y[kuå fo'ofo ky; y[kuå University of Lucknow Lucknow

y[kuå fo'ofo ky; y[kuå University of Lucknow Lucknow,e-ih-,M- izos k 2013-14 M. P. Ed. ADMISSION 2013-14 Procedure: A candidate has to download the Form from the University of Lucknow website (www.lkouniv.ac.in). After filling the form and attaching all necessary documents and a Demand Draft of Rs. 1000/- (Rs. 500/- for SC/ST) favouring Finance Officer, University of Lucknow payable at Lucknow, along with it, he/she should submit the form personally in the Department of Physical Education 5:00 PM of October 3, 2013. Candidate will be given an Admit Card for the Entrance Examination at the time of form submission. 1. miyc/k dqy LFkku Total Seats Available 2. ikb~;øe dh vof/k Duration of Course 3. dqy kqyd Total Fee (In form of demand draft in favour of Finance Officer, L.U., Lucknow) 4. vkosnu i= foø;,oa tek djus dh izkjehk frffk Starting date for the Sale and Submission of Admission from 30 च र स म टर 4 Semesters :- 25]000@izfr lseslvj+:- 5]000/- for providing other Essential facilities 25-09-2013 5. vkosnu i= foø;,oa tek djus dh vfure frffk 01-10-2013 Last Date for the Sale and Submission of Application Form 6. foyec kqyd :- 1000@& ds lkfk vkosnu i= tek djus dh vfure frffk 03-10-2013 Last Date for Submission of Application Form with Late Fee of Rs. 1000/- 7. izos k ijh{kk frffk 05-10-2013 Date of Written Test 8. kkjhfjd {kerk ijh{k.k frffk 08-10-2013 Date of Physical Fitness Test 9. esfjv lwph fuxzr dh frffk 09-10-2013 Merit list will be put up by 10. miflfkfr] LokLF; ijh{k.k] izos k izfø;k,oe~ kqyd tek djuk Reporting, Medical Test, Admission Process and Depositing Fee 10-10-2013 y[kuå fo ofo ky; ds Lukrdksa dks NksM+dj vu; fo ofo ky; ds Lukrdksa dks :- 750@&,UjksyesUV kqyd nsuk gksxka Enrolment Fees of Rs. 750/- will be charged from Graduates of University other than Lucknow University.,e- ih-,m- esa izos k gsrq vgzrk@ik=rk Eligibility for Admission to M.P.Ed.,u- lh- Vh- bz-@fo ofo ky; ds ekudksa ds vuqlkj,e- ih-,m- izfke lseslvj esa izos k gsrq vkosnu ds fy, vh;fkhz rhkh ik= gksxk tc og fueufyf[kr krksza dks iwjk djsxk & As per N.C.T.E./University Norms a candidate shall be eligible for admission to the M.P.Ed. Ist Semester if he/she fulfills the following conditions: a. Has secured Bachelors degree in Arts, Science, Commerce, Agriculture or Physical Education (B.P.E.) (non-professional course), recognised by the Lucknow University, with minimum 45 aggregate marks along with Postgraduate Diploma/Bachelor degree in Physical Education (B.P.Ed.) (Professional Course) of at least one year s duration awarded by an Indian University of Board Recognised by the National Council for Teacher Education (NCTE) with at least 50 aggregate marks in theory, practical skills & teaching ability, each part taken together. OR

