kNdhd;kzpak; Re;judhh; gy;fiyf;fofk;

jpUney;Ntyp– 627 012

MANONMANIAM SUNDARANARUNIVERSITY
TIRUNELVELI - 627 012. (INDIA)
Application for admission to M.Sc. Integrated (Five Years) Degree Programmes
for the Academic Year 2018-2019

______________________________________________________________________________

Subject:( Indicate the subject in which the candidate proposes to join)

(Space for
Kjd;ikg; ghlk;; affixing passport
size photograph)
____________________________________________________________________
1. The applicant should
1. Name of the applicant in full (In Block Letters) sign over the photo at
English : the top.
2. The attesting officer
should sign at the
jkpo;: bottom with seal.
____________________________________________________________________
2. Sex Male Female Transgender
ghypdk; Mz; ngz; %d;whk; ghypdk;

(Tick the appropriate box)

(chpa fl;lj;jpy; Fwpg;gpLf)
______________________________________________________________
3. Age and Date of Birth
( proof of age to be attached)
(taJk; gpwe;j ehSk; rhd;wpjio
,izf;fTk;)
__________________________________________________________________________________________
4. Place of Birth, District & State
gpwe;j Ch;> khtl;lk;> khepyk;
__________________________________________________________________________________________
5. Mother Tongue
jha; nkhop
__________________________________________________________________________________________
6. Religionand Nationality
kjk;> Njrk;
__________________________________________________________________________________________
7. Name of the Community
(Attested Photo copy of the Community ,., gp.t. gp.t.K kp.gp.t.
Certificate to be attached)
OC BC BCM MBC
(Tick Appropriate box)
rhjp
(chpa rhjpr;rhd;wpjo; efy; ,izf;fTk;) rP.k. g., /g.F g.,.m
(chpa fl;lj;jpy; Fwpg;gpLf) DNC SC/ST SCA
_____________________________________________________________________________________________
,.,- ,ju ,dj;jpdh;> gp.t- gpw;gl;l tFg;gpdh;> gp.t.K- gpw;gl;l tFg;gpdh; K];ypk;> kp.gp.t-kpfTk; gpw;gl;l
tFg;gpdh;> rP.k-rPh;kugpdh;> g.,. gl;bay; ,dj;jth;> g.F-goq;Fbapdh;> .g.,.m. – gl;bay; ,dj;jth; (mUe;jjpah;)
8. Address to which communication is to be
sent with Pincode.Phone / Mobile Number
with STD code, Email ID
njhlh;G nfhs;s Ntz;ba Kfthp mQ;ry;
FwpaPl;L vz;kw;Wk; njhiyNgrp vz; kw;Wk;
kpd;mQ;ry;
Locality Rural /Urban
__________________________________________________________________________________________

9. Name, Occupation & Address with

pincode of Parent / Guardian
ngw;Nwhh;/ghJfhtyh; ngah; :
njhopy; :
Kfthp mQ;ry; FwpaPl;L
vz;Zld; :
_________________________________________________________________________________________

10. Monthly Income of Parent / Guardian

ngw;Nwhh;/ ghJfhtyh;
khj tUkhdk;

11. Examination Already Passed

ngw;wkjpg;ngz;fs;

Total % of Marks
Board/University

Marks secured
fy;tp epWtdk;

Class/Division
gFjp thhpahf

Njh;r;rp tFg;G

kjpg;ngz;fs;
Institution

gjpT vz;

Partwise
Reg.No.
epWtdk;

Subject
Course

nkhj;j
t.vz;

Njh;T/
Sl.No

ghlk;

ghlk;

1
S.S.L.C
v];.v];.vy;.rp

2
H.Sc
n`r;.v];.rp

4
Any other Qualification
(Give Details)
gpw jFjpfs; tptuk; jUf

Necessary self attested copies of the certificates should be sent along with the application

tpz;zg;gj;Jld; Njitahd rhd;wpjo;fspd; rhd;wspf;fg;gl;l efy;fis ,izj;J mDg;gTk;.

