South Asian University PASTE HERE FIRMLY YOUR

COLOUR PHOTOGRAPH
OF GOOD QUALITY
New Delhi TAKEN ON OR
Application Form for Admission (2011-12) AFTER DEC 31, 2010
Get it attested from your
(Master level programmes) college
(SIZE 3.5 CM X 4.5. CM)

DO NOT STAPLE

1. Full Name of the Student (Capital letters, leave blank box between first, middle and last names)

2. Programme Code you are applying for: (see instructions)

3. Nationality:

4. Email: ______________________________________

5. Phone:
(With country and city code)

6. Country in which you would take the entrance test:

7. Passport Number (if available):

8. Complete mailing Address:

NAME: ………………………………………………….…………..…………
PASTE HERE FIRMLY YOUR
ADDRESS:…………………………………………….……………………… COLOUR PHOTOGRAPH
OF GOOD QUALITY
………………………...………………………………….…………………….. TAKEN ON OR
AFTER DEC 31, 2010
…………………………………………………………….……..………………
……………………………………………………………..…….……………… (SIZE 3.5 CM X 4.5. CM)

……………………..……….…PINCODE:
DO NOT STAPLE

SIGNATURE (WITHIN BOX IN RUNNING HAND

USING BLACK BALL POINT PEN ONLY
(DO NOT SIGN IN CAPITALS)
9. Education:

Examination passed Year Marks Name of School / Name of the Subjects /

(%) College and its Board / Papers offered
or location University
Grades
th
School (10 class or
equivalent)

Senior School (12th class or

equivalent)

B.A. / 1 Yr
B.A. (Hons) /
B.Sc. /
B.Sc. (Hons) /
B.Com. /
B.Com. (Hons) /
BE / B.Tech / II Yr
LLB
Other**

III Yr

IV Yr*

Total

* If there was a fourth year ** Please write the name of the degree
 10. Please enclose the following: Check box

• Attested copy of School certificate (10th class or equivalent)

• Attested copy of School certificate (12th class or equivalent)
• Attested copy of mark/grade sheets (10th class or equivalent)
• An attested copy of mark/grade sheets (12th class or equivalent)
• Attested copy of College Degree (See instructions)
• Attested copy of College mark/grade sheets(See instructions)

11. I declare that the information provided in this application is true and correct. I understand that if any part of
the information is found to be wrong at a later date, my admission to the South Asian University is liable to
be cancelled.

Signature of the Applicant Date: Place:

12. Certified that ________________________ was / is a bonafide student of this educational institution and the
information provided by him tallies with our records. Further certified that the degree we conferred on this
student is fully recognized by the higher education authorities (e.g. UGC) of our country.

Name, Signature, and Stamp of the Head of the Institution last attended or his/her authorized signatory

Please send the completed application form to:

Coordinator Admissions
South Asian University
Old CRS Building, JNU Campus Last Date of receiving the
New Delhi – 110 067, India application: April 20, 2011