Has secured three year s Bachelor degree in Physical Education (Professional course) from a University recognised by National Council for Teacher Education (NCTE) with at least 50 aggregate marks in theory, practical skills & teaching ability, each part taken together. b. vk;q 1 vxlr] 2013 dks 35 o kz ls vf/kd ugh gksuh pkfg, ¼gkbZ Ldwy izek.k&i= ds vuqlkj½a Age as on 1 st August, 2013 must not be more than 35 years (as per High School Certificate). c. Produces certificates of Leave being granted for the period of two years from his/her employer (for those employed as permanent Physical Education teacher in a Recognized Educational Institution). d. Is medically fit (Medical Examination will be conducted by the Medical) personnel approved by the university) e. Reservation as specified in this booklet. izos k ijh{kk Entrance Test All eligible candidates will be called for Sports Proficiency Test, Physical Fitness Test and Written Test as per break up of marks for various items given below: (i) Sports Proficiency Test 30 Marks Each candidate shall be tested for Sports performance by a Core Group of experts in ANY ONE of the following games: 1. Athletics 2. Badminton 3. Basketball 4. Cricket 5. Football 6. Gymnastics 7. Handball 8. Hockey 9. Kabaddi 10. Kho-Kho 11. Softball 12. Volleyball 13. Yoga (ii) Written Test 40 Marks The Written Test will be to test the ability, aptitude and knowledge of candidates in areas of Sports Science taught in B.P.Ed. and D.P.Ed. level and latest trends in Physical Education and Sports. (iii) Physical Fitness Test (100 mt. Run, 800 mt. Run, Shuttle Run & Sit ups) 20 Marks (iv) B.P.Ed. Percentage 10 Marks uksv (Note),e- ih-,m- & vh;ffkz;ksa gsrq For M. P. Ed.- Applicants 1. Hkkjkad dsoy mugha [ksy izek.k i=ksa ij fn;k tk;sxk tks [ksy vf[ky Hkkjrh; fo ofo ky; la?k ¼[ksy fohkkx½ ubz fnyyh dh lwph esa lfeefyr gsaa Weightage to sports certificate will be given, in sports & games as are recognised by association of Indian University (Sports Division), New Delhi only. 2. futh laxbuks] [ksy Dycksa }kjk vk;ksftr Le`fr,oa lgk;rkfkz izfr;ksfxrkvksa vksj gksexkmz,oa izkurh; j{kd ny }kjk vk;skftr jkt;,oa jk Vªh; Lrj ds [ksy izek.k i=ksa dks vadks dk ykhk vuqeu; u gksxka The Certificates of State or National level Memorial/Benefit Tournaments organised by Private Organisation/Sports Clubs, Rules Sports organised by R.P.D./Home Guard, will not be considered under above rules or weightage of marks. 3. dsoy mppre [ksy miyfc/k;ksa ds ykhk vuqeu; djus ds fy,,d gh [ksy miyfc/k ij fopkj fd;k tk;sxka Only Highest Achievement in one game shall be considered for weightage.

4. jk Vªh; Lrj dh lghkkfxrk ds izek.k i= ds lkfk lk{; ds :Ik esa ns; ykhk ds uhps dh Js.khc) izek.k i=ksa dks izlrqr djuk vfuok;z gsa The Certificate of Participation at National level must be supported by the Certificates of participation in the lower level tournaments (that is preceding National Level Tournament). 5. ch- ih-,m- ds izkirkadksa dks,e- ih-,m- & izos k gsrq tksm+k tk;sxka B.P.Ed. marks will be added in the Merit of M.P.Ed.- admission. 6. izos k ds le; gh lhkh ewy izek.k i= izlrqr djuk vfuok;z gksxka At the time of admission the candidate is required to bring all original certificates and other documents for verification. vkj{k.k @Reservation m/okz/kj@ Vertical Scheduled Caste* 21 vuqlwfpr tkfr ¼vf/kdre vkj{k.k ½ Scheduled Tribe* 2 vuqlwfpr tutkfr ¼vf/kdre vkj{k.k ½ Other Backward Classes 27 vu; finm+k oxz ¼vf/kdre vkj{k.k ½ *os vh;fkhz tks vuqlwfpr tkfr@tutkfr,oa vu; finm+k oxz ds gsa] mrrj izns k ds ewy