( A Grade, NAAC Accredited) EXAMINATION FORM FOR D.ED. EXAMINATION

Transcription

1 Signature of Receipt Clerk Page 1 Kurukshetra University Kurukshetra (Established by the State Legislature Act XII of 1956) ( A Grade, NAAC Accredited) EXAMINATION FORM FOR D.ED. EXAMINATION Form Deposit No Date. University Roll No. (To be assigned by the Office) TO BE FILLED IN BY THE CANDIDATE NEATLY AND LEGIBLY IN HIS/HER OWN HANDWRITING. INCOMPLETE ADMISSION FORM WILL BE REJECTED. Please Tick ( ) mark, whichever is applicable in Points No. 2, 6, 7 and Registration No. (if Registered with Kurukshetra University) 2. Examination for which appearing : - Annual Supplementary Session. Appearing for (Full papers I Comptt. / Re-appear).. Imp. Note : Name & Particulars must be the same as in the certificate of Matriculation. 3. Name in English (in block letters) (Please leave a blank column between First Name & Last Name) In Hindi Father's Name (in block letters) In Hindi. 5. Mother s Name Signature of Candidate 6. Male 7. Rural 8. Female Urban Space for affixing an attested Photograph of the Candidate Fee remitted: Rs...Date... Name of PNB Branch Distinctive No. of Branch... Vide BD / OBCs Scroll No 9. Category to which you belong (General Scheduled Caste BC PH ) 10. State to which you belong 11. Choice of Centre : (The University reserves the right to allocate any other centre) 1st Choice... 2nd Choice State particulars of Previous Examination(s) on the basis of which applying for the present examination (Attach attested copies as proof) Examination Year/ Session Roll No. Board/ University Subjects Marks Obtained Max. Marks Result 12. Subjects / papers in which appearing : Particular option be mentioned where the paper(s) have options (i) (ii). (iii). (iv) (v).. (vi) (vii) (viii). (ix). (x)... (xi) (xii) Medium for answering (other than language paper) Correspondence Address: Permanent Address Tel. No.:... Tel. No.:...

2 Page Date of Birth D D M M Y Y Y Y 16 Indicate if blind or deaf or permanently disabled from writing with his /her hands Have you applied for re-evaluation? Yes/No Roll No.... Class...Session... If 'yes' indicate date of Revised Result & Revised Marks Whether appearing simultaneously in lower examination: Yes/No Name of Exam....Subject University/Board If the applicant was ever disqualified or any enquiry is pending against him/her in an Unfair Means Case, this fact should clearly be stated with full particulars: Name of the Examination....Year/Session.... RolI.No...University/Board...Period of disqualification Please write one sentence in Hindi/English each for specimen In Hindi In English Declaration: I solemnly declare and affirm that the particulars given above are correct and true to the best of my knowledge and nothing has been concealed therein. I am eligible for the Examination as per rules and regulations of the university. I have consulted Syllabus, Scheme, Eligibility conditions and have gone through general rules/ instructions of Kurukshetra University, Kurukshetra, before filling it. Dated.. Note: The Heads of the Institutions are also required to get the complete data of students, entered in the computer and send in the form of CD alongwith the hard copy, duly signed and requisite fee. ATTESTATION SIGNATURE OF THE CANDIDATE (i) (ii) (iii) (iv) Certified that the candidate has passed the qualifying lower Examination for the above mentioned class under Roll No. in April/Sept. and is eligible to appear in the said exam. He/She is eligible to appear in the said Exam. under the capacity of Ex-student/ woman/ SC/ ST /Handicapped/ Defence Personnel of Haryana and already M.A. of this University. Certified that he/she was regular student of this College/DCC during the session to. He/She bears a good moral character and has signed this form in my presence. Particulars of the candidate and his/her photo are correct as per registration. Dated: Signature of attesting authority With Office Seal Eligible / Not Eligible For Office use only Discrepancy in the admission form 1.. Clerk Assistant Superintendent Note: Last date for submission of Examination Forms in the University is

