03/09/2020 Admission Form

VARDHMAN MAHAVEER OPEN UNIVERSITY, KOTA ONLINE

ADMISSION
(Formerly - Kota Open University, Kota) FORM
RAWATBHATA ROAD, KOTA (RAJ.) - 324021 Registration No.
ADMISSION cum EXAMINATION FORM 1116486
SESSION: July  2020
Application No.

1. Scholar No.             -             (For Office Use Only)

2. Programme : BA-I/Bachelor of Arts Programme (GE/CS/PSY/HM) Part - I

3. Regional Centre : BHARATPUR 4. Study Centre Code : 7000
5. Date Of Birth : 02 Sep 2002 Age as on 01 July  2020
(Attach Certificate)   17 Year(s), 9 month(s), 29 day(s)
6. Fee Details   Prospectus Fee : ₹ 100
  MO No. : 1116486 Registration Fee : ₹ 100
TR/JR/Token No. : 1094765468016 Development Fee : ₹ 100
  TR/JR/Token Date : 03 Sep 2020 Course Fee : ₹ 2300
  Issuer : SBI EPAY Postal Charges : ₹ 100
  Amount* : ₹ 5500 /- Theory Exam Fee : ₹ 1600
  SLM/Books : YES(SLM in Hard Copy) Practical  Camp Fee : ₹ 1000   Practical Exam Fee : ₹ 200
Required
* Actual fees charged after selection of SLM option
7. Name of Applicant : SHASHANK MEENA
8. Father's Name : RAMESHWAR DAYAL MEENA
9. Mother's Name : LAXMI MEENA
10. Address for Correspondence : IN FRONT OF DIVIEN SCHOOL AGRASEN COLONY, GAURAV PATH
11. City : HINDAUN 12. District : KARAULI
13. State : RAJASTHAN 14. Pin Code : 322230
15.  Mobile No.  : 9414713587 16. Medium of Exam : English
17. Gender : Male 18. Category : ST
19. Domicile : Rural 20. Nationality : INDIAN
21. Person with Disability : No 22. Religion : Hindu
23. Special Category : Not Applicable 24. Marital Status : Unmarried
25. Employment Status : Unemployed 26. Govt Id(Aadhar ) : 202361416817
27. Email ID : rameshwardayalmeena1@gmail.com
28. Subject Option
  SL.NO. SUBJECT NAME
1 English Literature
2 Geography
3 Sociology
29. Course Option
  COURSE
SL.NO. SUBJECT NAME COURSE NAME CREDIT
CODE
1 Not Applicable Environmental Studies QES 0
2 Not Applicable General Hindi QHD 0
3 English Literature Poetry and Drama EG-01 6
4 English Literature Prose and Fiction EG-02 6
5 Geography Physical Geography GE-01 4
6 Geography Geography of Rajasthan GE-02 4
7 Geography Practical Geography GE-03 4

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03/09/2020 Admission Form
8 Sociology Introductory Sociology SO-01 6
9 Sociology Society in India SO-02 6
      Total Credit: 36
30. Relevant Qualifications     
  Examination Passed : Intermediate/HSC/10+2 or Equivalent
Board/University : RBSE
Year of Passing : 2020 Marks Obtained : 372/500
Division/Grade : 1st Percentage : 74.40
Subjects : Biology
31. Experience in related field : 0  (In Months)    
32 Exam City : Karauli 33. Practical Exam/Camp City : Bharatpur
34. Declaration by Applicant      
DECLARATION BY APPLICANT/आवेदक ारा घोषणा
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek admission. I fulfill the minimum
eligibility criteria and I have provided necessary information in the regard. In the event of any information being found incorrect or misleading, my
candidature shall be liable to cancellation by the University at any time and I shall not be entitled to refund of any fee paid by me to the University.
Further, I have carefully read and understood the rules of the University as printed in the Prospectus and I accept them and shall not raise any dispute
in the future over the same rule. In case of any dispute the place of Jurisdiction will be the kota city only.
 

     
Date  :: 01-09-2020 21:11:00  
Place : 42.110.136.94   Full Signature of the Applicant
     
  Checklist (Please √ in relevant box)
  Original Photograph & Full Signature in appropriate box given in DECLARATION BY APPLICANT
Challan for Programme fee with Name & Registion No.
Self Attested Certificates and Mark sheets of relevant qualifications
Age Certificate
Experience Certificate (Wherever Applicable)
Category Certificate (Wherever Applicable)
Physically Handicapped Certificate (Wherever Applicable)
Widow/Divorcee Certificate (Wherever Applicable)
Ex-Service man/Kashmiri migrant/War widow Certificate (Wherever Applicable)
MBA student should attach entrance test score card
   
  नोट : ऑनलाइन फॉम क हाडकॉपी व व ालय म जमा करवाने क आव कता नह है | आवेदन प क त/हाडकॉपी अपने
अ भलेख / रकॉड् स म रख |
For Office Use Only
 
Form checked, found Eligible/Not Eligible for Admission.
 
 
Signature   : Dealing Assistant Section Officer/Assistant Registrar Regional Director
Emp. Code : _________________ _____________________ ______________________
Important Information

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03/09/2020 Admission Form
Additional Information regarding BA-I/Bachelor of Arts Programme (GE/CS/PSY/HM) Part - I by Dr.
SURENDER KUMAR KULSHRESTHA Convener/Coordinator

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