fuoklh gsa] dks gh vkj{k.k dk ykhk ns; gksxk rfkk vu; izns kksa ds vuqlwfpr tkfr @tutkfr ] vu; finm+k oxz ds vh;fkhz lkeku; Js.kh ds fy, ;ksx; ekus tk;s axsaa *The scheduled caste, scheduled tribes and other backward class candidates originally belonging to Uttar Pradesh will be given the benefit of reservation. Scheduled castes, scheduled tribes and other backward class candidates of other states will be treated as general. {ksfrt vkj{k.k /Horizontal Son/daughter/spouse of LU Teacher/Employee y[kuå fo'ofo ky; v/;kidksa@dezpkfj;ksa ds iq=@iq=h@iruh@ifr Son/daughter/spouse of LU affiliated Govt./Aided Colleges of Lucknow University and Govt. Ayurvedic College jktdh; vuqnku izkir y[kuå fo'ofo ky; ls lec) egkfo ky;,oa jktdh; vk;qozsn egkfo ky; ds v/;kidksa d iq=@iq=h@iruh@ifr Son/daughter/Grandson/unmarried Granddaughter of Freedom Fighters from U.P. LorU=rk lsukfu;ksa ds iq=@iq=h@iks=@vfookfgr iks=h ds fy, Son/Daughter of Retd. Defence Personnel or Physically Handicapped Defence Personnel or Defence Personnel killed in war or Defence Personnel posted in UP. lsokfuo`rr HkwriwoZ lsfudksa (Lo;a) vfkok kkjhfjd :Ik ls fodykax lsfudksa vfkok ;q) esa kghn gq;s lsfudksa vfkok orzeku esa mrrj izns kk esa lsokjr lsfudksa ds iq=@iq=h ds fy, 10 5 2 5 oxz izek.k i= tkjh djus gsrq l{ke vf/kdkjh /Competent authorities for issuance of certificates 1 mrd`"v f[kykm+h Outstanding Sportsperson y[kuå fo'ofo ky;,fkysfvd,lksf'k;slu ds v/;{k Chairman of Lucknow University Athletic Association 3 LorU=rk laxzke lsukuh Freedom Fighter ftykf/kdkjh District Magistrate 4,u0lh0lh0^lh^ izek.k i= N.C.C. C Certificate l{ke vf/kdkjh Competent Authority 5 vuqlwfpr tkfr Scheduled Caste l{ke vf/kdkjh Competent Authority 6 vuqlwfpr tu tkfr Scheduled tribes vkj{k.k rfkk vk; izek.k i= osclkbv ls izekf.kr fd;k tk;sxka 7 vu; finm+k oxz Other backward class Reservation and income certificates shall be verified on internet. 8 vk;&izek.ki= ¼Nekg dsvunj dk½ Income certificate (within 6 months) vkj{k.k rfkk vk; izek.k i= osclkbv ls izekf.kr fd;k tk;sxka Reservation and income certificates shall be verified on internet.

oxz izek.k i= tkjh djus gsrq l{ke vf/kdkjh /Competent authorities for issuance of certificates 9 fo'ofo ky; ds v/;kid@dezpkjh Teachers/ Employees of University Dqylfpo y[kuå fo'ofo ky; A ;g izek.k i= 01 ekpz 2013 ds iwoz dk eku; ugha gksxka Registrar, University of Lucknow. The certificates issued 10 jktdh; vuqnku izkir y[kuå fo'ofo ky; ls lec) egkfo ky;,oa jktdh; vk;qozsn egkfo ky; ds v/;kid Teacher of the affiliated Govt./Aided Colleges of Lucknow University and Govt. Ayurvedic College before 1st March, 2013 will not be considered. egkfo ky; ds iz/kkukpk;z Principal of the college vkj{k.k@hkkjkadu lecu/kh lkeku; funsz k Instructions regarding Reservation/Weightages 1- lhvksa dk vkj{k.k mrrj izns k ds v ru kklukns k ds vuqlkj gksxka Reservation of Seats shall be as per existing U.P. Government Orders. 