Information Brochure for Foreign Students 2012-13 - Maharshi ...

This form may fill in (in duplicate)
MAHARSHI DAYANAND UNIVERSITY, ROHTAK
ADMISSION FORM FOR ADMISSION OF FOREIGN STUDENTS
(Appendix-II)
Roll No. ………………..
(to be assigned by the Office)
Course applied for : ………………… Department/Institute……………………
1. Candidate’s Name : ………………………………………………….
(Capitals)
2. Gender : Male Female
3. Nationality : …………………………………… (Name of the Country)
4. Father’s Name : ………………………………………………………………………………...
5. Mother’s Name :………………………………………………………………………………...
6. Annual Income of Parents : ……………………………………………………………………
7. Guardian Name (If other than Father) : …………………………………………………...……
8. University Registration Number, If any : …………………………………………………...…
9. Date of Birth : (As per Matriculation or Equivalent Mark Sheet)
10. Address for Correspondence: …………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
10.1 City ………………....... 10.2 State ………………....... 10.3 Country ……………….......
10.4 Pin Code ……………….......
11. Contact Number : ………………................................................................................................
12. Email ID : ………………………................................................................................................
13. Details of Qualifying Examination (s):
Examination
Passed
Board/University Year of
Passing
Maximum
Marks
Marks
Obtained
(Original Certificates need to be produced at the time of Counseling)
Affix latest
passport size
attested
photograph
Subject % of Marks
46