Application Form for Entrance Test: 2013

M.A./M.Sc./M.Com./MCA/M.Pharm./MSW/LLM/LLB/ B.Pharm/B.P.Ed/B.Lib./BHM/ B.Tech/(Lateral Entry)/P.G. Diploma

H.N.B. GARHWAL UNIVERSITY

(A Central University)

Srinagar Garhwal, 246174, Uttarakhand

(Price Rs. 250/- General/OBC; Rs. 150/- SC/ST./PH) Non-refundable

Application Form No. : For Office Use only Roll No.

Name and Code of the Test Centre

1. Name of the Programme Applying for : 2. Code of the Programme : 3. Name of the Candidate (in capital letters): Leave one space after one word
Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

4. Father's/Husband's Name (in capital letters)

5. Mother's Name (in capital letters)

6. Complete Postal Address (in capital letters) (do not repeat name)

State Telephone (Landline/Mobile) 7. Date of Birth D 8. Sex : Male

9. Category: General

PIN Code: Email Y Y

M Female

(Please Tick )

SC ST OBC PH OTHER (Please Tick ) (In absence of valid certificate, claim under the category will not be considered) No
(Please Tick and specify)

10. Whether you belong to Minority Community? Yes 11. Centre Code:

(Please see the Information Brochure )

12. Educational Qualifications :

Sl. No. 1. 2. 3. 4. Exam Passed High School or Equivalent Intermediate/10+2 or Equivalent B.A./B.Sc./B.Com./LLB/B.Pharm. Any other exam passed
(If the result of the Qualifying Examination is not yet declared, please mention as Result Awaited (RA)

Board/University

Year of Passing

Division

Percentage

13. If eligible for Weightage, please mention level of participation in Sports/NCC/NSS with valid certificate (In absence of certificate, Weightage will not be considered) Sports NCC/NSS Certificate Any Other
(Please see Information Brochure for details of weightage applicable)

14. Details of Fee (Attach Bank Receipt/Counter foil/Bank Draft in Original) Branch of SBI.................. Amount: Date .. Or Demand Draft No. .. Amount: Date .. Or University Receipt No. .. Amount: Date .. 15. Declaration I hereby, solemnly and sincerely affirm that I fulfill the eligibility conditions prescribed by the University and that the statements made and information furnished by me in this application form is true and correct. If it is found that any information furnished herein is fraudulent, incorrect or untrue, I shall be liable for prosecution and my admission in the concerned program shall be cancelled. I agree to abide by the terms, rules and regulations as notified by the University from time to time and also given in the Information Brochure, advertisement and other such publications. I am also aware that my participation in the Entrance Test is subject to the fulfillment of eligibility for admission in the Program applied for. Date: N.B.: 1. (.) Signature of the Applicant

Read the Information Brochure carefully before filling up the form and enclose the documents/photographs as per the instructions. Use black or blue ink for filling the form.

2. For claiming reservation category and the weightage for participation in NCC/NSS/Sports, the relevant certificate from the competent authority is mandatory. In absence of the certificate, weightage will not be considered. Please see Information Brochure for details of weightage.

VERIFICATION CARD
For Entrance Test: 2013
H.N.B. GARHWAL UNIVERSITY (A Central University) SRINAGAR GARHWAL, 246174, Uttarakhand For Office Use only Roll No.

Name and Code of the Test Centre ____________

(To be filled by the candidate) Name of the Candidate ________________________________________ Father's Name _______________________________________________ Date of Entrance Test _________________________________________ Name of the Programme Appearing for ______________________________ Code of the Programme Appearing for _______________________________
Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

Invigilator's Signature

Candidate's Signature

Thumb Left

Impression Right

ADMIT CARD
For Entrance Test: 2013
H.N.B. GARHWAL UNIVERSITY (A Central University) SRINAGAR GARHWAL, 246174, Uttarakhand

For Office Use only Roll No.

