UNI VERSI TY OF MADRAS

I NSTI TUTE OF DI STANCE EDUCATI ON

UNDERGRADUATE COURSES - 20142015/2015
nr nr nr nr nrHf;if tpz;zg;gg; gbtk; Hf;if tpz;zg;gg; gbtk; Hf;if tpz;zg;gg; gbtk; Hf;if tpz;zg;gg; gbtk; Hf;if tpz;zg;gg; gbtk; /APPLICATION FOR ADMISSION
ENROLMENT NUMBER (to be assigned by the IDE office / Co-ordinator, Spot Admission Centre)
REGISTRATION FEE Rs. 100/-
(Payment should be made either by Bank Challan / Demand Draft)
CANDIDATE TO FURNISH ALL THE REQUIRED PARTICULARS BELOW IN CAPITAL LETTERS
Recent Passport
Photograph signed by a
Gazetted Officer /
PRO/AR (IDE) /
Faculty with Seal
ADDRESS FOR COMMUNICATION (WRITE IN CAPITAL LETTERS)
6. a) Community (Tick

)
1. NAME OF THE APPLICANT
(as given in the certificate in
CAPITAL LETTERS)
8. Physically Challenged (Tick

)
9. Present Occupation
5. Religion
(b) Age
(c) Sex (Tick

) 4. Nationality
7. Mother Tongue
Yes

No
OC

/ BC

/ MBC

/ SC

/ ST
Male

/ Female
NAME :
S/o, D/o, W/o, C/o. :
Door No. & Street :
Town / Village Post :
District :
State : INDIA
Pin code :
Phone (Res) : Off.
Registered Mobile No. (RMN) : E-Mail
(a) in English :
(b) in Tamil:
2. Name of Father / Mother /
Guardian / Husband
3. (a) Date of Birth as per Christian era
b) Caste
UG UG UG UG UG
APPLICATION NUMBER
ACADEMIC YEAR 2014-
2015
CALENDAR YEAR 2015
A 1
C 1
4
5
Name of the Course
applied for I/II/III
Medium (Tick

)
TAMIL

ENGLISH
STUDY CENTRE / SPOT
ADMISSION CENTRE AT
WHICH ADMISSION IS MADE
Main Subject
Centre
Code
Place
PERSONAL CONTACT PROGRAMME CENTRE
LANGUAGE CHOSEN FOR
FOUNDATION COURSE
Centre
Code
Place
Candidate to tick () any one of the appropriate boxes
for Tuition Fee Consession - (Refer to Page No. 17) Differently Abled Prison

10. Are you undergoing any other course in a College or

University? If so, Specify
11. The wards of Defence Personnel / Ex-Servicemen (a) Ward of Defence Service Personnel
should specify as : (b) Ward of Ex-Servicemen : Navy / Army / Air force.
12. Option for B.Music Candidates :- (a) VOCAL

(b) Veena

(c) Violin

(d) Flute

(e) Nadhaswaram
13. DETAILS OF EXAMINATION PASSED
Examinations passed Name of the Month & Year of Registration Class with Maximum
with Subjects Passing Number Grade/Marks Marks
S.S.L.C. / 10
th
Std.
Strikeout whichever is not applicable
(State whether it is 10 Years or 11 Years Course)
P.U.C. / Higher Secondary
Strikeout whichever is not applicable
(State Whether it is One Year
or Two Years Course)
Diploma Course
Strikeout whichever is not applicable
(State Whether it is Two Years
or Three Years Course)
14 . Enclosures
(1) ....................................... (3) ................................................. (5) ..............................................
(2) ....................................... (4) ................................................. (6) ..............................................
I hereby declare that all the particulars given above are correct and I agree to abide by all the Rules and Regulations
of the University that are in force from time to time.
Station :
Date : SIGNATURE OF THE APPLICANT
FOR OFFICE USE ONLY
The Admission particulars furnished in the column No. 13 have been duly verified with Originals and the Candidate
is eligible for admission
VERIFYING STAFF
1. Admission / Cancellation Intimation sent on ........................................................
2. Certificates returned to the Candidate on ........................................................
(1) Statement of Marks (2) S.S.L.C Book (3) Conduct Certificate
(4) Birth Certificate (5) Transfer Certificate (6) ..............................
ASST. /ASST. SECTION OFFICER SECTION OFFICER ASSISTANT REGISTRAR
STUDY CENTRE / SPOT ADMISSION CENTRE / PARTICIPATORY INSTITUTIONS / TWINNING PROGRAMME CENTRE / OFFICE
Signature of the Centre Co-ordinator with Seal DIRECTOR
Received the Provisional admission intimation and all the originals submitted by me
SIGNATURE OF THE APPLICANT
WITH DATE
(The above statement must be attested by the same Gazetted Officer/Assistant Registrar/
Public Relation Officer (IDE) / Faculty who attested the Photograph)
Board / University School / College
Date Month Year
UNIVERSITY OF MADRAS
INSTITUTE OF DISTANCE EDUCATION
COMPUTER CODING SHEET
UNDERGRADUATE COURSES 2014-2015 / 2015
B.A.

