Enrollment No.... Registration No Name (in English ) Maharishi Arvind University ADMISSION FORM (To be Filled by the Applicant) Session 20........20... Sr.No. : Course applied for. (asper 10th marksheet) (in Biock Letters) Passport Name (in Hind) Size (Which nib pontedinthe Degree) Photograph 2. Date of Birth: (DDIMMYYYY) 3. Gender (Male/Female) Domicile 4. Mobile No. Tel.No. (R)(with STD code) 5. E-mailiD 6. Category (Gen.Sc/sTIOBC!SSCIEBCIPHMINORITY)| Nationality 7. Father'sName Mobile No. 8. Mother'sName Mobile No. 9. PermanentAddress: District State Pin Code. 10. Correspondence Address District State Pin Code. ‘11. Marital Status: Married [—] Unmarried [—] Mother Tongue. Blood Group. 12. Educational Qualification S| Nemeotthe | Yearof] _Nameafthe Nameotthe | Max. [Obtained] sage] Div] Subject/] Meciumot No| ExamPassod |Passing| _Board/Univ. Schoolinst | Marks | Marks ‘Stroam | Education 13, Name of Local Guardian Relationship 14, Address District State PinCode 18. Mobile No TelNo. (with STD Code) E-mail nature of the Student16. Any Gapin studies: Yes/No Reason 17. Details of Entrance Examination, sifyes, period ifany):-Name of Exam RollNo MeritMarks Month & Year of Exam 18, The Source by which you came to know about the University: MAUWebsite [—] TV. Other Website[_]News PaperAdvt[_]Name & Place OurStudents [—] OurAlumni[ Jour Staff [Your Friends & Relatives[_] Hoardings| 19. Academic/Sports Achievements (fany) 20. Activity Group Interested: Cultural [_] Academic/Technical[_] sports [_] Literary a. Father's Name: b. Occupation: Designation fe. Address 9g. Mother’sName h. Occupation: i. Designation k. Address 1. Occupation (1) j. Name of DepttiFirm d, Name of Deptt/Firm f. Office Tel. No, (with STD Code) Office Tel. No. (with STD Code) m. NameofBrotheriSister (1) 0. student, classicourse p. Name of School/College/Univ. Mobile No, (Govt /Pvt Job/ Self Employed/Business/Army/Farmer/Professional) Nature of Business/Profession city. State .FaxNo, Mobile No, (Govt./Pvt.Job/ Self Employed/Business/Army/Professional/Housewite) Nature of Business/Profession city State FaxNo. (2) (2) YeariSem. Place Signature of the Parent Signature of the Student Place DateUNDERTAKING The University management reserves the right to add, alter or amend any of the rules and the same shall be binding on the parents, guardian and students 1. Being aware that 60% attendance in all courses is obligatory for appearing in the Internal University examination, | undertake to be punctual & regular in all the theory & practical classes the university reserves the right to debar me from the internal/university examination if fall short of attendance criteria. 2, Lundertake to complete and submit all assignments in time for regular assessment by the teacher(s).. 3, _ also undertake to strictly follow the instructions as laid by the University regarding internal tests & evaluation. Itis solely my responsibility to appear in all the internal examination, incase I don't appear in these tests | shall not be allowed to take the university examination. 4, undertake to follow and maintain proper decorum and discipline in the campus, in classrooms, laboratories! workshops and library. Outside the campus also, | shall show dignified and exemplary behaviour in tune with civilized society that I belong to. 5. I shall extend courtesies to all the teaching and non-teaching staff of the university as well as to my senior students. In case of any difficulty being faced, | shall approach for guidance of the tutor/proctor/HOD/ Dean/Principal/Director/President and shall not indulge in groupies etc. which does not fit into professional ethos of the university. 6. | undertake to pay regularly all the fees as prescribed by the university from time to time. | shall not claim any sort of concession in fees on whatsoever ground now or in future irrespective of terms/conditions, if any, with the Body or Agency my parents may be associated with. 7. That | will not use drugs, liquor, cigarette, tobacco, Pan Masala, Gutka and any other kind of such things in the campus and will not offer/provide/arrange the same to other students in and outside the campus. & —_ lundertake to take due care of the safety & security of all the university property and will not cause any damage even due to negligence. 9. Lundertake to strictly adhere to dress/uniform regulations which are issued by the authority of the university & understand that all the students are required to wear the prescribed uniform. 