Total Pages: 4

For Office Use Only

Examination Roll No. …………………………..

ALIGARH MUSLIM UNIVERSITY, ALIGARH

SSSC-Part-I (Class-XI)/SSSC-Part-II (Class-XII) (Arts/Social Science/Science/Commerce)

Class.......................... Part .................. .Session……………………...

Stream............................ School…………..………...............................

Regular Ex-Student

Cash Receipt No. Dated Rs. Enrolment No.

……………………… (To be filled in by the Candidate)

Faculty No.

………………….…… (To be filled in by the Candidate)

Class Roll No.

……………………… (To be filled in by the Candidate)

1. Name (in block letters) Mr. / Ms. : ................................................................................................................... (As per HS/SSC or equivalent examination)

2. Date of Birth in Christian Era : (In figures)................................................................................................. (As per HS/SSC or equivalent examination) : (In Words) ................................................................................................ 3. Sex Male/Female : ................................................................................................................... 4. Father's Name : ................................................................................................................... 5. Mother's Name : ................................................................................................................... 6. Religion (In case of Muslims, state : ................................................................................................................... Sunni or Shia)/Caste for Non-Muslims Religion (Sunni or Shia) /(SC / ST / BC) 7. Permanent Address (in full) : ................................................................................................................... : ................................................................................................................... : ...................................................................................................................

8. Was the candidate ever debarred, disqualified, : Examination .....................................Year............................................... detained, suspended, rusticated ? If so, give details Roll No...................................... Period.................................................. (attach photocopies of the Office orders) Punishment awarded................................................................................

9. Is the candidate appearing in Improvement : ................................................................................................................. Examination (Yes / No) 10. Is the candidate appearing or has appeared at : Exam. ........................ Year............... Roll No. ...................................... any other examination of this University or any other examining body this year ? If so, give details. : Examining Body...................................................................................... *11. Details of Examination at which the candidate : Regular /Ex-Student................................................................................ last appeared as Regular/Ex-Student but failed : Exam. Roll No.................................Result............................................. *12. Details of Last Examination Passed:

Name of the Examination

Year of Passing Roll No. Name of University/Board Result % of

Marks Subjects Offered

* Candidate is required to enclose self attested photocopies of marksheets.

NOTE: 1. This Examination Form is applicable for Regular / Ex-Student, desiring to appear at SSSC-Part-I (Class-XI)/SSSC-Part-II (Class-XII) Examinations.

2. Examination Fee: Rs. 50/- for Regular Students and Rs. 60/- for Ex-Students, is to be deposited in Cash Section, Finance Office, AMU. Candidate has to clear backlog paper(s), is required to pay fee @ Rs. 25/- per backlog paper

3. The students must tick the column of Regular /Ex-Students, whichever is applicable as per Ordinances (Academic). 4. The Examination Form along with the Cash Receipt (in original) of prescribed Examination Fee and necessary documents, is to

be submitted in the office of the Principal concerned after obtaining dues Clearance on the Examination Form from the office of the Provost concerned for onward transmission to Assistant Control Examination Division, Controller’s Office.

.

RX PASTE

(do not staple) recent

PHOTOGRAPH 2.5 x 3 cms. duly attested

by the Certifying Authority

RX-2

-2- 13. Mention below the Title of the Subjects and their Code Nos. in which the candidate wishes to appear at the examination.

S.No.. Code No. Title of Compulsory Subject(s)

01 02 03 Code No. Title of Optional Subject(s)

01 02 03 04 Backlog Paper(s) if any:

01 02

DECLARATION

I, hereby solemnly affirm that I have filled this Examination Form myself. If it is discovered at any stage that I have made a false or incorrect statement or concealed the facts or fraudulent means have been used by me for appearing at the examination, I shall be liable to disciplinary action and my examination result may be cancelled. I shall abide by all the rules and regulations of this University as amended and enforced from time to time.

Hall....................................................

Hostel................................................

Room No. .........................................

Address for Correspondence (in Block Letters)

………………………………………… (Signature of the candidate in full) Dated: ...............................................

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

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

Left (Male) Right

(Female) Thumb

Impression

Pin :

Contact No.

……………………

FOR OFFICE USE ONLY Certificate to be signed by the Provost This is to certify that: (a) The candidate is/was a regular member of this Hall

during the current session/during the session…................... and his/her Hall dues is clear as on date.

Signature (with Seal).................................................... (Provost) Dated: ....................