2- vkjf{kr lhvksa@hkkjkad lecu/kh izek.k funsz k iqflrdk esa mfyyf[kr fu/kkzfjr vf/kdkjh }kjk gh glrk{kfjr@fuxzr rfkk eqgj yxs gksus pkfg, rfkk mu ij Lo;a vh;fkhz dks Hkh glrk{kj dj nsus pkfg,a ;fn izek.ki= vh;fkhz }kjk glrk{kfjr ugha gs vksj@;k mu ij glrk{kj djus okys vf/kdkjh dh eqgj ugha yxh gs vksj@vfkok fu/kkzfjr vf/kdkjh }kjk glrk{kfjr ugha gs] rks vkosnu i= fujlr dj fn;k tk;sxka Certificates regarding Reserved Seats/Weight ages should be signed/issued by the respective competent authorities only, mentioned in the Instruction booklet. The candidate should also sign on all such certificates. If the certificate is unsigned by the candidate and/or is without the seal of the signing authority and/or has not been signed by the competent authority, the application form shall be rejected. 3- ;fn izk:i esa n kkz;s x;s izek.k i= dh Hkk kk esa fdlh izdkj dk ifjorzu fd;k tk;sxk] rks vh;fkhz dks vkjf{kr Js.kh ds ;ksx; ugha ekuk tk;sxka If there is any alteration in the language of the prescribed proforma of the certificate, the candidate shall not be treated as eligible for the reserved category applied for. 4- viuh vkj{k.k Js.kh /;kuiwozd vius glrys[k esa mfpr LFkku ij fy[ksaa vkosnu i= tek djus ds i pkr blesa dksbz ifjorzu lehko ugha gksxka [kkyh NksM+ s tkus ij vh;fkhz vukjf{kr lkeku; oxz esa ekuk tk;sxka Fill up your Reservation category carefully in your own handwriting at the appropriate place. No change with regard to the choice of the category shall be permissible after the submission of the application form. In case the reservation category column is not filled up, the candidate will be considered under general unreserved category. 5- Hkkjkad,oa vkj{k.k oxz lecu/kh izek.k i= lecfu?kr vf/kdkjh ds ikl tkwp gsrq Hksts tk;saxsa ;fn dskbz vh;fkhz vkjf{kr Js.kh vfkok Hkkjkad izkir djus ds fy, /kks[kk@qjsc vfkok fdlh vu; izdkj dh vfu;ferrk djrk gs& rfkk tkyh izek.ki= izlrqr djrk gs] rks fo ofo ky; ds fy, ;g vf/keku; gksxk fd og mldk izos k fujlr dj ns vksj@vfkok mls mfpr m.m iznku djus vksj@vfkok mlds fo:) iqfyl dk;zokgh djsaa Certificates in respect of weightages and/or reservation category will be sent to the respective authorities for verification. If a candidate secures or tries to secure a reserved category or claims weightage through deceit, fraud or any other irregular means like furnishing of false certificate etc., it shall be lawful for the university to cancel his/her admission and/or award him/her such punishment as it deems proper and/or lodge a police case against him/her. egroiw.kz lwpuk,w a Important Information 1. lhkh QksVks rfkk izek.k&i=ksa@vad&i=ksa dh QksVks izfr;kw Loizekf.kr gksuh pkfg,a All the photograph and photocopies of certificates/marksheets should be self-attested. 2. ;fn vki vkj{k.k rfkk@;k Hkkjkad dk ykhk pkgrs gsa] rks fu/kkzfjr vf/kdkjh }kjk gh fuxzr lecfu/kr izek.k&i=ksa dh izekf.kr Nk;kizfr vkosnu i= ds lkfk vo ; tek djsaa vkosnu i= Lohdkj djus dh vfure frffk ds mijkur fdlh Hkh vf;fkhz dk dksbz izek.ki= Lohdkj ugha fd;k tk;sxka If you want to avail the benefit of reservation and/or weightages, then you must submit attested photocopies of the related certificates issued by the competent authority only. No certificate from any candidate will be accepted after the last date of the submission of forms. 3. fdlh nkos ds fy, dksbz Hkh vlfkk;h ¼izksfotuy½ izek.ki= Lohdkj ugha fd;s tk;saxsa Provisional certificate in support of any claim shall not be accepted.

