Certificate Name and place ofthe awarding Month & Year [degree Institution / Unversity of Award 1. | 20° orits equivalent 2. | 12° or ts equivalent 3. | Bachelor's Degree 4. | Master's Degree i | Passport details : Passport No. = Place of Issue Date of issue Date of Ex 12, | Sources of Funding (Scholarship/Sel Funding) 13, | Registration Fee:US$100 or its equivalent Details of payment Indian rupees payable to “The Directo, Amount ISC, ANU in State Bank of India A/c Payment Date No, 32776206150 (Swift Code: Transaction 1D s8iNiNa6181) | Name ofthe Bank 78, | Home country Address for Communication 15, | Bxperience(Research / Teaching / industry: enclosed Separate sheets 16. | Evidence of proficiency in English Language (put mark) ‘A. | Medium instruction studied by the candidate inthe qualifying examination: English [——] Others[_—] 8_| roFEL / ELS score (enclose photo copy if appeared): Yes[——]_ No]17. | Copies of Certificates / Documents attached 1 DECLARATION AND UNDERTAKING |, the undersigned here by declared that | have carefully read the instructions and guidelines mentioned in the prospectus and agree to abide by the rules and regulations fo eligibility, conduct and discipline laid down by the University | also declare that the information given by me in the application form is true and correct to the best of my knowledge and belief. | shall be response for any discrepancies, errors, wrong or incorrect information furnished and my admission may be cancelled found in correct or ineligible. | undertake to furnish the necessary certificates / document: inal along with a true copy of each of them as ‘and when ask for, failing which | understand that my eligibility and admission stands automatically cancel and that the University is not responsible for the same. Place: Signature of the Student Date: Instructions at a glance: 4, Allthe transactions must be dealt with the Director, ISC and all payments are to be made to the account of ISC in favour of “THE DIRECTOR, ISC, ANU" in State Bank of India A/c. No. 32776206150 (Swift Code: SBININGB181) 2. Registration fee is non-refundable, The tuition fee must be paid in full at atime. 3, Student must bring al the original certificates while reporting for final admission, ‘A foreign student of any other Indian University is quired to submit a “NO OBJECTION CERTIFICATE” in order to seek admission into this University. Student VISA must be endorsed to Acharya Nagarjuna University only. ‘Admissions are open from January, Ast of every year. Last date for submission of application is June 30th of every year. The cutoff date for submission of BE / B.Tech / 8.Pharmacy applications is June 30. ‘The decision taken by the Director, ISC, ANU shall be final in all the cases, List of enclosures to the application: 1. Brie Curriculum vita 2. Anon-tefundable registration fee payable in favour ofthe "Director, International Students Cell, Acharya Nagarjuna University’ In State Bank of India A/c. No. 88776206150 (Swift Code: SBININSB182) Two certified copies of the marks sheet ofthe qualifying examinations (certified translated version in English) Two certified copies ofthe Degree Certificate of the qualifying examination (Certified translated version in English) copy of the sylabus/curriculum oftheir respective qualified UG / PG Degree (Certified translated version in English) ‘Two copies ofthe passport ofthe student, Xerox of transfer or migration certificate from the universty/insttute last studied Note: Attestation of all the certificates shall be done by one of the following: Indian Embassy atthe student's country or Student's country Mission in india or Ministry of education in student's country [NOC (Applicable only for M.Phil / P.O /8.Pharm / M.Pharm applicents) Note: Te ensure speedy processing of applications condidates are instructed to send the information os a complete set