Form No.

No.:
Date:

032

M.A. (Kashmiri)-2011-2012
For Office use only
Academic Merit %age markso...ouuu...ou...ooodetennined by the

members of the Academic Committee Signature of the members of the Admission Committee who have checked the particulars : 1 3 2............................................ 4............................................

Category under which admission Is sough!.................................

Recent photograph duly attested by a Gazetted Officer

CHECKLIST III Please refer to the

'Admission Brochure' as you complete this Application Form

III Complete this form and sign the same III Send this form to the Head's Office
(see address below)

Important Dates
Last Date for Availability of Forms

III Arrange
0

for all the required documents and marksheets to be sent along with the form

III Please ensure that

26th Aug., 20101
Last Date for Receipt of Completed Application Forms 7th Sept., 2011

you mention your preference for consideration under the Self supported seat Category form shall not be entertained

III Incomplete

Last Date for Receipt of Completed Application Forms with Late Fee 10th Sept., 2011

Director Klshtwar Campus Room No. 214, AdministrativeBlock, Universityof Jammu, Jammu-180006, India & KishtwarCampus, Kishtwar,Universityof Jammu. www.kishtwarcampus.webs.com www.jammuuniversity.in

Application forAdmission

1.

Name of the Applicant (in capital letters)

2.

a) Father's Name (in capital letters)

b) Designation/Occupation

:.

c) Annual Incomeof the Father/Guardian: .........................................................................................................................

3.

Date of Birth

DAYCCJ

MONT~

YEAR ~

4.

a) Address for

Correspondence

b) Permanent Address

c) Contact Tel. No.

(R)IO I I I (STDCode)

d) E-mail

5.
6.

() Tickwhicheversapplicable: Sex: MaieD i

Female D

Universityfrom which the BachelorsDegree completed .....................................................................................................

7.

Yearof Passing

..................................

8.

Nationality

9.

State of Domicile

............................

10. Name of the College & Yearof Passing:

11. (0,1 ) Tick the pattem of Graduation (a) 10+2+3 (b) 10+2+2

....................................................................
(c) 10+1+3 (d) Any other

---

Application for Admis~ion

our educational career
Marks Obtained..1 10th 12th CDI yr I!! :is .S!m~lIyr CD~= .c enQ. ~~g.lIIyr
co

Total Marks

Subjects

For Official use

11) .!!!.IVyr

Any other Exam.

13.

Distinction in Games, Sports, Cultural events

(Pleasegive detailssuch as name of the event, organlser,venue, year, positionetc. with certificates.No certificate(s) shall be entertainedafter the submissionof the applicationform)

a) Sports
For applicants who have been engaged in sports activities during the tenure of the qualifying Bachelors degree as a regular student (use extra sheet If required)

1. 2. 3. 4. 5.
Total Marks/points obtained.................................

b) Cultural and LiteraryActivities

For applicants who have been engaged in Cultural and Literary activities during the tenure of the qualifying Bachelors degree as a regular student (use extra sheet if required)

1. 2. 3. 4. 5.
Total Marks/points Note' Candidates who have been awarded grades must get the same converted into percentages from their respective Boards/Universities duly authenticated by the concerned Competent Authority obtained.................................

c) National Cadet Corps Forapplicantswhohave been engaged Inthe NCCactivitiesduringthe tenure ofthe qualifying Bachelorsdegree as a regular student (use extra sheet ifrequired)

1. 2. 3. 4.
d) National Social Service I Bharat Scouts & Guides For applicants who have been engaged in NSS activities during the tenure of the qualifying Bachel?rs degree as a regular student (use extra sheet if required)

1. 2. 3. 4. 14.
Total Marks/points obtained............................. Declaration to be made by the Applicant I solemnly declare that: (a) All information given by me in this application form is complete and correct. I further declare that all documents attached with my application form are genuine. In the event of this being found otherwise, my candidature shall stand automatically cancelled besides any other action that may be taken against me by the University for my criminal or civil liability; (b) In the event of my being granted admission to the M.A. (Kashmiri), I shall faithfully abide by the M.A. (Kashmiri) Statutes of the University of Jammu. In case of any violation of these Statutes on my part, the decision of the University regarding any disciplinary action against me under rules shall be final and binding on me; (C) I shall not engage myself in any kind of employment, not take up any other Course/appear in any other University examination, if granted admission to the M.A. (Kashmiri) in the University till the time I complete the course; and (d) I shall not indulge in Ragging and abide by all norms and remain disciplined, Incase of any violation, I shall be liable to any action under law, including cancellation of my admission by the University. (Full Signature of the ParentlG~ardlan) Date...................................................... Full SignatUre of the Application

Date.......................................

15. Important Notes:

1. Application Form for Admission to the M.A. (Kashmiri) is to be submitted in original only. No copies or photo or photo copies shall be accepted/entertained; 2. Any applicant who wishes to seek admission under the reserved category as given in the Admission Brochure i.e. (a) Sportsmen; (b) Achievement in Cultural/Literary activities; (c) Distinction in N.C.C. activities; (d) Distinction in N.S.SJ Bharat Scouts & Guides activities, must also submit attested photo copies of the achievement certificates 3. If seeking admission under reserved category, attached attested photo copy of the State Subject Certificate; and 4. No under process Certificate shall be entertained.

16. Check List of documents

(,r) Tick (if enclosed). Write the S. No. on each attested photocopy attached in the given sequence : 1) 10th class Diploma and Mark Sheet 2) 12th class mark sheet

3) Bachelors Degree Mark Sheets

(For all years/semesters)

8 0
0 0 0 0

TotalNo. of Documents Attached:

4) ProvisionaVCharacterCerificate 5) Category Certificate (s) 6) Any Other Document (s)

Checked& Received

D
.

..

7) Affidavit(s)

(Signature of the Receiving Official) Date

ACKNOWLEDGMENT
Kistwar Campus, Kishtwar, University ofJammu.

Received Admission form of M.A.Kashmiri from ..................................................

.. ...

R/ 0
dated.

...

.......

for the session 2011-12 alongwith Demand draft amount ~ ............................ no Bank. ..................

in favour of Director, Kishtwar Campus, Kishtwar.

Official Seal & Signature