Application should be sent to the Director, Directorate of Distance Education,

Sri Padmavati Mahila Visvavidyalayam, Tirupati-517502 along with a DD of Rs.350/-

DD drawn in favour of “The Registrar, SPMVV, Tirupati

APPLICATION FOR
P.G/Diploma Courses Last date for
submission of
application
APPLICATION NO:
31-03-2023
ADMISSION NO.:
Name of the Study Centre opted: _________________________________________________.

DIRECTORATE OF DISTANCE EDUCATION

SRI PADMAVATI MAHILA VISVAVIDYALAYAM, TIRUPATI – 517 502
ANDHRA PRADESH
(For Women Candidates Only)

APPLICATION FOR ADMISSION INTO: ____________________________________ Please affix your

(Please specify the Name of the course) recent passport size
photograph.
Photograph should
N.B. 1. To be filled in by the Candidate in capital letters only.
be attested.
(Read the Prospectus before filling this application)
2. Tick (√) in relevant box ( ) wherever necessary.

1. Name of the candidate (in Block letters) (As per Lower Degree Certificate):
Name Surname

2. Father’s Name: Mother’s Name

3. Husband’s Name:

4. Address for Communication (Use Capital letters only)

Permanent Address Address for Communication

District: _______________Pin code:_________ District: _____________Pin code:_________

5. Mobile No.1. 2.

6. Whats App No. Email ID.___________________________

7. Aadhar No:

8. PAN No:

9. Voter ID No:
10. Date of Birth :

11. Marital Status : Married Unmarried

12. Social Category : OC SC ST BC-A BC-B BC-C BC-D BC-E

13. Special Categories if any: (Specify): PH NCC NSS Sports and Games EX-Servicemen

14. Region : Rayalaseema Andhra State of Telangana Non Local

15. Whether the Learner is employed: Yes No

If ‘Yes’ Specify the Present occupation with address:

16. Educational Qualifications (SSC onwards):

Total Marks
Name of the
Examination Year of Obtained % of
Board/ H.T. No Subjects Taken
passed passing (including Marks
University
languages)

17. Application Registration fee for Rs.350/- DD.No. ______________dated _______________,

Name of the Bank ________________________________________.

DECLARATION BY APPLICANT
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 conditions, and I have
provided necessary information in this regard. In the event of any information being found
incorrect or misleading, my candidature shall be liable for cancellation by the University at
any time and I shall not be entitled for refund of any fee paid by me to the University.
Place:

Date: Signature of Applicant

Enclose the following with this Application:(Attested Copies)
a) Degree/Provisional Certificate of the Qualifying examination passed.
b) Degree/equivalent Marks Memos
c) Original Migration Certificate
d) One copy of recent passport size photograph to be affixed to the application and the
other photograph to be enclosed to the application.
e) Crossed Demand Draft (Original).
f) Certificate of proof of date of birth.
g) Aadhar Card. h) PAN Card
Note: For any details contact Ph.No. 0877-2284524, 2284603 during office working hours
10.00 AM to 5.00 PM email: dec.spmvv@gmail.com Website: www.spmvv.ac.in,
***