Certificate to be signed by the Principal of the School: This is to certify that the student : (a) is a regular/ex- student of the course of study as detailed in

this Examination Form. (b) fulfils the conditions as laid down in the Ordinances

(Academic)/Regulations relating to the course. (c) has chosen the Title of papers and their Codes correctly. (d) has submitted the original marksheet in this office (in case of

appearing for Improvement) Signature (with Seal).................................................... Dated: ..................... (Principal)

}

-3-

For Office Use Only

Examination Roll No. …………………………..

ALIGARH MUSLIM UNIVERSITY, ALIGARH

HALL TICKET Note: Mention the Code & Title of Papers/Practicals/Seminar, etc. carefully. No Corrections / overwriting shall be accepted unless verified by the University authority.

Class...................................................Part...................................Stream……........................................................................................

Faculty No. ...................................Class Roll No..........................Enrolment No……………...............Session………..................... (To be filled in by the candidate)

Regular Ex-Student

Name of the Candidate ....................................................................................................Hall............................................ (in Block Letters as per HSC/SSC)

S.No.. Code No. Title of Compulsory Subject(s)

01 02 03 Code No. Title of Optional Subject(s)

01 02 03 04 Backlog Paper(s) if any:

01 02

Permitted to appear in (.......................................) Papers. ...........................................

(Signature of the Candidate) Dated...................................

Regular / Ex-Student PASTE

(do not staple) recent

PHOTOGRAPH 2.5 x 3 cms. duly attested

by the Certifying Authority

Dealing Assistant (Examination) Dated ………………

S.O. /Assistant Controller (Examinations) Dated …………………

Left (Male) Right (Female) Thumb Impression

-4- Course Code For Class -XI

Compulsory Paper Arts/Soc. Science Stream Commerce Stream Science Stream

Optional Papers Optional Papers Optional Papers Code No. Title Code No. Title Code No. Title Code No. Title 11SU01 Theology (Sunni) 11AR01 Arabic 11AC03 Accountancy 11PH03 Physics 11SH01 Theology (Shia) 11PR01 Persian (Adv.) 11CM03 Commerce 11CH03 Chemistry 11HC01 Hist. Mod. Civil 11PR02 Persian (Elem.) 11EC03 Economics 11MM03 Mathematics 11UA01 Urdu (Advance) 11SK01 Sanskrit 11BL03 Biology 11UE01 Urdu (Elementary) 11UR01 Urdu 11HM03 Home Science 11HE01 Hindi Elementary 11HN03 Hindi 11NT01 N.M.T. Urdu 11EO03 English 11EN03 English 11HS03 History 11PL03 Political Science 11SO03 Sociology 11IS01 Islamic Studies 11EC03 Economics Additional Paper: (For Science & Commerce Stream)

11PS03 Psychology Code No. Title 11PY01 Philosophy 11PH03 Physics 11PE02 Phy. Health Edu. 11MM03 Mathematics 11FA01 Fine Arts 11BL03 Biology 11GG03 Geography

Note: The candidate will have to opt for the following three Compulsory Subjects (one from each group). (i) English.

(ii) Theology (Sunni)/Theology (Shia)/ History of Modern Civilization.

(iii) Advance Urdu /Elementary Urdu /NMT Urdu /Indian History & Culture. a. For those who have passed High School/SSCE with Advance Urdu. b. For those who have passed High School/SSCE with Elementary Urdu/Urdu as a third language. c. For those who come from Non-Hindi Speaking States/Foreign Nationals. d. For Foreign Nationals only. Important: Candidates offering Urdu as one of the Optional Subjects will be required to offer only Elementary

Hindi/Elementary Persian while candidates offering Persian as one of the Optional Subjects will be required to offer only Elementary Hindi instead of the above mentioned Courses.

Course Code For Class -XII

Compulsory Paper Arts/Soc. Science Stream Commerce Stream Science Stream

Optional Papers Optional Papers Optional Papers Code No. Title Code No. Title Code No. Title Code No. Title 12EN03 English 12AR01 Arabic 12AC03 Accountancy 12PH03 Physics 12PR01 Persian (Adv.) 12CM03 Commerce 12CH03 Chemistry 12PR02 Persian (Elem.) 12EC03 Economics 12MM03 Mathematics 12SK01 Sanskrit 12BL03 Biology 12UR01 Urdu 12HM03 Home

Science 12HN03 Hindi 12EO03 English 12HS03 History 12PL03 Political Science 12SO03 Sociology 12IS01 Islamic Studies 12EC03 Economics Additional Paper: (For Science & Commerce Stream)

12PS03 Psychology 12PY01 Philosophy 12PH03 Physics 12PE02 Phy. Health Edu. 12MM03 Mathematics 12FA01 Fine Arts 12BL03 Biology 12GG03 Geography

a b c d