B.Lit. B.Sc. B.Nat. B.Music B.Com. (General)
B.Com. (Bank Management) B.Com. (Computer Applications) B.Com. (Corporate Secretaryship)
B.B.A. B.C.A. B.MM
2. Main Subject chosen
3. ENROLMENT NUMBER (to be assigned by the office)
Academic Year 2014-2015
Calendar Year 2015
4. Name of the Candidate (Write in Capital Letters) (a) in English (b) in Tamil
5. Name of Father / Guardian / Husband (Write in Capital Letters)
as per entry in the Transfer Certificate
6. Mothers Name (Write in Capital Letters)
7. Date of Birth
9. Address for communication (do not write your name here)
City Pincode
Phone : Mobile : E-Mail :
8. Sex Male

Female

1. Course to which admission is sought (Tick () Appropriate Box)
A 1
C 1
4
5
(a)
(b)

10. First language chosen under

Foundation Course
12. Option for B. Music students Vocal

Veena

Violin

Flute

Nadhaswaram
13. Nationality Indian

Others 14. Region Urban

Rural
15. Religion
16. Caste
17. Community SC


ST


MBC


BC


OC

18. Physically challenged YES

NO

19. Are you Employed? YES

NO

20. Centre at which you propose to attend
the Personal Contact Programme classes
21. Centre at which you propose to collect the
study materials (Refer Page No. 60 to 68)
22. Are you a ward of a Defence Service
Personnel? (Army / Navy / Air Force)
23. Are you a ward of an Ex-service person? Yes No
24. Tuition Fee Concession Opted ?
(Candidate to tick (

) any one of the appropriate boxes -

Refer Page No. 17) Candidates can avail any
one of the Concession
Station :
Date : Signature of the Candidate
11. Medium of instruction English

opted
Tamil

Name
Code No.
Name
Code No.
Yes
No
Category
Affix
Passport Size
Photo
Not to be attested
Admission of Candidates from Other States
Candidates from other states should submit their applications at any one of
the Study Centres of the Institute of Distance Education (IDE), University
of Madras listed in the Prospectus of the State concerned for admission to
various courses offered by IDE.
Applications received by post from the candidates of other States will auto-
matically be linked to the IDE Study Centre of the State concerned.
Applications received by post from the candidates of other States where there
is no Study Centre of this Institute (IDE), will be linked to the nearby IDE
Study Centre of the other State and candidates should undergo the courses
offered by this Institute through such allotted IDE Study Centre only.
Differently Abled
Prison
To be filled in by the applicant (6 copies of his/her address) and returned with the completed application form
Please note that the admission intimation, original certificates and learning materials will be sent only to this address by Postal Service
USE BALL POINT PEN ONLY. WRITE IN CAPITAL LETTERS
ADDRESS SLIP
UNDERGRADUATE COURSES
Affix
Passport Size
Photo
Not to be attested
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
.ob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
Mob.No..............................................................................
PIN
Name : ...................................................................
................................................................................
Address : ................................................................
.................................................................................
.................................................................................
Mob.No..............................................................................
PIN
Calendar Year 2015
C 1 5
Academic Year 2014 - 2015
A 1 4

TO BE FILLED- IN BY THE CANDIDATES SEEKING ADMISSION TO II/III YEAR OF UG COURSE

Name of the candidate :
Name of the degree for which admission is sought : II / III YEAR OF........................... (WITH SUBJ ECT)..................................
Name of the College last studied :
Name of the University last studied :
Pattern of Education undergone by him/her : 10+2
Pattern of System undergone by him/her : Semester / Non-Semester
DETAILS OF THE FIRST/SECOND YEAR EXAMINATION ALREADY APPEARED & PASSED only:
The above statement must be attested by the Gazetted Officer/Assistant Registrar/Public Relation Officer(IDE)/Faculty
I hereby declare that all the particulars given above are correct and I agree to abide by all the rules and regulations of the University
that are in force from time to time.
Station:
Date: SIGNATURE OF THE APPLICANT
A.S.O. S.O. A.R.
Name of the
papers appeared
& passed
Code of the
subject
Reg. No.
Month & Year of
Passing
Marks for each subject
Maximum Min.pass
Secured
Marks
RESULT
Passed

FOR OFFICE USE ONLY UG-Degree

1. Provisional Admission may be given to Second/Third year
2. Exemption of the following papers may be given to the candidate in which already appeared and
passed
Core Courses
Foundation course Main & Allied subjects
First year : Part I Language Paper - I
Part II English Paper-I
Second year : Part I Language Paper - II
Part II English Paper-II
Third Year :
3. The candidate has to appear for the following papers as prescribed in the prospectus for the year as
per the decision of Chairman BOS
Core Courses
Foundation course Main & Allied subjects
First year : Part I Language Paper - I
Part II English Paper-I
Second year : Part I Language Paper - II
Part II English Paper-II
Third Year :
4. Rs.500/- may be collected from the candidate towards the fee for Readmission.
5. Rs.750/- may be collected from the candidate towards the fee for Transfer from other University.
6. Rs.100/- may be collected from the candidate towards the fee for exemption
7. May be considered/May not be considered for classification
8. PCP schedule may be sent along with admission intimation
9. Remarks if any:
Asst/ASO (Admn) Section Officer (Admn) Assistant Registrar (UG/PG/LSS)
Thro Eligibility Section
............ may be approved
Asst/ASO(ES) SO(ES) Asst.Regr(Genl) D.R.(Admn)
DIRECTOR
118
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