4. v/kwjs Hkjs vksj os vkosnu i= ftuesa fojks/kkhkklh lwpuk;sa vafdr gksaxh vksj@vfkok fcuk mfpr izek.k&i= ds lkfk gksxh rfkk vkosnu i= tek djus dh vafre frffk ds ckn izkir gksaxs] vlohd`r dj fn;s tk;saxsa Incomplete form/forms containing contradictory information and/or without prescribed certificates, or those received after the due date will be rejected. 5. vkosnu i= esa,d ckj Hkjh xbz lwpuk@rf; fdlh Hkh ifjflfkfr esa cnyus dh vuqefr ugha nh tk;sxha No change will be allowed in the information/facts once furnished in the application form. 6. vkosnu i= tek djus ds le; vh;fkhz dk Lukrd gksuk vfuok;z gsa os vh;fkhz tks Lukrd ijh{kk ns jgs gs a@ns pqds gs a vksj mudk ifj.kke ugha?kksf kr gqvk gs] os,e-ih-,m-izos k ijh{kk 2013 esa lfeefyr gksus ds fy, vgz ugha gksaxsa The Candidate must be a Graduate. Candidates appearing/appeared in graduate examination and whose result is not declared will not be eligible to appear in M.P.Ed. Entrance Admission Test 2013. 7.,e-ih-,M-esa izos k izkir fo kffkz;ks a dks kifk i= ds ek/;e ls ;g?kksf kr djuk gksxk fd fdlh izf k{k.k dk;zøe ds nksjku fo kfkhz ds lkfk nq?kzvuk gks tkus ij y[kuå fo ofo ky; dk dksbz mrrjnkf;ro ugha gksxka Students admitted to M.P.Ed will have to submit an undertaking stating that the Lucknow University will not be held responsible in the event of any accident occurring while undergoing the training programme. 8. kkjhfjd {kerk ijh{k.k ds le; vh;ffkz;ks a ds [ksy ds fu/kkzfjr@vuq:ik ifj/kkuksa esa miflfkr gksuh vfuok;z gs,slk u gksus ij mudks bl ijh{kk esa Hkkx ysus dh vuqefr ugha iznku dh tk;sxha The Candidate is required to put on appropriate sports dress for physical fitness test failing which he/she may not be allowed to appear in the test. 9. vh;ffkz;ks a dks izos k ds le; vius lelr ewy izek.k i= tkap ds fy, ykuk vfuok;z gsa The Candidate must bring all original certificates and testimonials at the time of admission for verification. 10. LokLF; ijh{k.k ds mijkur p;fur vh;fkhz dks fu/kkzfjr frffk ij iw.kz kqyd vnk djuk gksxk,slk u djus ij izos k Lor fujlr ekuk tk;sxka After the Medical Examination selected candidates shall have to pay full fees on the scheduled date, failing which the admission will automatically stand cancelled. 11. vfure ksf{kd lalfkk ftlesa blls iwoz f k{kk izkir dh gks] ds }kjk iznrr pfj= izek.k&i= tek djuk vfuok;z gsa A Character Certificate from the institution last attended must be submitted. 12. dk;zjr kkjhfjd f k{kdksa dks tks eku;rk izkir ksf{kd lalfkk esa LFkkbZ kkjhfjd f k{kd ds :Ik esa dk;z dj jgs gsa] lacaf/kr ftyk fo ky; fujh{kd dk izek.k i= izlrqr djuk gksxka Teacher of Physical Education who are working as a permanent teacher in recognized institutions, must produce the relevant certificate from the concerned District Inspector of Schools (D.I.O.S). 13. og vh;fkhz tks eku;rk izkir lalfkk esa LFkk;h kkjhfjd f k{kd gs fu;ksdrk dk ^^vukifrr izek.k&i=** tek djsaa Those employed as permanent Physical Education teacher have to produce No Objection Certificate from the employer. 