Name and Code of the Test Centre ____________

Name and Code of the Programme Appearing for _______________________________

Write Complete Mailing Address in capital letters with Blue/Black Ball point Pen Only

(To be filled by the candidate) Name of the Candidate ________________________________________ Village ____________________________ City ____________________ Post Office _________________________ District _________________ State ______________________________ Pin Code ________________ Full Signature of Candidate

Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

Father's Name (in Capital Letters)

Coordinator- Entrance Test (2013)

Application Form for M.Phil /PhD Entrance Test: 2013

H.N.B. GARHWAL UNIVERSITY
(A Central University)

Srinagar Garhwal, 246174, Uttarakhand

(Price Rs. 500/- General/OBC; Rs. 250/- SC/ST/PH) Non-refundable

Application Form No. : For Office Use only Roll No. 1. M.Phil./Ph.D. in : 2. Code of the Programme :

Name and Code of the Test Centre _____________

3. Name of the Candidate (in capital letters): Leave one space after one word

4. Father's/Husband's Name (in capital letters)

Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

5. Mother's Name (in capital letters)

6. Complete Postal Address (in capital letters) (do not repeat name)

State Telephone (Landline/Mobile) 7. Date of Birth D 8. Sex : Male

9. Category: General

PIN Code: Email Y Y (Please Tick )

M Female

SC ST OBC PH OTHER (Please Tick ) (In absence of valid certificate, claim under the category will not be considered) No
(Please Tick and specify)

10. Whether you belong to Minority Community? Yes 11. Centre Code:

(Please see the Information Brochure)

12. Educational Qualifications :

Sl. No. 1. 2. 3. 4. 5. Exam Passed High School or Equivalent Intermediate/10+2 or Equivalent B.A./B.Sc./B.Com./LLB M.A./M.Sc./M.Com./LLM/MBA Any other exam passed Board/University Year of Passing Division Percentage

(If the result of the Qualifying Examination is not yet declared, please mention as Result Awaited (RA)

13. Are you eligible for exemption from the written test : Yes
(If yes, Please enclosed a vailid certificate)

No

(Please Tick )

14. Name of the exemption category : (Please Tick the appropriate box) NET (JRF) NET (Lectureship) SLET UGC Teacher Fellow

M.Phil. from H.N.B. Garhwal University Only

15. Details of Fee (Attach Bank Receipt/Counter foil/Bank Draft in Original) Branch of SBI.................. Amount: Date .. Or Demand Draft No. .. Amount: Date .. Or University Receipt No. .. Amount: Date .. 16. Declaration I hereby, solemnly and sincerely affirm that I fulfill the eligibility conditions prescribed by the University and that the statements made and information furnished by me in this application form is true and correct. If it is found that any information furnished herein is fraudulent, incorrect or untrue, I shall be liable for prosecution and my admission in the concerned program shall be cancelled. I agree to abide by the terms, rules and regulations as notified by the University from time to time and also given in the Information Brochure, advertisement and other such publications. I am also aware that my participation in the Entrance Test is subject to the fulfillment of eligibility for admission in the Program applied for. Date: N.B.: 1. (.) Signature of the Applicant

Read the Information Brochure carefully before filling up the form and enclose the documents/photographs as per the instructions. Use black or blue ink for filling the form. 2. For claiming reservation category and the weightage for participation in NCC/NSS/Sports, the relevant certificate from the competent authority is mandatory. In absence of the certificate, weightage will not be considered. Please Information Brochure for details of Weightage.

VERIFICATION CARD
For Entrance Test: 2013
H.N.B. GARHWAL UNIVERSITY (A Central University) SRINAGAR GARHWAL, 246174, Uttarakhand For Office Use only Roll No.

Name and Code of the Test Centre ____________

(To be filled by the candidate) Name of the Candidate ________________________________________ Father's Name _______________________________________________ Date of Entrance Test _________________________________________ Name of the Programme Appearing for ______________________________ Code of the Programme Appearing for _______________________________

Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

Invigilator's Signature

Candidate's Signature

Thumb Left

Impression Right

ADMIT CARD
For Entrance Test: 2013
H.N.B. GARHWAL UNIVERSITY (A Central University) SRINAGAR GARHWAL, 246174, Uttarakhand

For Office Use only Roll No.

