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CostofApplication:Rs.300/ +Rs.10/ ServiceCharges ifpurchasedfromabank.

ApplicationNo:

SRIKRISHNADEVARAYAUNIVERSITY::ANANTAPUR
C E N T R E F O R D I S T A N C E E D U C A T I O N
APPLICATIONFORADMISSIONINTO
M.A./M.Sc./M.Com./MBA/MCA/PGDiploma/B.L.I.Sc. Courses: 200910
DetailsofAmountinRs.___________________Date______________
FeePaidCounterfoilNo(onlinetransfer/D.D.No.__________________
NameoftheBank____________________________________
Important Note: Once the Fee paid will not be refunded under any Circumstances

1.

Affixarecent
Passportsize
Photographduly
attestedbya
GazettedOfficer

NameinFull : Surname
(BlockLetters)
Name

2.NameoftheCourseapplied for: M.A./M.Sc./M.Com./MBA/MCA/PGDiploma/B.L.I.Sc.


3. Subject: ___________________________________________
( Course once selected will not be changed under any circumstances)

4.FacilitatingCentre/StudyCentrethathelpedyour
EnrollmentintheCentreforDistanceEducation.
5.Areyouwillingtojoin in authorizedStudyCentre :
(incaseofMCA/M.Sc.ComputerScience/PGDCAonly)
(referpage12ofprospectusforlistofstudycentres)
6.Ifyes,givethenameoftheStudyCentre

Yes/No

(Please seetheProspectusfordetailsofStudyCentres)

7. PersonalContactProgrammeVenue chosen

:________________________________________

(PleaseseetheProspectus)

8.NameoftheParent/Guardian/Husband
()therelevant

:________________________________________

9.DateofBirth

10.Male/Female 11.Nationality: ________

(asenteredinXclass/equivalentCertificate)

12

SocialStatus (whicheverisrelevant)

: SC/ST/BC/OC (incaseofBC), GroupA/B/C/D/ E

13. Ifemployed,presentposition/designation
andtheOfficewhereworking

:________________________________________

__________________________________
14. AddressforCorrespondence(blockletters)

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
____________________________________________Pin __________________________
15. PhoneNo.withSTDCode_______________________CellNo.:_____________________

16. DetailsofEducationalQualifications

Examination Nameof
passed
thecourse

Duration
ofthe
course

Nameofthe
Institution/
College/University

Subjects

Yearof
passing

Grade/
Percentage

Class

Intermediate
Degree
Post
Graduation*

Others
(Specify)
*Onlyifacandidatehascompletedanyotherpostgraduation.

Declaration
Ideclarethattheinformationgiveninthisapplicationiscorrectandcompletetothebestofmyknowledge
Incaseifit isfoundthattheinformationfurnishedis false/incomplete,myadmissionmaybecancelledor
anyactionthatisnecessaryunderthe lawmaybetaken.
Station :
Date :

SignatureoftheCandidate

CHECK LIST: Thefollowingdocumentsshouldbeenclosedtothefilledinapplication.


1)
2)

CounterfoiloftheOnlineTransfer/DemandDraftfortheamountspecifiedintheProspectustowards
CourseFeeetc.
Degree/ProvisionalPassCertificate Originalandonexeroxcopydulyattested.

3)

StatementsofMarksatthequalifyingexamination Originalandonesetofxeroxcopiesdulyattested.

4)

Twophotographs.Onepassportsize photopastedontheapplication formshouldbeattestedbya


GazettedOfficer.One stampsizephotoshouldbepastedontheIdentityCard.

5)

SelfaddressedenvelopebearingstampsworthRs.35/ toreturntheOriginalCertificates.

NOTE: 1) Please ensure that the course, subject, PCP Centre opted, are specified correctly in the
application.
2) Filled in application along with supporting documents should be sent to The Director,
CentreforDistanceEducation,S.K.University,ANANTAPUR515055byRegistered
/SpeedPost/Courier
FOROFFICE USEONLY
WhetherEligible

Yes

No

Admitted

Yes

No

EnrolmentNo.

Coursetowhich
admitted_________________

ScrutinizedbyClerk:______________Suptt.:______________AR/DR_______________________

Director
C E N T R E F O R D I S T A N C E E D U C A T I O N
S R I K R I S H N A D E V A R A Y A U N I V E R S I T Y : : A N A N T A P U R

H A L L T I C K E T
Enrolment/RegisterNumber(TobefilledinbytheOffice)
EntriesaretobefilledinbytheCandidateinhis/herhandwriting

M.A. / M.Sc/ M.Com. / M.B.A / M.C.A PG DIPLOMA FIRST YEAR EXAMINATIONS, OCT/NOV 2010
1) NameoftheCandidate:__________________________________________

Candidateshould
:__________________________________________ affixhis/herrecent
passportsizephoto
3) COURSE&SUBJECT
:_________________________________________ dulyattestedbya
GazettedOfficer
4) NameoftheExaminationCentrewithCodeNo. :_________________________________ withofficeseal
(BLOCKLETTERS)

2) FathersName

5) TitlesofthePapersinwhichthecandidateisappearing(SeetheProspectusfortheTitlesofthepapers)
1. ________________________5._______________________
2. ________________________6._______________________

ExaminationCentreandVenue
(TobefilledinbytheOffice)

3. ________________________7._______________________
4. ________________________8._______________________
6)

IdentificationMarks
1.

