Application Form for Entrance Examination - Dr.Babasaheb ...
Application Form for Entrance Examination - Dr.Babasaheb ...
Application Form for Entrance Examination - Dr.Babasaheb ...
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DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY<br />
COACHING CENTRE FOR SCHEDULED CASTE STUDENTS APPEARING FOR<br />
ALL - INDIA COMPETITIVE EXAMINATIONS<br />
APPLICATION FORM FOR TRANCE EXAMINATION<br />
FOR OFFICE USE<br />
DD No. Code No.<br />
Branch<br />
Read the Instructions carefully be<strong>for</strong>e filling the <strong>Application</strong> <strong>Form</strong><br />
(To be filled in by the Candidate & send the duly filled <strong>Application</strong> <strong>Form</strong>)<br />
TO,<br />
THE DIRECTOR<br />
Pre-I.A.S. Coaching Centre,<br />
<strong>Dr</strong>. <strong>Babasaheb</strong> Ambedkar<br />
Marathwada Universitv.<br />
Aurangabad.<br />
(1) Full Name of the Student -<br />
In English (BLOCK LETTERS)<br />
Surname<br />
Name<br />
Father's/<br />
Husband's Name<br />
Name in Devnasari<br />
(2) Address <strong>for</strong> Correspondence<br />
:<br />
At Post<br />
District<br />
(3) DateofBir*r,l-"Tl<br />
[I<br />
(5) Contacts : STD Code -<br />
Email ID<br />
*(6) Caste Validity :<br />
Tal.<br />
Pin<br />
Affix your<br />
recent passport<br />
size photograph<br />
Dot not Staple<br />
Signature of the Student<br />
I I<br />
, I t.-<br />
(4) Gender : | | (M-Male & F-Female<br />
Tel. No. Mobile No.<br />
(8) were you a student of pre-IAS coaching centre earlier? I<br />
(7) Domicile of Maharashtra<br />
? L--l (y - yes & N -No)<br />
(y - yes & N - No)
(9) Educational Qualification :-<br />
Sr.<br />
No.<br />
<strong>Examination</strong><br />
Passed<br />
Board / University<br />
Year of<br />
Passins<br />
Class /<br />
Grade<br />
oh of<br />
Marks<br />
(10) I have read carefully the Rules / Instructions of the Centre and they are binding on me.<br />
I hereby state that the in<strong>for</strong>mation given above by me is 'True and Correct' to<br />
the best of my knowledge and belief. I will be fully liable <strong>for</strong> disciplinary action, as<br />
per rules and regulations of the Pre-I.A.S. Coaching Centre, <strong>Dr</strong>. <strong>Babasaheb</strong><br />
Ambedkar Marathwada University, if any kind of discrepancy is found later.<br />
Date:<br />
Place:<br />
Candidate's Signature<br />
Name of the candidate<br />
Important instruction <strong>for</strong> the Candidutesz-<br />
1) The Items * marked are mandatory. Incomplete in<strong>for</strong>mation <strong>for</strong> these items will<br />
lead to rejection of your application <strong>for</strong>m <strong>for</strong> the entrance exam.<br />
2) Write your name and address in Capital Block Letters. Writer only one<br />
letter/number in each block, leave one block blank between two words.<br />
3) Give the detailed address <strong>for</strong> communication regarding Exam, Admission, Batch<br />
etc.,<br />
4) The D.D. of Rs.200/- should be drawn from any<br />
'The<br />
nationalized bank in favour of<br />
Registrar, <strong>Dr</strong>. <strong>Babasaheb</strong> Ambedkar Marathwada University, Aurangabad,,<br />
payable at Aurangabad.<br />
5)<br />
6)<br />
Fees once paid will not be refunded under any circumstances.<br />
Hall Ticket will be available at the centre on l8ll2l20l2 to two hours be<strong>for</strong>e of<br />
the examination.<br />
7)<br />
8)<br />
9)<br />
<strong>Application</strong> <strong>for</strong>m along with DD must reach the office in person or by Indian<br />
Postal Service to<br />
'The<br />
Director, <strong>Dr</strong>. <strong>Babasaheb</strong> Ambedkar Marathwada<br />
University, Aurangabad- 431 004' on or be<strong>for</strong>e 1511212012. After the prescribe<br />
date <strong>for</strong> application <strong>for</strong>m the <strong>for</strong>ms received will be treated as rejected and no<br />
communication will be made in that regards by the office.<br />
Incomplete <strong>for</strong>ms will be treated as reiected.<br />
Under unavoidable conditions the Registrar is authorized to change the schedule /<br />
centre <strong>for</strong> entrance exam or in any matter of dispute or grievanc.] tn. decision of<br />
the Registrar will be final and binding on all .*bidut.r.
DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY<br />
COACHING CENTRE FOR SCHEDULED CASTE STUDENTS APPEARING FOR<br />
ALL - INDIA COMPETITIVE EXAMINATIONS<br />
CALL LETTER FOR THE COMMON ENTERANCE EXAMNATION FOR<br />
ADMISSION FOR PRE-I.A.S. COACHING CENTRE<br />
Name & Address of the Candidate:<br />
Seat No.<br />
Date of <strong>Examination</strong>: 19 I 12 120 12<br />
Please Affix<br />
your recent<br />
passport size<br />
colour<br />
photograph<br />
Signature of the Candidate<br />
Time:00:00<br />
<strong>Examination</strong> Centre: Pre-I.A.S. Coaching Centre. <strong>Dr</strong>. <strong>Babasaheb</strong> Ambedkar Marathwada<br />
Universitlz. Aurangabad.<br />
DIRECTOR<br />
Pre-I.A.S. Coaching Centre<br />
-(Please detach the portion below and retain with you)--<br />
DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY<br />
COACHING CENTRE FOR SCHEDULED CASTE STUDENTS APPEARING FOR<br />
ALL - INDIA COMPETITIVE EXAMINATIONS<br />
CALL LETTER FOR THE COMMON ENTERANCE EXAMINATION FOR<br />
ADMISSION FOR PRE-I.A.S. COACHING CENTRE<br />
Seat No. Date of <strong>Examination</strong>:<br />
lgll2l20l2 Time: 1:00<br />
to 3:00<br />
Name of the Candidate<br />
Signature of Invigilator
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Last Date of aPPlication<br />
Distribution of Hall Ticket :<br />
Date of <strong>Examination</strong><br />
Date of result declaration<br />
Last Date of Admission<br />
Date of Classes commencement :<br />
:<br />
:<br />
:<br />
:<br />
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