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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 />

15lr2l20r2<br />

r8lr2l20r2<br />

19lr2l20r2<br />

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