McGAN’SOoty School of Architecture(Recognized by the Council of Architecture, New Delhi &

Affiliated to Anna University, Chennai)

M.Arch

Application Form

Application No:

Bank Demand Dra f t no :…………………………. Date : ……………………

N a m e o f t h e B a n k : … … … … … … … … … … … … … … … … … … … … … … .

The Demand Draft for Rs.600/- drawn in favour of McGAN'S Ooty School of Architecture,

payable at Ooty, should be sent to The Director, McGAN'S Ooty School of Architecture,

5/635, Perar, Kotagiri Road, Mynala post, Ooty, The Nilgiris - 643002, Tamilnadu.

Along with this application form

(Please make all the entries in CAPITAL LETTERS)

1. Name

2. Gender

3. Address (Official with Designation)

Mobile No & Email ID

4. Address (Residential)

Mobile No & Email ID

Phone No with STD Code

: ..........................................................................................

:

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: ..........................................................................................

: 5. Date of Birth

Age Completed

6. Nationality

7. Social Status

years

: ..........................................................................................

: OC/ OBC/ BC /MBC/ SC/ ST

Male Female

8. Whether Employed

Name & Address of the Employee

9. Academic Background (Start with latest Degree Obtained)

10. Professional Experience (Start from the present employer)

11. Publications, if any (Book / Research Paper):

: YES / NO

: ..........................................................................................

: ..........................................................................................

Sl. No. Degree/Diploma

Yearof

PassingUniversity / Board

Major Discipline Percentage

Note: Enclose photo copies of Degree/Diploma Certificates/Statement of marks

OrganizationPeriod

Designation Nature of Job RemarksSalary/monthFrom To

S.No Title YearName of the journal /conference /

Published In the case books / Volume / Month

DECLARATION OF THE APPLICANT:

I,………………………………………………, (Son/Daughter) of …………………………………..., hereby declare that the information furnished and the statements given in the application and the enclosure are true, correct and complete. I further declare that should it be found otherwise, I will forfeit my seat and/or removed from the rolls of the institution at whatever stage of study, I may be, besides making me liable for criminal prosecution.

Place :

Date : Signature of the Applicant

DECLARATION BY THE PARENT/GUARDIAN:

I……………………………….(son/daughter of) ……………………………herby solemnly declare that I am fully aware of the declaration made by the applicant, My son / Daughter and I declare and bind myself on the same terms contained in the above declaration. The statement and the information given are true, correct and complete. If it is found otherwise, the applicant of study, besides making me liable for criminal prosecution.

Place :

Date : Signature of the Parent/Guardian

Note: Guardian can execute the above declaration only if both the parents are not alive.

CHECK LIST (To be filled by the candidate) TICK

1. Attested photograph affixed in the application

2. Copy of the Transfer Certificate

3. Copy of Community certificate(if Applicable)

4. Acknowledgment Card(Self Addresses Stamped)

Office Use Only:1. Application Complete : Yes/No If ‘No’ specify …......................................................…………….

2. Eligibility requirements fulfilled : Yes/No If ‘No’ specify………………..................................................... Total Score Obtained …..............………. Rank of the applicant…………...........

Scrutinizing Staff :Name……………….……………… Signature………………………….

Director McGAN’S Ooty School of Architecture

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