Session: January APPLICATION FORM July Name of the Course: If Lateral Entry, Please Specify: Name and Address of the Guidance and Learning Resource Center: Paste recent Photograph (do not Staple or Pin) To be filled in CAPITAL letters only. 1. Candidate s Name (As given in class 10 th Certificate): 2. Date of Birth 3. Sex: M F D D M M Y Y Y Y 4. Nationality: 5. Category GEN SC ST OBC Others 6. Name of Father / Guardian: 7. Name of Mother: 8. Address for Correspondence: Landline No.: E-mail ID: Mobile No.: Pin Code
9. Educational Qualification: Name of Exam. Name of Board Year Institution % Marks 10. Current Employment Details: (i) Name of the Organization: (ii) Address of the Organization: (iii) Date of Joining: (iv) Present Designation: 11. Details of Demand Draft: D.D. No. Amount (Rs.) Date of Issue Name of Bank & Branch: DECLARATION BY THE APPLICANT 1. I hereby declare that al particular stated in this application are true to the best of my knowledge and belief. I have read and understood all the provision of the prospectus and agree to abide by them in the event of suppression or distortion, if any facts like educational qualification, nationality, study period etc. made in this application form I understand that my admission / registration is liable to be cancelled at any stage. I am fully convinced with all the information given in the information and understood all the rules and regulation. 2. That, if admitted to NIMS UNIVERSITY, I shall abide by its rules and regulation 3. That, I am aware that for getting admission/ Registration in NIMS UNIVERSITY, fee (Full/Part) and any charges (Full/Part), which I have deposited to the university shall not be refunded on any pre-text. 4. That, I know that after the admission formalities are completed, If I want cancellation of my admission due to one or other reason, or if I discontinues my study or request for cancellation of my admission from the course, even though, I have not attended any class, fee/any other charges paid by me will not be refunded to me or any pre-text.
5. In the event of known commitment / non-compliance of this declaration form, university can take any action 6. Jurisdiction of any dispute shall be Jaipur City, Jaipur only. Place: Date: Signature of Applicant Signature of Parent/Guardian DECLARATION BY COORDINATOR, GUIDANCE AND LEARNING RESOURCE CENTER I am hereby forwarding the application of the student along with the requisite Demand draft after varying the attached photocopies of testimonials and certificate with their originals. He/she found eligible for admission to the program applied for. DEGLSC Code: Place: Date: Attached attested photo copies of Last qualifying examination mark sheet High School Certificate and Mark sheet Mark Sheet of Qualifying examination Signature and Seal of Coordinator - DEGLRC FOR OFFICE USE ONLY Application Fee Rs.: Received in Cash/D.D. vide Receipt No.
Annual Examination Form (To be Filled by the Candidate, with the admission form) NIMS UNIVERSITY, JAIPUR (Recognized by Joint Committee of UGC-AICTE-DEC, Govt. of India) (All entries except Roll Number to be filled in by the candidate.) Name of Candidate:... Name of Father / Guardian:... Full Postal Address:............ Roll No. Paste recent Photograph (do not Staple or Pin) Signature attested Sign. of the candidate in full Coordinator of the Exam. Centre Signature of Candidate in full (To be taken in the Exam. Hall) ---------------------------------------------------------------------------------------------------------------------------
NIMS UNIVERSITY, JAIPUR (Recognized by Joint Committee of UGC-AICTE-DEC, Govt. of India) ADMISSION CARD (All entries except Roll Number to be filled in by the candidate.) Roll No. Please admit... Son / Daughter of... at the.. Centre. Paste recent Photograph (do not Staple or Pin) Date:.. Controller of Examination NIMS UNIVERSITY, JAIPUR
Courses Admission and Examination Fee Schedule Admission Fees (Rs.) Annually. Application Form Fees Examination Fee Master of Physiotherapy 24,000/- 500/- 1000/- 25,500/- Master of Occupational Therapy 24,000/- 500/- 1000/- 25,500/- Master of Medical Lab. Technology 24,000/- 500/- 1000/- 25,500/- Master of Radiation Technology 24,000/- 500/- 1000/- 25,500/- Master of Optometry and Ophthalmic 24,000/- 500/- 1000/- 25,500/- Technology Bachelor of Physiotherapy 16,000/- 500/- 1000/- 17,500/- Bachelor of Occupational Therapy 16,000/- 500/- 1000/- 17,500/- Bachelor of Medical Lab Technology 16,000/-. 500/- 1000/- 17,500/- Bachelor of Radiation Technology 16,000/- 500/- 1000/- 17,500/- Bachelor of Optometry and Ophthalmic 20,000/- 500/- 1000/- 21,500/- Technology PG Diploma in Geriatric Medicine 18,200/- 500/- 1000/- 19,700/- PG Diploma in Maternal and Child 20,300/- 500/- 1000/- 21,800/- Health Diploma in Medical Lab Technology 10,000/- 500/- 1000/- 11,500/- Diploma in Ophthalmic Technology 10,000/- 500/- 1000/- 11,500/- Diploma in Operation Theatre 10,000/- 500/- 1000/- 11,500/- Technology Diploma in ECG Technology 10,000/- 500/- 1000/- 11,500/- Diploma in Radiography Technology 10,000/- 500/- 1000/- 11,500/- PG Diploma in Drug Regulatory Affairs 25,000/- 500/- 1000/- 26,500/- PG Diploma in Hospital Health 20,000/- 500/- 1000/- 21500/- Management Certificate in Health Care Waste 8000/- 500/- 1000/- 9,500/- Management M. B.A. in Financial Management 10,000/- 500/- 1000/- 11,500/- M. B.A. in Marketing Management 10,000/- 500/- 1000/- 11,500/- M. B.A. in Human Resource 10,000/- 500/- 1000/- 11,500/- Management M. B.A. in Operations Management 10,000/- 500/- 1000/- 11,500/- PG Diploma in Pharmaceutical 10,000/- 500/- 1000/- 11,500/- Production Management Bachelor of Computer Application (BCA) 10,000/- 500/- 1000/- 11,500/- PG Diploma in Computer Application 10,000/- 500/- 1000/- 11,500/- (PGDCA) Certificate in Computers (CIC) 5000/- Sem. 500/- 500/- 6,000/- Master of Library & Information Sciences 16,000/- 500/- 1000/- 17,500/- Bachelor of Library & Information 12,000/- 500/- 1000/- 13,500/- Sciences PG Diploma in Intellectual Property 15,000/- 500/- 1000/- 16,500/- Rights M.Sc. (Biotechnology) 20,000/- 500/- 1000/- 21500/- M.Sc. (Microbiology) 20,000/- 500/- 1000/- 21500/- M.Sc. (Mathematics) 10,000/- 500/- 1000/- 11,500/- Total Payable amount at the time of Admission
Courses Admission Fees (Rs.) Annually. Application Form Fees Examination Fee M.Sc. (Physics) 10,000/- 500/- 1000/- 11,500/- M.Sc. (Chemistry) 10,000/- 500/- 1000/- 11,500/- B.Sc. (Biotechnology) 10,000/- 500/- 1000/- 11,500/- B.Sc. (Microbiology) 10,000/-. 500/- 1000/- 11,500/- B.Sc. (Biochemistry) 10,000/- 500/- 1000/- 11,500/- B.Sc. (Mathematics) 8000/- 500/- 1000/- 9,500/- B.Sc. (General Sciences) 6000/- 500/- 1000/- 7,500/- B.Sc. (Physics) 8000/- 500/- 1000/- 9,500/- B.Sc. (Chemistry) 6000/- 500/- 1000/- 7,500/- Total Payable amount at the time of Admission