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Sri Ramajayam

SASTRA UNIVERSITY
(A University under section 3 of the UGC Act, 1956)
SRINIVASA RAMANUJAN CENTRE
Lakshmi Vilas Agraharam, Kumbakonam - 612 001, Tamil Nadu.
APPLICATION FOR ADMISSION TO B.Sc. / B.B.A. / B.C.A. / B.Com. / B.Ed. / M.Com. / M.Sc. /
M.Ed., & M.Sc., B.Ed., / M.A., B.Ed., PROGRAMMES 2011-12
(To be filled by the applicant in capital letters)

1. Applicant’s Name : ............................................................................................

(as in Qualifying Examination marksheet)
2 (a) Father’s Name : Shri ....................................................................................
(b) Mother’s Name : Smt .................................................................................... Photo
(c) Guardian’s Name (If Father not alive) : ............................................................................................ (Compulsory)
3 Address for communication : .............................................................................................
with pin code ............................................................................................
............................................................................................
Pin : ......................................................................................
District : .......................................... State : ...................................................
Ph : ............................................. STD Code : ...........................................................
Email : ..........................................................................................................................
4. Sex : MALE FEMALE

Date Month Year Age as on : 01.07.2011

5. Date of Birth :

6. Parent’s Occupation : ......................................................................................................................................

7(a). Nationality : ..................................... 7(b). Religion ..................................................................
8(a). Name of the Caste : ......................................................................................................................................

8(b). Community : BC MBC SC ST DNC OC

9. Programme applying for : B.Sc. B.B.A B.C.A. B.Com. B.Ed., M.Com.

M.Sc. M.Sc. B.Ed., M.A., B.Ed., M.Ed.,

10. Course applying for : I Choice .....................................................................................................................

(B.Sc./ M.Sc. B.Ed., / M.Sc.
/ M.A., B.Ed., applicants only)
11. Qualifying Examination Passed
(a) Month and Year of Passing
(b) Name of the School / College :
& Address
II Choice .....................................................................................................................
III Choice .....................................................................................................................
: .................................................................................................................................
: .................................................................................................................................
.................................................................................................................................
: .................................................................................................................................

.................................................................................................................................
(c) Name of the Board / University: .................................................................................................................................
(d) Registration No(s). with Month
and year of Last Appearance : .................................................................................................................................

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12. Marks / Grades obtained :
In +2 Examinations

ACADEMIC
Marks Maximum
Subject
Scored Marks

Language .....................................................................................

English

Elective ……………........................................................................

Total

Marks / Grades obtained in qualifying Degree Course

(For PG applicants only)
UG Degree obtained : ............................................................. Branch of study : ................................................................

I SEMESTER II SEMESTER
Marks Maximum Marks Maximum
Subject Subject
Scored Marks Scored Marks

1. 1.
2. 2.

3. 3.
4. 4.
5. 5.

6. 6.
7. 7.
8. 8.

9. 9.
10. 10.
Total Total

For online applications only: Please enclose Demand Draft for Rs. 300/- favouring SASTRA University payable at Kumbakonam
Name of the Bank ....................................................................... Branch: ...............................................
D.D. No ................................................................................... Date : .............................

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 III SEMESTER IV SEMESTER
Marks Maximum Marks Maximum
Subject Subject
Scored Marks Scored Marks

1. 1.
2. 2.
3. 3.

4. 4.
5. 5.
6. 6.

7. 7.
8. 8.
9. 9.

10. 10.
Total Total

V SEMESTER VI SEMESTER
Marks Maximum Marks Maximum
Subject Subject
Scored Marks Scored Marks

1. 1.
2. 2.

3. 3.
4. 4.
5. 5.

6. 6.
7. 7.
8. 8.

9. 9.
10. 10.
Total Total

Overall percentage : ..............................

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 GENERAL INSTRUCTIONS

1. The name you provide will appear identically on all official documents.
2. Indicate your permanent address. Your permanent address is a stable address, which will be valid for
a long period of time. This is the address where you may be reached, even if your mailing address
changes. Indicate the phone number, fax number and the email address.
3. Indicate your qualifying examination passed, year of passing, register number, number of appearances
and the marks obtained in the qualifying examinations. Photocopies of the mark sheet should be
enclosed. Original should be submitted during the time of counselling and admission.
4. Kindly enclose 3 passport size photographs. (One each to be affixed in the application form and in the
Index card and the remaining to be attached with name and application number written at the back).
5. Along with the originals, the candidiates are requested to bring 3 attested copies of Transfer
Certificate, Conduct Certificate, Community Certificate, X and XII Mark statement
(for UG admission) and degree consolidated mark statement and Provisional / Degree
Certificate (for PG admission).
6. Fees once paid will not be refunded under any circumstances. The candidate should pay the
entire Programme fee minus whatever has been already paid, if he / she discontinues the programme
any time after its commencement.
7. SASTRA reserves its right not to conduct a programme, if the response to that particular programme
is not sufficient.
8. SASTRA wishes that there be no dispute on any account. However if there is any dispute the
jurisdiction will be Thanjavur, Tamil Nadu.
9. Ragging is a cognizable offence and any form of ragging either inside or outside the campus is totally
prohibited. Indulging in ragging will result in expulsion from the University and/or imprisonment up to
three years and/or fine up to Rs.25,000/-.
10. Last date for submission of completed application form for UG / PG programme is 11.06.2011.

