Guru Ghasidas Vishwavidyalaya, Bilaspur (C.G.)

1 guru Ghasidas vishwavidyalaya , Bilaspur ( ) Application against vacant seat 2015-16 Page 1 of 5 Last date for submission of application for to respective department extended upto 14/07/2015 till PM Candidates are requested to contact concern Head of the Department regarding availability of seats before applying. To be filled in by the candidate in his/her own handwriting (Tick the appropriate box) 1. Details of Demand Draft / Challan (For Gen/OBC Rs. , for SC/ST/PWD Rs. ) Write 1 For DD 2 For Challan No. Date Amount ` Name of the Bank & Branch Payable at Bilaspur ( ) 2. Category of the candidate (Tick the category) General SC ST OBC 3. Course applied for Course Code See page - 3 4.

2 Choice of Examination Centre: 1st Choice .. 2nd Choice .. 5. Sex Male Female 6. Date of Birth D D M M Y Y Y Y 7. Candidate full Name (In English Capital Letter) Exactly in matriculation/High School Certificate. Leave one box blank between any two parts of the name. 8. Father s Name (In English Capital Letter) Leave one box blank between any two parts of the name. 9. Mother s Name (In English Capital Letter) Leave one box blank between any two parts of the name. 10. Address for correspondence House No/Village Area/Locality/ District State Pin Code Telephone Number with STD Code Mobile No.

3 E-mail address of the applicant 11. Permanent address House No/Village Area/Locality/ Post District State Pin Code Telephone Number with STD Code Mobile No. Candidates are advised to read this form and Admission Brochure carefully before filling up the application form use blue or black ink pen to write the application form. Affix Self Attested Recent Passport Size Photograph 14. Domicile State- .. 15. Whether you belong to minority community if yes, please tick at appropriate box Hindu Muslim Christian Sikh Jain Buddhist Parsi 16. Details of exam passed by the Candidate Name of the examination University/Board Year Subject / Specialization Total Marks obtained / Max.

4 Marks % of Marks Remarks High School or equivalent (10th) Intermediate (10+2) level Graduation (10+2+3) Post-Graduation Any other examination * The candidate should clearly & correctly mention the marks obtained at each level and attach the marks sheets of 10th, 12th, Graduation (all the years), Post Graduation (all the years) and any other examination. DECLARATION 1. I have read the Admission Brochure 2015-16 and the text of the Application form and declare that the information furnished about by me is true to be the best of my knowledge. 2. I declare that I fulfill the minimum eligibility required for the course. In case any information furnished above by me is found wrong at any time, my candidature for the examination / selection to the course may be cancelled outright and I may be debarred permanently from the test and disciplinary action may be taken against me.

5 3. I declare that I am an Indian National, have not taken part in any activity subversive of law and have not been debarred by any University / Institution for seeking admission or appearing in the test / examinations. Date: Signature of the Candidate (in running handwriting) Place: Name _____ i. Visually Handicapped (VH) ii. Orthopedically Handicapped (AH) iii. Hearing Handicapped (HH) 13. If you are physically challenged, please tick Appropriate box 12. Nationality Write 1 - Indian, 2 - Other Courses in which seat is vacant for session 2015-16 Last date of submission to respective department extended upto till PM 5 years (10 semester) Integrated UG/PG programme with exit option on completion of 3 year (6 semester), Diploma & UG programme & Remaining vacant seat** indicated ( Submission of application extended till 14/07/2015 till PM ) Name of the courses Course Code Remaining Vacant Seats Eligibility 1 5 Years Integrated UG/PG in Electronics 108 1 Minimum 50% aggregate at 10 + 2 level from any recognized Board or equivalent.

6 Max. age limit: 22 years 2 5 Years Integrated UG/PG in Anthropology 101 49 Minimum 50% aggregate at 10+2 level with Maths from any recognized Board or equivalent. Max. age limit: 22 years 3 5 Years Integrated UG/PG in Rural Technology 117 7 Minimum 50% aggregate at 10 + 2 level with Biology/Maths/Agriculture from any recognized Board or equivalent. Max. age limit: 22 years 4 5 Years Integrated UG/PG in English 109 2 Minimum 50% aggregate at 10 + 2 level from any recognized Board or equivalent Max. age limit: 22 years 5 5 Years Integrated UG/PG in Hindi 110 44 Minimum 50% aggregate at 10+2 level from recognized Board or equivalent. Max. age limit: 22 years 6 5 Years Integrated UG/PG in Library & Information Science 113 41 Minimum 50% aggregate at 10+2 level from recognized Board or equivalent.

7 Max. age limit: 22 years 7 5 Years Integrated UG/PG in Journalism &Mass Communication 112 19 Minimum 50% aggregate at 10+2 level from any recognized Board or equivalent Max. age limit: 22 years 8 5 Years Integrated UG/PG in Economics 107 13 Minimum 50% aggregate at 10+2 level from recognized Board or equivalent. Max. age limit: 22 years 9 5 Years Integrated UG/PG in History 111 21 Minimum 50% aggregate at 10+2 level from any recognized Board or equivalent. Max. age limit: 22 years 10 5 Years Integrated UG/PG in Political Science 116 26 Minimum 50% aggregate at 10+2 level from recognized Board or equivalent. Max. age limit: 22 years 11 5 Years Integrated UG/PG in Social Work 123 44 Minimum 50% aggregate at 10+2 level from recognized Board or equivalent.

8 Max. age limit: 22 years 12 Diploma in German 602 14 Minimum 50% aggregate at 10 + 2 level from any recognized Board or equivalent. Max. age limit: 25 years 13 Bachelor of Library & Information Science (B. Lib. & I. Sc.) 203 11 Min. 50% aggregate at Graduation or Post Graduation from any recognized university/institution. Max. age limit: 25 years Postgraduate programme 14 Rural Technology 318 56 (Hons) under 10+2+3 pattern with minimum 50% aggregate or equivalent with Rural Technology/Forestry/Biology/ from any recognized University/ institution. Max. age limit: 25 years 15 Forestry & Environmental Sc. 319 17 (Hons) under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with Forestry/ Biology/Maths/Agriculture/ Environmental Science as one subject from recognized university/ institution.

9 Max. age limit: 25 years4 16 Electronics 308 51 (Hons) under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with electronics as one subject from recognized university/institution. Max. age limit: 25 years 17 Economics 323 13 (Hons)/ under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with Economics as one subject from recognized university/institution. Max. age limit: 25 years 18 Political Science 328 21 (Hons) under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with Political Science as one subject from recognized university/ age limit: 25 years 19 Hindi 324 54 (Hons)/ under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with Hindi as one subject from recognized university/institution.

10 Max. age limit: 25 years 20 English 325 8 (Hons)/ under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with English as one subject from recognized university/institution. Max. age limit: 25 years 21 History 322 21 (Hons) under 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with History as one subject from recognized university/institution. Max. age limit: 25 years 22 Master of Social Work (MSW) 303 1 Graduation or Post graduation in any discipline with 50% marks from any recognized university/institutions. Max. age limit: 25 years 23 in Anthropology 320 39 (H 4 ons)/ under Semester 10+2+3 pattern with Minimum 50 % marks in aggregate or equivalent with Anthropology as one subject from recognized university/ institution.