10. No refund of fees will be made on withdrawal/cancellation of admission after the commencement of the academic session. Caution Money deposit will only be refunded after successful completion of course. For any breakage or misplacement of university property, if so charges will be deducted from Caution Money Deposit. 11. lam aware that “Ragging” on any pretext and in any form is banned and the Hon'ble supreme court has declared it as cognizable offence punishable as per procedure as laid down by court. | shall report to the authority of the university, violation, if any, that comes to my notice, and shall never indulge in such offences. 12. Any student found guilty of ragging in or outside the campus will be liable to serve disciplinary n. The act of ragging is a punishable offence under Eye of Law. Under this the student is ble to be dismissed from the university without any notice and the case may be reported to the police, if necessary. 1 Slo! Dio of have carefully read & fully understood the undertaking and shall a Date : Signature of the StudentAffidavit And Undertal g By The Parent/ Guardian Ll fatherimotheriquarian of, undertake and do hereby declare on solemn oath that: My daughterison, il abide by athe rules and regulations ofthe institute In force as revised from time to time. 1. [shall personally ensure that my sonidaughlerallonds tho classes regular, takes the continous Assessment Tests, Home Assignments etc. and Semester End Examinations in right earnest. puls in regular attendance in all papersipracicals! projects ote. paricipates in the curricular and ‘extracuricular actives and does nat, n any way, violate the norms of univers dlsepine 2. The Unversity fe and other dues, as in force of revised, willbe paid regulary and on time. 3, | shall pereonally ensure that my son'daughter maintains perfect discipline and abides by the orders issued by the university authors, 4, [shallbe personaly responsible for hisiher conduct ang discipline inthe university ‘5. _HelShe has not been found quity of any unfair practices inthe any of examinations. 6. My sonidaughter has never been convicted of any criminal fence nor has been released on bain connection with @ ‘tinal case. No dase of Caminalofence of Moral turpitude spending against Nerin any court of lw. 7. HolShe has not resorted lo any actof ind'sciptine during the prevaus years. 8, _Ithelshe does not satsyeligibilty cules of admission and if any information given by me/her is found tobe fae, her admission will stand canceled 8. _Ifhelshe snot found elgile for admission by the as per Unversity norms hisiher admission will automaticaly stand cancelled. 10. Helshe may be refused admission orifacmited,hsther admission wil stand caneslled, any ofthe certfieates submited by hiner are, at any sage, ‘ound to forged or false, and the university willbe free to take further aisipinary action against hmher and the fees deposited by himiner shall stand foroted 11. He/She will not be allowed to sitfor the Semester End Examination ifhe/she falls short of the required attendance or does not ake the test or hiiher r097283 In Studes In not adjudged up to the mark Place Date Signature of the Parent/Guardian LIST OF DOCUMENTS TO BE ATTACHED WITH ADMISSION FORM For 1st year Students -- 1. Caste Certificate (if you belong to SC/STIOBCISBC). Two attested copies, Original and Photocopy of 10th Mark-sheet. (For proof of Date of Birth) Original and Photocopy of Graduation Mark-sheet Original Migration Certificate. Original Mark sheet of Entrance test showing your rank, ‘Attested Copy of Aadhar Card College allotment letter Medical Certificate on prescribed form 9. Atlested copy of Domicile Certificate 10. Transfer Certificate from the schooliCollage last attended. 11. Character Certificate from the schoolCollege last attended, 12, Two Passport size photos. (Paste one on the form and one extra) FOR ACCOUNT SECTION Tolal Foes Fees Paid At the Time of Admission Balance Fees & Due Dale NOTE :-IF YOU ARE SHORT OF ANY DOCUMENT, PLEASE ARRANGE AND SUBMIT THE ‘SAME WITHIN 15 DAYS POSITIVELY. University Campus University City Office Mundiaramsar, Near Bindayaka Industrial Area Maharishi Arvind Institute of Science & Management Jaipur-302041 Rajasthan) Bharti Path, Ambabari Circle, Phone : 0141-2975864, 2975865 ‘Ambabar, Jaipur - 302039 Website : www.maujaipur.org Email : info@maujaipur.org, admissions@maujaipur.org Admission Cell : 0141-2975864, 2975865 86969 06801, 8696906819, 98281 99937, 99291 12374