12. Is the candidate Differently abled if so give
the nature of disability(Photo copy of the
Certificate should be enclosed)
(tpz;zg;gjhuh; khw;Wj;jpwdhspah? vdpy;
chpa rhd;wpjopd; efy; ,izf;fTk;)

13. Was the candidate a holder of any

Scholarship (Military or any other
Govt)?/Rank in sports/
Physically Handicapped, if any Give details.
tpz;zg;gjhuh; VNjDk; cjtpj;njhif
ngw;wpUf;fpwhuh (,uhZtk; my;yJ muR)
tpisahl;by; Njh;r;rp cly; Cdk; tptuk; jUf.

14. a) Details of application made for admission

to college / University Departments and
also for other courses including
professional courses this year.
gpw fy;Y}hp/ gy;fiyf;fofk;/njhopy; gbg;G
cl;gl Nru tpz;zg;gpj;jpUe;jhy; tptuk; jUf.

b) Details of any other courses studying at present (if any)

,g;nghOJ gpw ghlq;fs; VNjDk; gapd;W
te;jhy; tptuk; jUf.

I declare that the particulars given above are correct, and that I will, if admitted, abide by the
rules of the University.

NkNy jug;gl;Ls;s jfty;fs; midj;Jk; cz;ikahdit vd;Wk;> Nrh;f;if ngw;why;

tpjpKiwfSf;Ff; fl;Lg;gLNtd; vd;Wk; cWjp $WfpNwd;.

Place: Signature of the Candidate

,lk;: khzhf;fhpd; ifnahg;gk;

Date:
ehs;:

Particulars given above are correct. I declare that the candidate will abide by the rules of the University.
NkNy jug;gl;Ls;s jfty;fs; midj;Jk; cz;ikahdit. gy;fiyf;fof tpjpKiwfSf;F cl;gl;L
tpz;zg;gjhuh; elg;ghh; vd cWjp $WfpNwd;.

Place: Counter Signature of the Parent / Guardian

,lk;: ngw;Nwhh; / ghJfhtyh;; ifnahg;gk;
 For Office Use
mYtyf gad;ghl;bw;F
Fee Remittance Details :
fl;lzj;njhif nrYj;jpa tpguq;fs;

Name of Bank and Place :

tq;fpapd; ngah; kw;Wk; ,lk;

D.D. No / Challan No :
tiuNthiy vz;/nrYj;Jr; rPl;L vz;

Date :
ehs;

Amount :
njhif (&)

Admitted / Not Admitted :

Nrh;;f;if/ Nrh;f;if ,y;iy

----------------------------------------------------------------------------------------------------------------------------------------------------------
kNdhd;kzpak; Re;judhh; gy;fiyf;fofk;>
jpUney;Ntyp
MANONMANIAM SUNDARANAR UNIVERSITY.
TIRUNELVELI
IDENTITY CARD

NAME : _________________________________
DEGREE : _________________________________
COURSE / DEPT : _________________________________
PERIOD OF STUDY : _________________________________
DATE OF BIRTH : ______________ BLOOD GROUP_______
FATHER'S NAME : ___________________________________
ADDRESS : ___________________________________
___________________________________
___________________________________
PHONE / MOBILE No. : ___________________________________
Email ID : ___________________________________

HOLDER'S SIGNATURE H.O.D. SIGNATURE

All data should be furnished in capital letters

This Hall Ticket should be sent along with the application with a passport size photograph affixed
 kNdhd;kzpak; Re;judhh; gy;fiyf;fofk;>jpUney;Ntyp
MANONMANIAM SUNDARANAR UNIVERSITY, TIRUNELVELI

Entrance Test for admission to M.Sc. Integrated (five years) Courses

_________________________________________________________________________________

2018-2019
_________________________________________________________________________________
HALL TICKET

(Space for affixing

Name: Reg.No.
passport size
photograph)

The attesting officer

should sign at the
bottom with seal

Signature of the candidate………………………………………..

Note: Candidates should bring their Hall Ticket with them to the
Examination Hall and produce it on demand
Address Slip

Candidates are requested to fill in the following address slips and send them along with the
application

Appn. No.
Name and Address:

Phone / Mobile No. Pin code:

Appn. No.
Name and Address:

Phone / Mobile No. Pin code:

Appn. No.
Name and Address:

Phone / Mobile No. Pin code:

Appn. No.
Name and Address:

Phone / Mobile No. Pin code: