DEVI AHILYA VISHWAVIDYALAYA, INDORE

1 Price Rs: 400/- DEVI AHILYA vishwavidyalaya , INDORE Website: Admission into University Department/School/ Institute APPLICATION FORM FOR ( )/ Diploma/ Diploma ACADEMIC SESSION Department/ School/Institute .. Course/Program .. 1. Applicant s Name (in Hindi) .. (in English).. Date of Birth .. Domicile of : Yes / No (if yes, attach photocopy of proof) Category- Unreserved/ SC/ST/OBC/PF/FF .. (Attach Photocopy of proof except Unreserved) Sex: Male/Female .. Blood Group.

2 3. Applicant s Address (a) Permanent .. (b) Address for correspondence .. Attested Photo Phone (if any) .. E- mail (if any) .. 4. Enrollment Number of DAVV (if applicable).. 5. Nationality .. 6. Name of Father / Guardian/ Husband .. 7. Name of Mother .. 8. Yearly Income of Parents Rs.. 9. Education qualifications (Enclose attested copies) Class Board/University Year Division % of Marks / Grades Subjects NSS Yes/No NCC Yes/No Participation in Co-curricular Activities Any other information Date (Signature of Applicant) Parents /Guardian Declaration I, Father/ Mother / Guardian of.

3 Who is seeking admission in Department /School / Institute of .. declared that my ward will act as per rules of the University, Program, Department etc. and not involved in any antisocial activities /ragging. We know that ragging is totally banned in the Institute. It is a cognizable offence. If my ward is found indulged in any type of ragging /in disciplinary activity, he/she will be punished by the Institute as per the rules of the University. I take complete responsibility of his/her overall conduct in the University, Department and class.

4 Date (Signature of Applicant ) (Signature of Parents/Guardian ) _____ Instruction for filling the Application Form: 1. The candidate is advised to apply for admission only if he/she fulfills the eligibility requirements. 2. Application Form is downloaded from the website send the complete form to respective school of studies and draft of Rs. 400/- in favor of The Registrar, Devi AHILYA vishwavidyalaya , INDORE payable at INDORE . In case the candidate belongs to SC/ST category the demand draft will be of Rs.

5 250/- only.