mba,mca application form madras university
TRANSCRIPT
MBA-Genera l ,MBA-Genera l ,MBA-Genera l ,MBA-Genera l ,MBA-Genera l ,Integrated, ExecutiveIntegrated, ExecutiveIntegrated, ExecutiveIntegrated, ExecutiveIntegrated, Executive
MCA, MSC(MCA, MSC(MCA, MSC(MCA, MSC(MCA, MSC(IT)IT)IT)IT)IT) UNIVERSITY OF MADRASINSTITUTE OF DISTANCE EDUCATION
nr nr nr nr nrHf;ifHf;ifHf;ifHf;ifHf;if tpz;zg;gg;tpz;zg;gg;tpz;zg;gg;tpz;zg;gg;tpz;zg;gg; gbtk;gbtk;gbtk;gbtk;gbtk; /APPLICATION FOR ADMISSIONM.B.A. General, Integrated, Executive M.B.A., M.C.A., M.Sc. (I.T.)
Name of the Course applied for
ENROLMENT NUMBER (to be assigned by the IDE office / Co-ordinator, Spot Admission Centre)
STUDY CENTRE / SPOT ADMISSION CENTREAT WHICH ADMISSION IS MADE
Centre Code Place
Registration Fee : M.B.A. - Executive Course : Rs.1,000/- For all other Courses : Rs.400/-(Payment should be made either by designated Bank Challan / Demand Draft)
CANDIDATE TO FURNISH ALL THE REQUIRED PARTICULARS BELOW IN CAPITAL LETTERS
Recent PassportPhotograph signed by a
Gazetted Officer /PRO/AR (IDE) /
Faculty with Seal
ADDRESS FOR COMMUNICATION (WRITE IN CAPITAL LETTERS)
NAME : ——————————————————————––
S/o, D/o, W/o, C/o. : —————————————————————–—–
Door No. & Street : ————————————————–––––––––––––
Town / Village Post : ————————————————————–—–—
District : ———————————————————–———–
State : ——————————————————––— INDIA
Pin code : —————————————————–————–—
Phone (Res) : ——————————— Off. ———–——————
Registered Mobile No.(RMN) : ———————————E-Mail –––––—————–––
PERSONAL CONTACT PROGRAMME CENTRE
PCP Centre Code Place
6. a) Community (Tick )
1. NAME OF THE APPLICANT(as given in the certificate inCAPITAL LETTERS)
8. Physically Challenged (Tick ) 9. Present Occupation
5. Religion(b) Age (c) Sex (Tick) 4. Nationality
7. Mother Tongue
Yes No
OC / BC / MBC / SC / ST
Male / Female
2. Name of Father / Mother / Guardian / Husband
3. (a) Date of Birth
b) Caste
(a) in English
(b) in the RegionalLanguage
Main Subject
APPLICATION NUMBER
ACADEMIC YEAR 2014-2015
CALENDAR YEAR 2015
A 1
C 1
4
5
Candidate to tick ( ) any one of the appropriate boxesfor Tuition Fee Consession - (Refer to Page No. 18) Differently Abled Prison
10. Are you undergoing any other course in a College orUniversity ? If so, Specify
11. The wards of Defence Personnel / Ex-Servicemen (a) Ward of Defence Service Personnelshould specify as : (b) Ward of Ex-Servicemen : Navy / Army / Air force.
12.
14. Enclosures(1) ....................................... (3) ................................................. (5) ..............................................(2) ....................................... (4) ................................................. (6) ..............................................
I hereby declare that all the particulars given above are correct and I agree to abide by all the Rules and Regulationsof the University that are in force from time to time.
Station :Date : SIGNATURE OF THE APPLICANT
FOR OFFICE USE ONLYThe Admission particulars furnished in the column No. 13 have been duly verified with Originals and the Candidate
is eligible for admission
VERIFYING STAFF
1. Admission / Cancellation Intimation sent on ........................................................
2. Certificates returned to the Candidate on ........................................................(1) Statement of Marks (2) S.S.L.C Book (3) Conduct Certificate(4) Birth Certificate (5) Transfer Certificate (6) ..............................