14. fohkkx }kjk lapkfyr izr;sd ikb~;xkeh&lgxkeh,oa ikb~;ksrrj xfrfof/k;ksa esa vh;fkhz dh 90 izfr kr miflfkfr vfuok;z gksxha 90 attendance of the students in all Curricular and Co-Curricular activities of the department is compulsory. 15. dsfeiax@,dldlzu dk kqyd vyx ls ns; gksxk tks fo kfkhz Lo;a ogu djsxka Camping/excursion fee will be charged separately and will be borne by the students. 16. VSªd lwv vksj [ksy ifj/kku dk O;; fo kfkhz Lo;a ogu djsxka The Cost of Activity Kit & Track suit will be borne by the students. 17. izfr kr dh x.kuk n keyo fcunq ds Ik pkr~ rhu vadksa rd dh tk;sxha The percentage shall be calculated upto three figures after decimal point. 18. ;fn,d ls vf/kd izos kkfkhz leku ;ksx;rk /kkfjr djrs gsa vksj miyc/k LFkku de gsa rks Lukrd ijh{kk esa vf/kd vad ¼izfr kr½ izkir djus okys vh;fkhz dks izos k fd;k tk;sxka ;fn miyc/k LFkku de gsa vksj izos kkfkhz us Lukrd ijh{kk esa Hkh leku vad ¼izfr kr½ izkir fd;s gsa rks bl flfkfr esa izos k Lukrd ijh{kk ds vfure o kz esa izos k ds bpnqd fo k; esa vf/kd vad ¼izfr kr½ izkir djus okys vh;fkhz dk fd;k tk;sxka If there are more than one candidate having the same merit and the number of seats is less, the candidate will be admitted on the basis of marks (percent) obtained at the graduate/qualifying level examination. In case where number of available seats is less and candidate secure same marks (percent) at the

graduate/qualifying level examination, the admission of the candidate will be based upon securing higher marks in the relevant subject in the final year of the qualifying examination. 19.,e-ih-,M- izos k ls lecfu/kr fdlh Hkh ekeys esa y[kuå fo ofo ky; ds dqyifr dk fu.kz; vfure gksxka In case of any matter relating to the M.P.Ed. Admission, the decision of the Vice-Chancellor, University of Lucknow, shall be final. 20.,e-ih-,M- izos k ls lhkh fof/kd ekeys y[kuå U;k;ky; ds v/khu gksaxsa All legal matters pertaining to the M.P.Ed admission shall be subject to the Lucknow jurisdiction only.

Brochure and Application Form for M.Ed. Admissions 2013 Form No. Roll No. CHEST NO. UNIVERSITY OF LUCKNOW APPLICATION FORM FOR M.P.ED. I st SEMESTER ADMISSION SESSION 2013-14 NAME OF THE COURSE M.P.ED. I st SEMESTER Lo;a vfhkizekf.kr ikliksvz vkdkj dk viuk fp= fpidk;sa Weightage... 1. vkosnd dk iwjk uke ¼fgUnh esa½ Applicant s Full Name in Hindi All entries are to be filled in by the application in English capital letters written neatly and legibly in ink within the prescribed boxes. It is necessary to leave one box blank between any two words/ set of numbers 2. Name of the Candidate (in Block Letters) Sri/Smt./Km. Affix self attested passport size photograph 3. Father s Name (in Block Letters) Sri/Dr. 4. Mother s Name (in Block Letters) Smt./Dr. 5. Husband s Name (in Block Letters) Sri/Dr. 6. Permanent Address (in Block Letters) 7. Present Postal Address (in Block Letters) 8. State Pin Code 9. Phone STD Code Phone Number 10. Date of Birth 11. Nationality DD MM Y Y Y Y Place of Birth 12. Sex Domicile Reservation Category Male U.P. SC ST Unreserved Female Other State OBC NCC C Son/daughter/ spouse of University Teacher/ Employee Son/ daughter/ Spouse of LU Associated College Teacher Son/ Daughter/ Grandson/ Unmarried Grand Daughter of Freedom Fighter Caste Certificate Number for OBC/SC/ST Annual Income of Family Income Certificate Number Caste and Income certificate would be verified online