3 Page 3 FOR CENTRE SUPERINTENDENT Kurukshetra University, Kurukshetra Roll No.-cum-Admit Card Post-Graduate Examination FOR STUDENT Kurukshetra University, Kurukshetra Roll No.-cum-Admit Card Post-Graduate Examination Class: Ticket Size attested Photograph Class: Ticket Size attested Photograph May / December Roll No. Regn. No. Name Father s Name : Sh. Centre of Exam. Signature of Candidate Controller of Exams. May / December Roll No. Regn. No. Name Father s Name : Sh. Centre of Exam. Signature of Candidate Controller of Exams. This slip is to be preserved by the candidate and show on demand on any day of the examination. Important: Mobile Phone/Pager etc. in the Examination Centre is strictly Prohibited Important: Mobile Phone/Pager etc. in the Examination Centre is strictly prohibited.

4 Kurukshetra University Kurukshetra (Established by the State Legislature Act XII of 1956) ( A Grade, NAAC Accredited) COMPUTER FORM FOR D.ED. EXAMINATION Serial No. (This form duly filled in by the candidate in his/her own hand writing must be attached with the examination form) Roll No. (to be allotted by the office) 1. Examination for which appearing (Class) Diploma in Education Session: April/May/Oct./Dec (i) Full papers/compartment/re-appear. (ii) Category: Regular Private Correspondence 2. K.U.K. Registration No, if registered. 3. Name in English (Capital Letters) Name in Hindi.. 4. Father s Name (In English) Name in Hindi 5. Mother s Name (In English) 6. Male Female 7. Rural Urban Signature of Candidate 8. Category to which you belong (General Scheduled Caste BC PH ) 9. State to which you belong 10. Choice of Centre (i) (ii) 11. Particulars of Previous Examination(s) passed Name of Class Year Session Roll No. Result (Marks Obtained) University/ Board Subjects Unattested photo be pasted 12. Subjects / papers in which appearing : (Particular option be mentioned where the paper(s) have options) (i) (ii). (iii). (iv) (v).. (vi) (vii) (viii). (ix). (x)... (xi) (xii) Fee Detail: B.D./OBC Scroll/Univ. receipt No.. Dated..... Rs Declaration: I solemnly declare and affirm that the particulars given above are correct and true to the best of my knowledge and nothing has been concealed therein. Date:.. Signature of the Applicant

5 Form No. Ex ,000-08/10/2007-K.U.P. KURUKSHETRA UNIVERSITY, KURUKSHETRA (Established by the State Legislature Act XII of 1956) This letter should be sent alongwith the admission forms for each examination separately. For this purpose, B.A. & B.Sc. (Each Part), (Full Subjects, Compartment/Re-appear separately), MA./M.Sc. Previous and Final (subject-wise & Semester-wise) and ail Professional Examinations (Semester-wise) etc. should be treated as separate examinations. No... Dated 201. From: To The Principal/Chairman, The Asstt./Deputy Registrar (Ex-),...College/Dept., Kurukshetra University,...Distt... Kurukshetra Dear Sir, 1 am sending herewith the admission forms of this College/Dept. duly Filled in. All the candidates whose admission forms are being sent have offered subjects in which the College/Dept. has been granted affiliation for this examination and their admission have already been confirmed, by the University. (Forms of such candidates, whose admissions have not vet been confirmed by this University be not forwarded under any circumstances.) The names of candidates who are being sent up provisionally on account of shortage of lectures etc. are given overleaf. The word "Provisional" has been written on their forms and on the Roll No. Slips. The candidates who are appearing simultaneously in the Re-appear/Comptt. Subject(s) of the lower examination have also been noted in the provisional list mentioned overleaf. All the candidates of this College/Dept. will appear at centre... (No. of candidates should offer a different centre in the admission form) (i) Name of Examination...(... ) (write only one examination as instructed above) (ii) Faculty, Group or Category... (i.e. Arts, Medical, Non-Medical, Comptt. etc.) (iii) Number of Women candidates... (iv) Number of Men candidates...» As enclosed with forwarding letter. (v) Total candidates... Enclosures : 1. Admission Forms as above. 2. Financial Statement (Form No. Ex.-177). 3. List of candidates (Form No. Ex.-178). 4. List of all Provisional cases as mentioned overleaf. } Yours faithfully,... (Full name of the Principal of College/Chairman of Dept.).. (Signature of Principal of College/Chairman of Dept.) (Office Stamp) To be filled in by the Exams. Branch 1. Serial No. of College/Dept Date of Receipt in the University office... vide R.P.No...Dated Dealing Clerk Assistant (Exams.) Supdt. (Exams.). Form Clerk To be verified by the Accounts Branch FEE VERIFIED. Assistant (Accounts) Note. - In case of printed forms supplied by this office run short, the Principals are advised to use their own proformas for the purpose. P.T.O.

