Beruflich Dokumente
Kultur Dokumente
H I M A N S H U H A R B O L A
2. FATHER'S NAME (as in high school or equivalent certificate)
8. PROGRAM APPLYING FOR (You may be offered option 2 in case you do not qualify for option 1 9. DATE OF BIRTH
Choose option 2 from list of programs under same eligibility.)
Program Code Program Code Date Month Year
Option -1 1 0 1 9 3 Option -2 2 5 0 1 1 9 8 6
(Refer Admission Prospectus-2010 for program code)
10. ADMISSION CATEGORY (Refer admission prospectus for Fee) 11. WILL YOU BE FINANCING YOUR
EDUCATION THROUGH Yes
Non-Sponsored Sponsored Company Sponsored NRI Foreign EDUCATION LOAN No
GMAT
15. MANDATORY E-MAIL ADDRESS (Only in Capital Letters)
1
19. EDUCATIONAL QUALIFICATIONS
It is mandatory to attach photocopies of all mark sheets (front & back side) with the form, from class X onwards till last completed semester/year. If the system of marking
of your school/college is on grading pattern, convert grade into marks as applicable and attach proof of conversion. In absence of any mark sheet your form will be rejected.
XII
Name of School :
GRADUATION DETAILS
Name of Diploma / Degree
University
Years Attended From: To: Enrollment
No.
Duration of Degree Semester / Year Wise Marks
SEMESTER MARKS MAXIMUM YEAR MARKS MAXIMUM
Year Months OBTAINED MARKS OBTAINED MARKS
1
1
DISCIPLINE
2
COMMERCE
3
ENGINEERING 2
4
MANAGEMENT
5
SCIENCE
3
OTHERS 6
MODE OF STUDY 7
4
FULL TIME
8
PART TIME
9
5
CORRESPONDENCE
10
Do you have any back paper which you have not cleared till last semester/annual exam? If yes, how many?
2
Application Form No.
Name of College
City
Name of University
Yr 3
To :__________
Total
20. AWARDS / ACHIEVEMENTS if any (Latest two with proof) 21. PREVIOUSLY APPLIED:
Name Received when For what Have you previously applied
to Amity? Yes No
Program
Year
Yes
Organisation Name :
No
Address of Organisation :
If "Yes", total years of work
Years Months
City : Tel. :
1.
2.
3
26. FAMILY AT AMITY
Have any of your family members studied / worked with Amity? Yes No
If, studied, Name Program Year
Address :
City :
28. WRITE YOUR COMPLETE PERMANENT ADDRESS (If different from correspondence address)
Address :
City :
Do you suffer from any Chronic ailment : Yes No If yes give details :
Have you ever been suspended, dismissed or put on academic probation or warning at any school or college ?
If "Yes" please explain on a separate sheet of paper. Yes No
Listed below is each item which must accompany this form. To ensure prompt and accurate processing of your application,
check each item you are enclosing with the application.
30. SIGNATURE
I hereby certify that the information given in the Application (all relevant Forms) is complete and accurate.
I understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of
admission, or expulsion.
I have read and do hereby consent to the Terms & Conditions for Admission as mentioned in Admission Prospectus 2010.
Signature : Date :
4
TERMS AND CONDITIONS FOR ADMISSION
1. Non-Liability : Prospectus / Application Form and all other Admission Correspondence will
be sent by Post / Courier. Amity is not responsible for Postal / Courier delays or loss in transit.
2. Non-refund of fees : All fees once paid are not refundable for any reason whatsoever.
Only Security Deposit will be refunded after making necessary adjustments as required.
3.1 Cancellation of Admission : Amity reserves its right to cancel the admission of successful
candidate under any of the following circumstances :
(a) If the fees is not deposited by the stipulated date.
(b) If the candidate does not join the particular programme by the stipulated date even
though the Fee has been deposited.
(c) If the candidate fails to furnish the proof of the stipulated minimum qualifications.
(d) If any instance of donation / unfair means is found after admission.
(e) If any of the document(s) submitted by you to Amity University is found to be forged,
fabricated or false during the period of your study, your admission shall be cancelled
immediately and fees shall be forfeited. In case you complete the course and obtain the
degree on the basis of documents which are later found to be forged, fabricated or
false, at any point of time, your degree shall be cancelled/ recalled.
3.2 Provision of Non Refund of Fees under Clause 2 will also apply in cases under Clauses
3.1 (b) and (c).
6. Limitation Clause : No dispute shall be raised after the expiry of 30 days from the date on
which the process of admission and / or selection is completed.
7. Agreement Clause : All successful candidates shall be bound by the above mentioned Terms
& Conditions of Amity.