South Asian University

New Delhi Admission Form Academic Session: 2013-14

PASTE HERE FIRMLY YOUR RECENT PASSPORT SIZE COLOURED PHOTOGRAPH OF GOOD QUALITY DO NOT STAPLE

1.

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

2.

Gender:

Male

Female

3.

Fathers Name:

4. 5. 6. 7.

Mothers Name: Nationality: .. Date of Birth:

D D M M Y Y Y Y

Permanent Home Address: . City.............. StateCountry.

8. 9.

Code of the course, you are applying for: (For codes, see at the end of the applications) Email: (Write the correct email id in capital letters) ..(With country and city code)

10. Phone:

Mobile: .(With country code)

11. Centre of Examination where you wish to take the Entrance Test: (Refer to instructions, Item no. 10) 12. Details of Passport.: Passport No: Date of Issue:. Valid upto..

13. Complete Mailing Address with Pin Code, if any:

NAME: ... ADDRESS:. ..... Country :.

PASTE HERE FIRMLY YOUR RECENT PASSPORT SIZE COLOURED PHOTOGRAPH OF GOOD QUALITY DO NOT STAPLE

SIGNATURE (WITHIN BOX IN RUNNING HAND USING BLACK BALL POINT PEN ONLY (DO NOT SIGN IN CAPITAL LETTERS)

14. Education Details: Do you have 12 years school education: Examination passed High School (10th Class) or O Level or equivalent Senior Secondary (10+2)/12th Class or A Level or equivalent Year of Passing

Yes / Marks (%) or Grades

No.

If Yes, Name of School / College and its location Name of the Board / University Main subjects studied

Do you have minimum 3 years degree education: Yes/ No. Do you have the minimum prescribed qualifying marks (55% for Science subjects/50% for Social Sciences subjects) Yes No If Yes, Examination passed (Please tick the relevant box) Year of Passing Marks (%) or Grades Name of School / College and its location Name of the Board / University Subjects / Papers offered

B.A. / B.A. (Hons) / B.Sc. / B.Sc. (Hons) /BCA B.Com. / B.Com. (Hons) /BBA BE/B.Tech/MBBS LL.B; or any Other** .

1st Year 2nd Year 3rd Year 4th Year 5th Year Aggregate

(Note: in case you are appearing in the final year/semester of the qualifying exam., please write Appearing: Result Awaited.) * Please indicate details, If there was a fourth /fifth year ** Please write the name of the degree Do you have 2 years Post-Graduate or 4/5 years integrated degree education: Yes/ No. If Yes, Do you have the minimum prescribed qualifying marks (55% for Science subjects/50% for Social Sciences subjects) Yes No If Yes, Examination passed M.A/M.Sc./M.Com./ MBA/MCA/M.tech/ LL.M etc 1st Year 2nd Year 3rd Year 4th Year 5th Year Aggregate (Note: in case you are appearing in the final year/semester of the qualifying exam., please write Appearing: Result Awaited.) Year of passing Marks (%) or Grades Name of College and its location Name of the Board / University Subjects studied

15. Details of attached Bank Draft towards Entrance Test Fee of US $ 10 or Indian Rupees 550 Payable, New Delhi:
DRAFT NO. DATE AMOUNT DRAWN ON (NAME OF THE BANK)

If you have a VISA/Master/Maestro Credit/Debit card for online payment of Entrance Examination Fee, you have the option to apply online.

I have gone through the instructions and have understood the minimum eligibility criteria for admission to the SAU academic programmes. I declare that the information provided in this application is true and correct and that I fulfill all eligibility criteria for the course I am applying for. 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. I understand that I am being permitted to write the entrance test provisionally subject to meeting the minimum prescribed eligibility conditions and verification of documents before admission.

Signature of the Applicant

Date:

Place:

Programme Codes:
Master Programmes Programme M.A. (Development Economics) M.A. (Sociology) M.A. (International Relations) M.Sc. (Computer Science) M.Sc. (Biotechnology) M.SC. (Applied Mathematics) LL.M. (Master of Law) Code MDE MSO MIR MCS MBT MAM MLW Ph.D Programmes Programme Ph.D (Economics) Ph.D. (Sociology) Ph.D. (International Relations) Ph.D (Computer Science) Ph.D (Biotechnology) Ph.D (Applied Mathematics) Ph.D (Legal Studies) Code PDE PSO PIR PCS PBT PAM PLW

If you are not applying online, please send the completed admission form (Hard Copy) together with Bank Draft, to: Director (Admissions), South Asian University, Akbar Bhawan, Chanakyapuri New Delhi 110 021 (India)

Last Date of receiving the Applications: 25.2.2013

Acknowledgement
Received application for admission from:
Name :.. Course:. Email Id: .