6 The admission forms of the following candidates are being forwarded PROVISIONALLY on account of shortage in attendance in the subject mentioned against each and the candidates who are appearing simultaneously in the Re-appear/Comptt. Subject of the lower examination. Roll No. (to be left blank) Regn. No. Name of Candidate Name of subject in which lectures are short Name of Exam./Subject of lower exam, in which appearing simultaneously Particulars of Blind/Deaf/ Permanently disabled candidates, if any: Signature of Principal/Chairman of Dept....College Stamp...

7 Form No. Ex ,000-KUP KURUKSHETRA UNIVERSITY KURUKSHETRA Financial statement of Admission Fees of Candidates remited to the Registrar Kurukshetra University, Kurukshetra. Note: 1. This form is to be submitted alongwith the admission forms of candidates, and not separately dully filled up and signed by the Heads of the Institutions. Names of Candidates whose fees and forms are not being submitted with this form must not be mentioned in this statement. 2. Principals are particularly requested to send financial statement for each examination Separately. 3. In case the printed financial statement forms supplied by this office run short, the principal are requested to use their own paper for the purpose. 4. No admission form be sent to this office without admission fee which should be remitted to the Registrar, Kurukshetra University, Kurukshetra at the time of forwarding the admission forms.... EXAMINATION Total No. of Candidates... Total No. of Candidates taking Science subject which includes Practice Paper... Total amount remitted to Registrar :... by:- (a) Bank Draft No... Dated... or (b) University fee receipt No... Dated... Serial No. Name of the Candidate Admission fee Science subjects fee Late fee Total i'

8 Serial No. Name of the Candidate Admission fee Science subjects fee Late fee Total Total Signature of the Principal/Head (with office seal) Date College/Dept.

9 FORMNO.EX-178 Note:- KUP KURUKSHETRA UNIVERSITY, KURUKSHETRA The particulars to be filled in this form should be TYPEWRITTEN, Spellings of names and father's names must be spelt shown in the admission forms as well as in Registration Cards. The particular option of a subject, if any, offered by candidate may also be mentioned in brackets. One page should consist only 25 candidate. Abbreviation for each subject to be shown in this form. Name of Examination...(...)200 Faculty/Group/Category.... Name of College/Department... (According to official stamp) Univ. Roll No. (To be left blank) Roll No. of College/ Registered No. as in Registration Card issued by University Name of Candidate Elective Subject Centre of Examination Father's Name Each sheet must be signed by the Principal/Chairperson after proper check by a resposible staff member. Certified that the above particulars of the students have been checked and are correct according to Regn. Card/Lower Certificate. PRINCIPAL/CHAIRPERSON...Stamp of College/Dept.

10 Univ. Roll No. (To be left blank) Roll No. of College/ Registered No. as in Registration Card issued by University Name of Candidate Elective Subject Centre of Examination Father's Name Certified that the above particulars of the students have been checked and are correct according to Regn. Card/Lower Certificate... Principal/Chairperson Stamp of College/Dept