Residential Coaching Academy (RCA) Aligarh Muslim University, Aligarh Full Time Free Coaching Programme for Minorities/SCs/STs & 40% for Women s Candidates Sponsored by University Grants Commission/Ministry of Human Resources Development, Govt. of India Residential Coaching Academy (RCA), AMU, Aligarh is going to conduct a National Entrance Test for admission to the Civil Services Coaching Programme especially for Minorities/SCs/STs & 40% for Women s Candidates for the session 2012-2013. The detail of Admission Process is as follows: National Entrance Test Center : Aligarh Muslim University, Aligarh, Bangalore, Lucknow, Sri Nagar (J&K) and Kolkata Admission Form : Rs. 100/- Registration Charges : Rs. 500/- (at the time of admission) Last Date for Submission of Application Forms : 31 st July, 2012 Educational Qualification for Admission : Graduation Date & Time of Test (for all centers) : 26th August 2012, 10:00 am to 12:00 Noon Date & time of Interview (For External Center) : 26th August 2012, 2:00 p.m. to 5:00 p.m. Date & time of Interview (For Aligarh Center) : 27th August 2012, 9:30 a.m. to 5:00 p.m. Declaration of Result : 10 th September 2012 Date of Admission : 25 & 26 th September 2012 Date of Commencement of Classes : rd 3 October 2012 Pattern of Test for Civil Services : Objective-type questions from General Studies & CSAT The selected candidates will be provided free of cost coaching and guidance for general studies and selected optional subjects i.e. History, Geography, Political Science, Public Administration, Sociology, Indian Economy, English, Hindi and Urdu. Stipend of Rs. 2000/- will be given to 20% of the admitted candidates based on merit cum means. Limited Hostel Facility is available for Boys & Girls. The age limit for admission will be as per the norms of the UPSC/States PCS Services Application forms can be obtained from the Office of Residential Coaching Academy or downloaded from the website http://www.amu.ac.in/rca.htm. The application forms complete in all respect must reach to the Office of the Residential Coaching Academy on or before 31st July, 2012. For more details please contact: Phone Nos.: 0571-2701760,09927057499,09897222287 Prof. Ziauddin Khairoowala, Director Prof. Naima Khatoon, Deputy Director 09927057499, zukhairoowaladirectorrca@gmail.com 09897222287, naima_gulrez@yahoo.com
Date Cash Receipt No. Amount (For office use only) Aligarh Muslim University Session 2012 2013 Application Form for Admission to Civil Services Coaching Affix Passport Size recent Photograph duly signed by the officer 1. Name (in block letters): 2. Father s/husband s Name: 3. Mother s Name: 4. Date of Birth: 5. Marital Status: Married Unmarried 6. Category: SC ST Minority OBC 7. Specify your religious Community: 1. Muslims 2. Hindus 3. Christians 4. Sikhs 5. Buddhist/Jains 6. Parsis 8. Specify your caste: 9. Internal / External (Write I for AMU student or E for Non-AMU Student): 10. Father s/husband s Occupation: 1. Govt. Service 2. Private Sector Service 3. Business 4. Farming 5. AMU Emp. 6. Any Others 11. Father s/husband s Total Annual Income Rs. 12. Medium of Coaching Language Required: English Hindi Urdu 13. Indicate Centre s preferences appearing in Admission Test: 1. Aligarh 2. Lucknow 3. Kolkata 4. Srinagar 5. Bangalore 14. Correspondence Address: 15. Permanent Address: 16. Phone No.: Email ID: 17. Mobile No.: 18. Is Hostel Accommodation Required (After admission)? (Y/N) 19. Educational Qualifications (from High School onwards attach copy of marksheets): S.No. Examination Board/Univ. Year Subjects %age Division 1. 2. 3. 4. 5.
20. Have you received coaching at Residential Coaching Academy, AMU earlier? Yes No If yes, give details: Reg. No.: Year: Exam: Course:. 21. Have you received coaching in any other coaching institutes? Yes No If yes, please mention the name of the institution & year: Institution:... Year: Exam/Course: 22. For which Examination coaching do you wish to be admitted to Residential Coaching Academy? If yes, Please tick in appropriate column. CS Preliminary CS Main 23. Optional Subject(s) for Civil Services Examination: Main 24. Place of birth and State: Place of Birth: State: 25. Name of the Caste or Tribe. (Please attach certificate) 26. Have you qualified any Union Public Service Commission Examination? Yes No (If yes, attach a documentary proof). 27. Family background in administration, if any: 28. Declaration I, hereby solemnly affirm that I have neither been involved in any criminal case nor any criminal case is pending against me in any court of law. I have not been debarred/rusticated by the institution last attended/presently attending. I,, hereby solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me. Date: / /2012 Thumb impression of the candidate, Male (LTI), Female (RTI) Signature of the candidate 29. CHECK LIST: Following enclosures are attached with this Application Form. Note: Original certificates/documents not to be attached with the Application Form in any case. For Office Use Signature of Scrutiny Officer For Office Use 1. Cash Receipt (Original) Verified Original Documents. 2. Attested copy of HS/SSC in support of date of birth The candidate is eligible for 3. Attested copies of Marksheets/Grade sheets of qualifying admission to Examination Remarks 3. Two self addressed envelopes with stamps worth Rs. 25/- on each 4. 5. Verifying Officer Dept. of Date
POSTAL SLIP Name of the Course: To, The Director, Residential Coaching Academy, Aligarh Muslim University, Aligarh 202002 From:- Place:
Date Cash Receipt No. Amount ALIGARH MUSLIM UNIVERSITY, ALIGARH INDEX SLIP Session: 2012-2013 Course Applied For: (1) R.No: For Office use Affix (Do not staple) Non-attested Photograph of size 2.5 x 3 cm (2) Name of the Candidate (3) Father s/husband s Name (4) Mother s Name (5) Gender (M/F) Date: Signature of the Candidate ALIGARH MUSLIM UNIVERSITY, ALIGARH Session: 2012-2013 Course Applied For: Centre Name & Code: Name: HALL TICKET Candidate s Thumb Impression Male (LTI), Female (RTI) Father s/husband s Name: Correspondence Address: Affix (Do not staple) Non-attested Photograph of size 2.5 x 3 cm District: State: Specimen Signature of the Candidate Email: Mob. No: For Office Use Date: Pin Code: ALIGARH MUSLIM UNIVERSITY, ALIGARH ACKNOWLEDGE SLIP Postage stamp(s) of Rs. 6/- must be affixed here Your application for admission to (mention course) Dealing Assistant Date: INSTRUCTIONS (1) Write your complete mailing address on the right hand side (2) Keep this card with you as a proof of submitting your Application Form. (3) IMPORTANT: For reference always quote R.No. in all your correspondence/queries. DIRECTOR To, Pin Code: