MAULANA AZAD NATIONAL URDU UNIVERSITY

Gachibowli, Hyderabad 500 032. (Accredited A Grade by NAAC) Application No.

Affix recent self attested passport size photograph

ADMISSION APPLICATION FORM 2011-2012 (to be filled in English only) 1. Name of the Candidate : (IN BLOCK LETTERS) _____________________________________________ 2. Fathers/Guardians Name 3. Mothers Name : : _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Contact Phone No. with STD code (Compulsory) : 5. Permanent Address : _____________________ E-mail ID: ______________ _____________________________________________ _____________________________________________ Phone No. 6. Date of Birth 7. Sex (Male/Female) 8. Nationality 9. Caste (Enclose Certificate for other than O.C.) 10. Other Category: (Enclose certificate) 11. Course Applied: 12. Registration Fee particulars: (If applicable) D.D. No. Date Amount Issuing Bank : : : : : OC SC ST OBC
(Mention Caste)

4. Address for Communication :

_____________________________________________ D M Y

Sports & Games

Ex Service mens Children

P H C

Visually Handicapped

NCC

NSS

NRI

ROC

Foreigner

Kashmiri Migrants

13. Qualifying Examination: (enclose photo copies of relevant certificates)

Examination Passed Name of the Board / University Medium of Instruction Maximum Month & Year Marks / Marks of Passing Obtained Division Aggregate %

S.S.C./ 10th Class* Intermediate / 10+2 Graduation B. Ed.

14. To be filled by B. Ed and MA languages applicants only (MA Urdu/English etc.)

Subjects Maximum Marks Minimum Marks Marks Obtained Percentage

English (Compulsory Language) Second Language Optional Subjects 1 2 3 15. To be filled by MPhil & PhD applicants only (Enclose photo copies of relevant certificates):
Examination Passed
,

Name of the University

Month & Year of Passing

Maximum Marks / Marks Obtained

Division

Aggregate %

M.Ed/M.A .. MPhil. UGC JRF/NET/SLET Research Topic

(Enclose Research Proposal)

Publications if any
(Enclose copy of Publications)

Any other qualification and experience

(Enclose Documents)

DECLARATION BY THE APPLICANT I hereby declare that the information furnished by me in this application and the documents I have submitted in support of my application are true. I abide by the rules, regulations and statutes of the University. I will not indulge in ragging. I understand that the decision taken by the authorities is final and binding. Place: Date: (For Office Use Only) Entrance Test Centre: Signature of the Candidate

*Hall Ticket Number: Demand Draft Verified Signature: Remarks Date:

MAULANA AZAD NATIONAL URDU UNIVERSITY ORIGINAL Gachibowli, Hyderabad 500 032. HALL TICKET FOR ENTRANCE EXAMINATION FOR ..2011-2012 (For Office Use Only) Hall Ticket Number : Affix recent self attested passport size photograph

Date and Time of Exam :

Examination Centre : ______________________________________________________________________________ (To be filled in by the Candidate in English) Name of the Candidate : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Fathers/Guardians Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Programme Applied for : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Identification Marks : 1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To be filled by B.Ed. Applicants only: Optional in Part-C:

Signature of the Candidate

Signature of the CoE/Convener

DUPLICATE MAULANA AZAD NATIONAL URDU UNIVERSITY Gachibowli, Hyderabad 500 032. HALL TICKET FOR ENTRANCE EXAMINATION FOR ..2011-2012 (For Office Use Only) Hall Ticket Number : Affix recent self attested passport size photograph

Date and Time of Exam :

Examination Centre : ______________________________________________________________________________ (To be filled in by the Candidate in English) Name of the Candidate : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Fathers/Guardians Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Course Applied for Identification Marks :_____________________________________ : 1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To be filled by B.Ed. Applicants only: Optional in Part-C: Signature of the Candidate Signature of the CoE/Convener