JOINT DECLARATION BY THE APPLICANT AND PARENT

I hereby solemnly and sincerely affirm that the statement made and the information furnished by me
in the application as also in enclosures thereto submitted by me are true. Should it, however, be found that
any information furnished therein is untrue in material particulars or on verification at a later stage, I am
liable for criminal prosecution and I also agree to forego my seat in this Institution / for the removal of my
name from the rolls of the institution at whatever stage of study I may be at the time of detection of such
wrong particulars. I am also fully aware of the general instructions and I am bound by the same.

Place :
Date : Signature of the candidate

I am fully aware of the above declaration and I have understood the same. I agree to the above conditions.

Place:
Date : Signature of the Parent / Guardian

Note: The guardian can execute the above declaration, only if both the parents are not alive.

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

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 SASTRA UNIVERSITY
Srinivasa Ramanujan Centre, Lakshmi Vilas Agraharam, Kumbakonam - 612 001.
STUDENT’S INDEX CARD
B.Sc./ B.B.A. / B.C.A. / B.Com / B.Ed., / M.Com / M.Sc. / M.Ed. / M.A. B.Ed. / M.Sc. B.Ed., ( ) Degree Admission 2011 - 12
Application No. Register No. (Office use only) :

(TO BE FILLED BY THE APPLICANT IN BLOCK LETTERS)

Name : ....................................................................... Nationality : ..........................................

Sex : ...........................................
Date of Birth : ...........................................
Father’s Name : Shri .......................................
Mother’s Name : Smt .......................................
Guardian’s Name : ...........................................
Relationship with student : ...........................................
Permanent Address : ...........................................
...........................................
...........................................
...........................................
Pin Code : ...........................................
Name of the Religion : ..........................................
Name of the Caste : ..........................................
Community : BC/OBC/MBC/SC/ST/OC/DNC
Native District : ..........................................
State : ..........................................
OCCUPATION (Father/Mother/Guardian)
Name of the Organisation: ..........................................
Designation : ..........................................
Annual Income : ..........................................

Ph No : With STD Code (Off) : .................................................... (Resi) : ...................................................

Mobile : ....................................... Fax : ....................................... E-mail : ................................................
Academic Details :
Qualifying Exam Passed : ................................ University / Board of Study : ................................................
Institution/School Name : ......................................................................................................................................
Register No. : ....................................... No. of Appearance(s) : .............. Month & Year of Passing : ...........................
Overall Percentage CGPA : ...................................... Class obtained : .............................................................

For PG applicants only

Overall Percentage : ............................................. Class obtained : ...................................................

Affix Affix Affix

Affix Father’s Mother’s Guardian’s
Student’s Photo Photo Photo
Photo (Compulsory) (Compulsory)
(Compulsory)

Signature of Student Signature of Parent Signature of Guardian

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SHANMUGHA ARTS, SCIENCE, TECHNOLOGY & RESEARCH ACADEMY
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 FEE DETAILS

Tuition fees per Special fees, Registration fees

Name of the course etc. (One time payment at the
semester (Rs)
time of admission) (Rs)

B.Sc., B.B.A, B.C.A, B.Com., 5,000 4,750

B. Ed., 35,000 4,750

M.Ed., 40,000 4,750

M.Com. / M.Sc. 5,000 4,750

M.Sc. (Biochemistry / Micro Biology) 7,500 4,750

M.Sc. B.Ed., / M.A., (English Literature) B.Ed.,
(5 Year Integrated Programme)
10,000 4,750

Completed forms must be mailed in the envelope enclosed to:

OFFICE OF ADMISSIONS

SASTRA UNIVERSITY
SRINIVASA RAMANUJAN CENTRE
Lakshmi Vilas Agraharam, (Near State Bank Colony)
Kumbakonam - 612 001, Tamil Nadu
Ph : 0435 - 2426823 / 2400822 / 2421547 Fax : 2402460

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 COURSES OFFERED:

Bachelor of Science (B.Sc.) in :

v Communication & Computer Science
v Electronics & Computer Science
v Mathematics & Computer Science
v Physics & Computer Science
v Bio Chemistry with DMLT

Bachelor of Business Administration (B.B.A.)

Bachelor of Computer Application (B.C.A.)
Bachelor of Commerce (B.Com.)
Eligibility : A pass in +2 examinations from a recognised board

Master of Commerce (M.Com.) in :

Eligibility : A valid B.Com. / B.A., (Corp. Sec) / B.B.A., degree from a recognised university

Master of Science (M.Sc.) in :

v Mathematics v Bio Chemistry v Applied Electronics and
v Electronics & Instrumentation (E&I) v Computer Science v Microbiology
Eligibility : A valid UG degree in related discipline from a recognised university

Bachelor of Education (B.Ed.)

(English, Tamil, Mathematics, Physical Sciences, Biological Sciences, Economics, Commerce,
Computer Science, History and Geography)
Eligibility : A valid Bachelor’s degree from a recognised university with 45% aggregate.

Master of Education (M.Ed.)

Eligibility : Degree in Education from a recognised University
Five year integrated M.Sc. B.Ed. (Mathematics / Computer Science) /
M.A., (English Literature) B.Ed.,
Eligibility : A pass in +2 examination from a recognised a board with the major subject of study

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