Brochure and Application Form for M.Ed. Admissions 2013 13. Name of the Games/ Sports participation i) ii) iii) 14. Tick (p) Games and Sports Level International National Intervarsity - All India Inter Collegiate Zonal (Organized by University) 15. ;fn lsokjr gsa rks fooj.k nsa ¼vko ;drkuqlkj i`fkd ls ifjf k V Hkh layxu djsa½ If employed give details (attach the necessary enclosure) 16. ;fn vuqlwfpr tkfr ;k vuqlwfpr tutkfr ;k vu; finm+h tkfr ds gksa rks tkfr dk uke fy[ksaa If SC or ST or other Backward class (write name of the caste) 17. lalfkk rfkk d{kk] tgk v/;;u fd;k gs gkbzldwy@ gk;j lsds.mjh ls vkxsa Name of Institution & Class studied (from High School/ Higher Secondary onwards) ijh{kk Examination gkbz Ldwy@ led{k High School/ Equivalent b.vjehfm,v@ led{k Intermediate/ Equivalent Lukrd ijh{kk ch-,-@ ch-,l-lh-@ ch-dke-@ ch-ih-,m- Under Graduate Examination B.A./ B.Sc./ B.Com./ B.P.Ed. vu; ksf{kd ;ksx;rk dk fooj.k Details of any other Educational Qualification cksmz@ fo ofo ky; Board/ University o kz Year fo k; Subjects Js.kh Division izkirkad@ iw.kkzad Marks Obtained/M.M. izkir vadks dk izfr kr Percentage of Marks 18. lelr izek.k i=ksa dh Lo;a glrk{kfjr Nk;kizfr vo ; layxu djsaa 19. layxu izek.k i=ksa dh Nk;kizfr;ksa dh dqy la[;k ------------------------------------------------------------ 20. firk @ ikyd dk fooj.k Particulars of Father/ Mother/ Guardian ¼v½ iwjk uke Full Name ¼c½ O;olk; Occupation ¼l½ okf kzd vk; Annual Income esa?kks k.kk djrk gw @ djrh gw fd mi;qzdr lwpuk lr; gs] esaus fo ofo ky; }kjk izlrqr izos k fu;eksa dks i<+ fy;k gs rfkk es budk,oa fo fo ky; ds lhkh fu;eksa dk ikyu d: xk@ d: xha iqu% esa?kks k.k djrk@djrh gw fd esa y[kuå fo ofo ky; vfkok vu; fdlh Hkh fo fo ky; ls fdlh Hkh ikb~;øe esa fu;fer@ va kdkfyd vfkok nwjlfk fof/k ls ibu ugh dj jgk@ jgh gw ftlls eq>s dksbz Hkh mikf/k izkir gksa I declare that the information given above is correct. I have read the admission rules prescribed by the University and shall abide by them and by all other rules of the University. Further, I declare that I am not pursuing any course from Lucknow University or any other University, either regularly or part time or through Distance mode, fetching me any degree. fnukad Dated vkosnd ds glrk{kj Signature of the applicant firk@ ikyd ds glrk{kj Signature of Father/ Mother/ Guardian

Form No. University of Lucknow M.P. Ed. Ist Semester Admissions 2013-14 Course Applied for:.. Admit Card (For Office) Roll No. Chest No. Name of the Candidate.. Mother s Name. Father s Name. Address: (i) Permanent. (ii) Mailing...... Specimen Signature of the Candidate Coordinator, M.P.Ed. Test 2013 Form No. University of Lucknow M.P. Ed. Ist Semester Admissions 2013-14 Course Applied for:.. Admit Card (For Candidate) Roll No. Chest No. Name of the Candidate.. Mother s Name. Father s Name. Address: (i) Permanent. (ii) Mailing...... Specimen Signature of the Candidate Coordinator, M.P.Ed. Test 2013