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    Maharishi Markandeshwar University 2010

    General Seat : Course 1 _______________________ 2_______________________

    NRI Seat : 3 _______________________ 4_______________________

    Date of receipt of Admission Form (for office use only)_________________________________

    Details of Bank Draft: (if downloaded from website)

    Amount ___________________ Name of the Bank_____________________________________

    Branch ____________________ Draft No. ___________ Date of Issue ______________________

    1. Name of the Candidate _______________________________________________________

    2. Father's Name _______________________________________________________________

    3. Father's Occupation _______________________________________________________________________________________

    (Please specify in details)

    4. Mother's Name __________________________________________________________________________________________

    5. Date of Birth__________________________________________6. Nationality_________________________________________

    7. Choice of the Course (For B.Tech/MTech/MPT/MDS/M.Pharm/M.Sc/MD/MS/PGD/Dip courses only)

    8. Please tick below if you belong to any of the following categories (only for statistical information or for getting the benefit of

    relaxation in age or marks in the qualifying examination for eligibility or merit, wherever applicable ) :-

    Male Female Gen SC ST OBC PH ESM

    9. State of Domicile District

    Admission Form (2010-11)(To be filled in by the candidate in his/her own handwriting in BLOCK letters)

    MAHARISHI MARKANDESHWAR UNIVERSITY, MULLANA - AMBALA(Deemed University established under Section 3 of the UGC Act, 1956)

    Paste

    a ColouredPhotograph &

    attach twoadditional copies

    thereof.

    Sr. No. :

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    The candidates for B.Tech/M.Tech/MPT/MDS/M.Pharm/ M.Sc./MD/MS/

    PGD/Dip courses should mention the Branch in order of preference

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    Maharishi Markandeshwar University 2010

    10. (a) For B.Tech (Rank in Common Entrance Test AIEEE, 2010)

    All India Rank Roll No.*

    (b) For M.Tech. (Score in GATE)

    GATE Score Roll No.*

    (e) For MBA (Highest Score out of fourMAT Tests of Sept 09, Dec. 09, Feb. 10, May 10)

    HighestMAT Score Month/Year of Passing Roll No.*

    *Pending declaration of result of AIEEE/GATE/MAT, the candidates must indicate their Roll No. in the relevant column

    11. Details of Examinations Passed:

    Name of School/College Month/Year Univ. / Board Maximum Marks % Marks &Examination from which passed of Passing Marks Obtained DivisionPassed

    Matric

    10 + 2 or

    Equivalent*

    Graduation*

    PostGraduation*

    *Mention name of the degree/certificate

    12.Full Postal Address for correspondence.______________________________________________________________________

    ___________________________City_____________________State____________________Pin Code___________________

    Phone/Mobile(with STD Code)________________________________Email ID_______________________________________

    Declaration by the applicant:

    I declare that entries made by me in this Application Form are true and correct in all respects and in case any entry or information

    given by me in this form is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such

    action as the University made deem proper.

    I have noted that my admission to the College and my continuance on its rolls are subject to the provisions of the University and

    other rules and instructions as may be applicable from time to time. I also undertake that I shall abide by the rules of discipline and proper

    conduct as are applicable from time to time in the University and its institutions.

    I am fully aware of the Regulations of the UGC and other Regulating Bodies and law regarding ragging as well as the punishment

    and that if found guilty on this account, I am liable to be punished accordingly. I undertake that I shall not indulge in any act of ragging.

    I also undertake that I have read and understood the prospectus 2010, issued by the University.

    (Signature of the Father/Mother/Guardian) (Signature of Applicant)

    Place : ___________________________ Date : ____________

    Note: 1. In case of Admission toBPT/B.Sc., (Nursing), please giveaggregate marks obtained in English, Physics, Chemistry andBiology.

    2. Admission Form, duly filled in, together with the copies of the requireddocuments is to be sent to theAdmission Office, MMUniversity, Mullana Ambala, 133-204 (Haryana).

    3. Please specify thename of the course(s) to which admission is soughton the envelope in which the Admission Form is sentto the University

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    Maharishi Markandeshwar University 2010

    1. Name of the Candidate: __________________________________________________________________

    2. Father's Name: __________________________________________________________________________

    3. Date of Birth: ___________________________________________________________________________

    4. Address as given in the Admission Form: ____________________________________________________

    ______________________________________________________________________________________

    5. Sr. No. of Admission Form: ________________________________________________________________

    (as printed at the top of the Admission Form already submitted)

    6. Date of submission of Admission Form: ____________________________________________________

    7. Result of Qualifying Examination:

    *Mention name of the Examination Passed.

    (To be filled in by the candidate in his/her own handwriting in BLOCK letters)

    MAHARISHI MARKANDESHWAR UNIVERSITY, MULLANA - AMBALA(Deened University established under Section 3 of the UGC Act, 1956

    Proforma for sending intimation of RESULT of QualifyingExamination/AIEEE/MAT/GATE for Admission to2010-11

    Nam e of

    QualifyingExamination

    Passed*

    School/College

    from whichpassed

    Month/Year

    of Passing

    Univ./Board M aximum

    M arks

    M arks

    obtained

    %Marks

    an dDivision

    (Name of the Course)

    Sr. No. :

    8. (a) For B.Tech (Rank in Common Entrance Test AIEEE, 2010)

    All India Rank Roll No.*

    (b) For M.Tech. (Score in GATE)

    GATE Score Roll No.*

    (C) For MBA (Highest Score out of fourMATTests of Sept 09, Dec. 09, Feb. 10, May 10)

    HighestMATScore Month/Year of Passing Roll No.*

    *Pending declaration of result of AIEEE/GATE/MAT, the candidates must indicate their Roll No. in the relevant column

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    Maharishi Markandeshwar University 2010

    Declaration by the applicant:

    I hereby solemnly declare that the information submitted by me as above is true and correct. I

    understand that if any information given by me as above is found to be incorrect at any stage, my candidature for

    the Course shall stand cancelled.

    __________________________________________ _________________________

    (Signature of the Father/Mother/Guardian) (Signature of Applicant)

    Place: ___________________________ Date: _______________

    Note: 1. In case of Admission to BPT/B.Sc. (Nursing), please give aggregate marks obtained in English, Physics, Chemistry

    and Biology.

    2. Above Proforma, duly filled in, together with the copies of the required documents is to be sent to the Admission

    office, MM University, Mullana Ambala, 133-204 (Haryana) after the result of the qualifying examination

    AIEEE/GATE/MAT of the candidate for admission to B.Tech/M.Tech/MBA respectively is declared.

    3. Attested copies of documents to be enclosed in support of statement under Sr. No.7-8.