Distance Education Eligibility Form

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Wabsita Cooy g@ Price Rs. 10/- Form No. Eligibility No. SWAMI RAMANAND TEERTH MARATHWADA UNIVERSITY, NANDED. Application for ELIGIBILITY Read carefully the instructions given overleaf. Tick mark appropriate box. Name (Sumame) (Name) (Fathers / Husband's Name ) (In CAPITALS and asentered on the staternent of Marks of Qualifying examination ) ADDRESS FOR: CORRESPONDENCE DATE OF BIRTH pay[] [2] Monta (Dj veaR COD IC IC caste: [1] sc [2] st[s] w [4] nt [5] NtT2 [6] NTs [7 ]oB8c [8] sBc Delalls about the Course / examination to which addmission is desired 9) OPEN 1) Name of examination 2) Subject / Subject Group Compulsory Second Opt. 1-2-3-4 English Language 3) Regular| extemal Name of College / University Department / Institute where admission is desire as a regular / extemal student Year. Details about Qualiying Examination Name of the Examination Month & year of Passing — — Name of the University / Board ! Examining body I nave carefully read all the rules and regulations pertaining to the course to which | am seeking admis- sion. The information given by me Is corfect and | am aware of the fact that the University nas right to cancel my admission at any stage, I the information given by me Is found incorrect and / or false Place Date of Admission with Receipt No. Applicant's Signature (FOR THE USE OF COLLEGE / UNIVERSITY / INSTITUTE ONLY) Ihave verified the documents of the applicant and he / she is found eligible for admission to the course / exam applied for in this College / University / Institute. The application is forwarded to the University for final decision Sign of Concer ‘Seal & Signature of the Date of admission College Code Otfice bearer Principal / Head / Guide (FOR OFFICE USE ONLY) Fees received Rs. Receipt No Dated The applicant is a eligible for addmission to the course applied for : Yes / No. If Yes: Eligibility is issued to him / her. Eligibility No. Dated If No Reason Director Clerk section - Incharge B.CUD. INSTRUCTION TO THE APPLICANT ‘The application form must be filled in by the applicant in his / her own handwriting, 2. The application must accompany the eligibility fees, as given below, in cash a) Rs. 100/- for the applicants within the Marathwada region b) Rs. 200/- for the applicants outside Marathwada Region but within the state of Maharashtra ©) Rs. 200/- for the applicants migrating form outside Maharashtra State. d) $ 300 Dollar for the applicant of foreign Nationality. ( Though He / She migrated orm Indian boards / Universities.) 3. The application must accompany the following Original Ceriificates along with the atiested Xerox copies thereof. (Regular/External Student and Research Student also) a. Migrations Certificate of the University fram which the applicant has passed the latest examination. b. Statement of Marks of the qualifying examination c. Caste Certificate from the competent authority showing caste and category d. Transfer (Leaving) Certificate. e. Degree Certificate or Provisional Passing Certificate for admission to Post-graduate Degree Diploma or Ph.D. 1. For PG, Courses allach the previous U.G. marks memo. Note : All Orginal certificates except the Migration Certificate 4. The application not filled in by the candidate himself / herself or without the necessary fees and document will be rejected ‘The applicant should read the Ordinances, Regulations etc. pertaining to the course / exam to which he / she is seeking admission 6 Ita candidate suomits original documents after the expiry of First Term, (Post Graduate Degree / Diploma) Rs. 500/- shall be charged as penalty. 7 Ifa Candidate submits Migration Certiicate after 31st Dec. Rs. 500/- shall be charged as fine for late submission 8 Eligibility fees will not be refunded under any circumstances 9 Ifthe applicant fails to obtain the eligibility before the commencement of examination, he / she will not be allowed to appear for the University examination,

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