Name and Code of the Test Centre ____________

Name and Code of the Programme Appearing for _______________________________

Write Complete Mailing Address in capital letters with Blue/Black Ball point Pen Only

(To be filled by the candidate) Name of the Candidate ________________________________________ Village ____________________________ City ____________________ Post Office _________________________ District _________________ State ______________________________ Pin Code ________________ Full Signature of Candidate

Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

Father's Name (in Capital Letters)

Coordinator- Entrance Test (2013)

Application Form for Admission to M.B.A./M.B.A. (Tourism)/B.Tech

Through Counseling based on MAT/CMAT/JEE (Main)/ JNU/DBT(CET) (Session: 2013-14)

H.N.B. GARHWAL UNIVERSITY

(A Central University)

Srinagar Garhwal, 246174, Uttarakhand

(Price Rs. 250/- General/OBC; Rs. 150/- SC/ST/PH) Non-refundable

Application Form No. : 1. Name of the Programme Applying for : 2. Code of the Programme : 3. Name of the Candidate (in capital letters): Leave one space after one word
Photograph 4x 4cm to be pasted and signed by the candidate. Do not pin or staple the photograph

4. Father's/Husband's Name (in capital letters)

5. Mother's Name (in capital letters)

6. Complete Postal Address (in capital letters) (do not repeat name)

State Telephone (Landline/Mobile) 7. Date of Birth D 8. Sex : Male

9. Category: General

PIN Code: E-mail Y Y

M Female

(Please Tick )

SC ST OBC PH OTHER (Please Tick ) (In absence of valid certificate, claim under the category will not be considered) No
(Please Tick and specify)

10. Whether you belong to Minority Community? Yes

11. Educational Qualifications :

Sl. No. 1. 2. 3. 4. Exam Passed High School or Equivalent Intermediate/10+2 or Equivalent B.A./B.Sc./B.Com./LLB/B.B.A. Any other exam passed Board/University Year of Passing Division Percentage

(If the result of the Qualifying Examination is not yet declared, please mention as Result Awaited (RA)

12. Whether appeared in All India Entrance Test? (If so, please Tick the appropriate box below)
Name of the test: MAT/CMAT JEE (Main) J JNU-DBT CET

13. Composite Score and Roll No. in the above Test ................................................................. 14. All India Rank (a) without category ............................. (b) with category .......................... 15. If eligible for Weightage, please mention level of participation in Sports/NCC/NSS with valid certificate (In absence of certificate, Weightage will not be considered) Sports NCC/NSS Certificate Any Other
(Please see Information Brochure for details of weightage applicable)

16. Details of Fee (Attach Bank Receipt/Counter foil/Bank Draft in Original) Branch of SBI.................. Amount: Date .. Or Demand Draft No. .. Amount: Date .. Or University Receipt No. .. Amount: Date .. 17. Declaration I hereby, solemnly and sincerely affirm that I fulfill the eligibility conditions prescribed by the University and that the statements made and information furnished by me in this application form is true and correct. If it is found that any information furnished herein is fraudulent, incorrect or untrue, I shall be liable for prosecution and my admission in the concerned program shall be cancelled. I agree to abide by the terms, rules and regulations as notified by the University from time to time and also given in the Information Brochure, advertisement and other such publications. I am also aware that my participation in the Entrance Test is subject to the fulfillment of eligibility for admission in the Program applied for.
Date: (.) Signature of the Applicant

N.B.: 1. Read the Information Brochure carefully before filling up the form and enclose the documents/photographs as per the instructions. Use black or blue ink for filling the form. 2. For claiming reservation category and the weightage for participation in NCC/NSS/Sports, the relevant certificate from the competent authority is mandatory. In absence of the certificate, weightage will not be considered. Please see the Information Brochure for details of weightage.