________________________________2._________________________________________

DIRECTOR

SIGNATUREOFTHECANDIDATE

C E N T R E F O R D I S T A N C E E D U C A T I O N
S R I K R I S H N A D E V A R A Y A U N I V E R S I T Y : : A N A N T A P U R

H A L L T I C K E T
Enrolment/RegisterNumber(TobefilledinbytheOffice)
EntriesaretobefilledinbytheCandidateinhis/herhandwriting

M.A. / M.Sc/ M.Com. / M.B.A / M.C.A PG DIPLOMA FIRST YEAR EXAMINATIONS, OCT/NOV 2010
1) NameoftheCandidate:__________________________________________
(BLOCKLETTERS)

2) FathersName

:__________________________________________

3) COURSE&SUBJECT:_________________________________________
4) NameoftheExaminationCentrewithCodeNo. :_________________________________

Candidateshould
affixhis/herrecent
passportsizephoto
dulyattestedbya
GazettedOfficer
withofficeseal

5) TitlesofthePapersinwhichthecandidateisappearing(SeetheProspectusfortheTitlesofthepapers)
1.________________________5._______________________
2.________________________6._______________________

ExaminationCentreandVenue
(TobefilledinbytheOffice)

3.________________________7._______________________
4.________________________8._______________________
6)

IdentificationMarks
2.

________________________________2._________________________________________

DIRECTOR

SIGNATUREOFTHECANDIDATE

CANDIDATESFORUNIVERSITYEXAMINATIONSMUSTOBSERVETHEFOLLOWINGINSTRUCTIONSCAREFULLY:

1) Candidatesshouldtaketheirseatsintheexaminationhallatleastfiveminutesbeforethecommencementof
theexamination.Candidatespresentingthemselveshalfanhourafterthecommencementoftheexamination
will not be admitted to the Examination Hall. Candidates should bring their HALL TICKET AND IDENTITY
CARDeachdayforinspectionbytheChiefSuperintendent/Invigilator.
2) Candidatesareprohibitedfromwritinganythingontheirhallticketsorquestionpapers.
3) Nocandidatewillbeallowedtoleavetheexaminationhalltillanhourandahalfafterthecommencementofthe
examination.
4) Candidates are prohibited to bring Cell Phones and any forbidden material such as handwritten / xeroxed /
typewrittenetc.,matterintotheExaminationHall.Theyshouldnotcommunicatewithanyotherexamineeor
copyhis/heranswers.Suchcandidatesstandtheriskofhavingalltheiranswerpapersoftheexamination
rejectedbytheUniversityandofbeingdebarredfromsittingfortheUniversityExamination.
5) Candidates should bring their own Mathematical Tables and use them with the permission of the Chief
Superintendent.Candidatesarepermittedtousescientificcalculators.
6) Candidatesmustuseonlyblue/blackinkontheanswerscripts.
7) Permissionwillnotbegiventothecandidatestowritetheexaminationatacentreotherthanthecentrewhere
theirnamesareregistered.
8) In the case of nonreceipt of Hall Ticket, a DUPLICATE HALL TICKET will be issued by the Chief
SuperintendentintheExaminationCentreonproductionoftheIdentityCardandonepassportsizephotograph
dulyattestedandcounterfoilofonlinetransferoraDemandDraftforRs.100/drawninfavouroftheDirector,
CentreforDistanceEducation,S.K.University,Anantapur,payableatAndhraBank,S.K.University,Anantapur
(410).
9)

Candidates are prohibited from writing the Name or Register Number on any part of the main / additional
answer book except noting the Register Number in the space provided for on the cover page of the Main
AnswerBook.

10) Anyidentificationmarksincludingmarkingofreligioussignsandsymbolsonthemain/additionalanswerscript
willbedeemedasacaseofmalpractice.

CANDIDATESFORUNIVERSITYEXAMINATIONSMUSTOBSERVETHEFOLLOWINGINSTRUCTIONSCAREFULLY:

1) Candidatesshouldtaketheirseatsintheexaminationhallatleastfiveminutesbeforethecommencementof
theexamination.Candidatespresentingthemselveshalfanhourafterthecommencementoftheexamination
will not be admitted to the Examination Hall. Candidates should bring their HALL TICKET AND IDENTITY
CARDeachdayforinspectionbytheChiefSuperintendent/Invigilator.
2) Candidatesareprohibitedfromwritinganythingontheirhallticketsorquestionpapers.
3) Nocandidatewillbeallowedtoleavetheexaminationhalltillanhourandahalfafterthecommencementofthe
examination.
4) Candidates are prohibited to bring Cell Phones and any forbidden material such as handwritten / xeroxed /
typewrittenetc.,matterintotheExaminationHall.Theyshouldnotcommunicatewithanyotherexamineeor
copyhis/heranswers.Suchcandidatesstandtheriskofhavingalltheiranswerpapersoftheexamination
rejectedbytheUniversityandofbeingdebarredfromsittingfortheUniversityExamination.
5) Candidates should bring their own Mathematical Tables and use them with the permission of the Chief
Superintendent.Candidatesarepermittedtousescientificcalculators.
6) Candidatesmustuseonlyblue/blackinkontheanswerscripts.
7) Permissionwillnotbegiventothecandidatestowritetheexaminationatacentreotherthanthecentrewhere
theirnamesareregistered.
8) In the case of nonreceipt of Hall Ticket, a DUPLICATE HALL TICKET will be issued by the Chief
SuperintendentintheExaminationCentreonproductionoftheIdentityCardandonepassportsizephotograph
dulyattestedandcounterfoilofonlinetransferoraDemandDraftforRs.100/drawninfavouroftheDirector,
CentreforDistanceEducation,S.K.University,Anantapur,payableatAndhraBank,S.K.University,Anantapur
(410).
9)

Candidates are prohibited from writing the Name or Register Number on any part of the main / additional
answer book except noting the Register Number in the space provided for on the cover page of the Main
AnswerBook.

10) Anyidentificationmarksincludingmarkingofreligioussignsandsymbolsonthemain/additionalanswerscript
willbedeemedasacaseofmalpractice.