ASST. /ASST. SECTION OFFICER SECTION OFFICER ASSISTANT REGISTRAR
STUDY CENTRE / SPOT ADMISSION CENTRE / PARTICIPATORY INSTITUTIONS / TWINNING PROGRAMME CENTRE / OFFICE
Signature of the Centre Co-ordinator with Seal DIRECTOR
Received the Provisional admission intimation and all the originals submitted by me
SIGNATURE OF THE APPLICANTWITH DATE
13. DETAILS OF EXAMINATION PASSED
Choosen by the Candidate willbe final and will not be permittedto change subsequently
a) Project Work b) Two Optional Subjects
S.S.L.C. / 10th Std.Strikeout whichever is not applicable(State whether it is 10 Years or 11 Years Course)
P.U.C. / Higher SecondaryStrikeout whichever is not applicable(State Whether it is One Yearor Two Years Course)
BA/BSC/BCom DegreeWith main Subject Strikeout whichever is notapplicable (State Whether it is Two Yearsor Three Years Course)
(The above statement must be attested by the same Gazetted Officer/Assistant Registrar/Public Relation Officer (IDE) / Faculty who attested the Photograph)
Examinations passed Name of the Month & Year of Registration Class with Maximumwith Subjects Passing Number Grade/Marks MarksBoard / UniversitySchool / College
UNIVERSITY OF MADRASINSTITUTE OF DISTANCE EDUCATION
COMPUTER CODING SHEET
2. Main Subject chosen
3. ENROLMENT NUMBER (to be assigned by the office)
4. Name of the Candidate (Write in Capital Letters) (a) in English (b) in the Regional Language
5. Name of Father / Guardian / Husband (Write in Capital Letters) – as per entry in the Transfer Certificate
6. Mother’s Name (Write in Capital Letters)
7. Date of Birth
9. Address for communication (do not write your name here)
City Pincode
Phone : Registered Mobile No. (RMN) : E-Mail :
1. Course to which admission is sought (Tick ( ) Appropriate Box)
M.B.A.Integrated
M.C.A. M.Sc. (I.T.)M.B.A.Executive
M.B.A.General
ACADEMIC YEAR 2014-2015
CALENDAR YEAR 2015
A 1
C 1
4
5
Date Month Year
8. Sex Male Female
(a)
(b)
12. Nationality Indian Others 13. Region Urban Rural 14. Religion
15. Caste
16. Community SC ST MBC BC OC
17. Physically challenged YES NO 18. Are you employed ? YES NO
19. Centre at which you propose to attendthe Personal Contact Programme classes
20. Centre at which you propose to collect thestudy materials (Refer Page No. 60 to 69)
21. Are you a ward of a Defence ServicePersonnel ? (Army / Navy / Air Force)
22. Are you a ward of an Ex-service person ? Yes No 23. Tuition Fee Concession Opted ?
(Candidate to tick ( ) any one of the appropriate boxes -Refer Page No. 18) Candidates can avail any one of the concession
Station :Date : Signature of the Candidate
AffixPassport Size
Photo
Not to be attested
Admission of Candidates from Other StatesCandidates from other states should submit their applications at any one ofthe Study Centres of the Institute of Distance Education (IDE), Universityof Madras listed in the Prospectus, of the State concerned for admission tovarious courses offered by IDE.Applications received by post from the candidates of other States willautomatically be linked to the IDE Study Centre of the State concerned.Applications received by post from the candidates of other States where thereis no Study Centre of this Institute (IDE), will be linked to the nearby IDEStudy Centre of the other State and candidates should undergo the coursesoffered by this Institute through such allotted IDE Study Centre only.
NameCode No.
Name
Code No.Yes No
Category
Selection of Project Workor Two Optional Subjects a) Project Work b) Two Optional Subjects 10.
GROUP - A 1.2.
GROUP - B1.2.
GROUP - C
GROUP - D
GROUP - E
11. For Optional Subjects, choose any two Papers from any one of the Groups for MBA
1.2.
1.2.
1.2.
GROUP - F 1.2.
GROUP - G 1.2.
Differently Abled
Prison
To be filled in by the applicant (6 copies of his/her address) and returned with the completed application form
Please note that the admission intimation, original certificates and learning materials will be sent only to this address by Postal Service
USE BALL POINT PEN ONLY. WRITE IN CAPITAL LETTERS
AffixPassport Size
Photo
Not to be attested
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.Mob.No..............................................................................
PIN
Calendar Year 2015
C 1 5
Academic Year 2014 - 2015
A 1 4
ADDRESS SLIPM.B.A., General, Integrated, Executive
M.C.A., M.Sc.(I.T.) COURSES
87
TO BE FILLED- IN BY THE CANDIDATES SEEKING ADMISSION TO II/III YEAR OF UG COURSEName of the candidate :
Name of the degree for which admission is sought : II / III YEAR OF........................... (WITH SUBJECT)..................................
Name of the College last studied :
Name of the University last studied :
Pattern of Education undergone by him/her : 10+2
Pattern of System undergone by him/her : Semester / Non-Semester
DETAILS OF THE FIRST/SECOND YEAR EXAMINATION ALREADY APPEARED & PASSED only:
The above statement must be attested by the Gazetted Officer/Assistant Registrar/Public Relation Officer(IDE)/Faculty
I hereby declare that all the particulars given above are correct and I agree to abide by all the rules and regulations of the Universitythat are in force from time to time.
Station:
Date: SIGNATURE OF THE APPLICANT
A.S.O. S.O. A.R.
Name of thepapers appeared
& passedCode of the
subject Reg. No. Month & Year ofPassing
Marks for each subjectMaximum Min.pass
SecuredMarks
RESULT
Passed
88
FOR OFFICE USE ONLY
1. Provisional Admission may be given to Second/Third year
2. Exemption of the following papers may be given to the candidate in which already appeared andpassed
Core Courses-Main subjects
First year :
Second year :
Third year :
3. The candidate has to appear for the following papers as prescribed in the prospectus for the year20 - 20 as per the decision of Chairman BOS
Core Courses-Main subjects
First year :
Second year :
Third year :
4. Rs.500/- may be collected from the candidate towards the fee for Readmission.
5. Rs.750/- may be collected from the candidate towards the fee for Transfer from other University.
6. Rs.100/- may be collected from the candidate towards the fee for exemption
7. May be considered/May not be considered for classification
8. PCP schedule may be sent along with admission intimation
9. Remarks if any:
Asst/ASO (Admn) Section Officer (Admn) Assistant Registrar (UG/PG/LSS)
Thro Eligibility Section
............ may be approved
Asst/ASO(ES) SO(ES) Asst.Regr(Genl) D.R.(Admn)
DIRECTOR
89
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1000
X
500
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100
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50 X
20 X
10 X 5 X
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