Cost of Application Form Rs. 500/- Form No:
KUMAUN UNIVERSITY
Application Form for Admission to
M.Sc. (Remote Sensing & GIS)
SSJ CAMPUS, ALMORA-263601
FOR THE SESSION 2014-2015
- Application Form Fee/Demand Draft Details
Name of the Bank / Amount / D.D. No. / Date of Issue
2. Name of the Applicant
3. Date of Birth: dd/mm/yyyy
4. Sex: Male Female
5. Category: General SC ST OBC OTHERS*
6. Father’s Name
7. Mother’s Name
8. Address for Correspondence
Pin9. Permanent Address
Pin10. Phone No: Landline with STD Code……………………………Mobile:…………………………………..
11.E-Mail ID:…………………………………………………………………………………………
12. Educational Qualification (Starting from Matriculation onward)
Examination Passed / Board/University / Year of Passing / Subject/Specialization / Max Marks/Marks obtained / Marks in %13. Other Activities/Achievements (Co-curricular/community service)
S.No. / Activity / Achievement14. If you have been punished by the court or some legal proceeding is being carried against you, mention the details……………………………………………………………………………………………………………
15. Have you ever been punished for using unfair means in any examination by the University? If yes mention the details…………………………………………………………………………………………………………
Declaration by the Applicant
I hereby declare that all the information given above is correct and nothing has been concealed. I shall abide by the decisions of the admission committee. Further, if admitted, I pledge to abide by the rules and norms of discipline of University and will be liable to administrative action if I am found guilty of a breach of conduct in the campus.
Date :
Place: Signature of the Applicant
Declaration by Parent/Guardian
If my son/daughter/ward Mr./Ms______is permitted admission to above mentioned course, I herby give an undertaking to pay regularly all his/her charges/dues related to that course. I also undertake the responsibility for his/her conduct. I shall not claim refund of fee in part or full once the admission has been taken.
Date :
Place: Signature of Parent/Guardian
Checklist:
- Self Attested photocopy of Mark sheets and Certificates of Class X, XII, B.A./B.Sc.
- Reservation Certificate for reserved candidates according to their category of reservation.
- Bank Draft worth Rs.500/- drawn in favour of AAO, SSJ Campus Almora.
- Attested photocopy of the latest Character Certificate, transfer certificate and migration certificate preferably issued by the Head of the Institution last attended by a Gazetted Officer. In case of any gap, affidavit for the gap period should by produce.
Guidelines:
- Fill in the form carefully and submit by hand/Registered post / Speed Post so as to reach to The Director, Center of Excellence for NRDMS in Uttarakhand, Department of Geography, SSJ Campus, Almora-263601, Uttarakhand, India.
- Bank Draft worth Rs.500/- drawn in favor of AAO, SSJ Campus Almora, payable at Almora should contain Name, Address, and Contact No. at its back side.
- Before filling in the application form ensure that all eligibility conditions are fully met.
- Make sure that the correct information is entered at an appropriate place on the form.
- Ensure that all enclosures are attached before submitting the form.
- Reservation criteria will be followed as per university rules.
- The candidates shall be called in order of merit as per the University norms.
- In case if a candidate fails to produce original certificates at the time of verification his/her selection shall be canceled and the respective seat shall be allotted to the next candidate in the order of merit.
- *OTHERS include Kumaun University staff dependents, defence and Ex-Service men dependents.
For the use of D.S.W Office
1. Name of the Applicant
2. Date of Birth: dd/mm/yyyy
3.Sex : Male Female
4. Category: General SC ST OBC OTHERS*
5. Father’s Name
6.Mother’s Name
7. Address for Correspondence
Pin8. Permanent Address
Pin9. Phone No: Landline with STD Code……………………………Mobile:…………………………………..
10. E-Mail ID:………………………………………………………………………………………………….
Declaration by the Applicant
I hereby declare that all the information given above is correct and nothing has been concealed. I shall abide by the decisions of the admission committee. Further, if admitted, I pledge to abide by the rules and norms of discipline of University and will be liable to administrative action if I am found guilty of a breach of conduct in the campus.
Date :
Place: Signature of the Applicant
Declaration by Parent/Guardian
If my son/daughter/ward Mr./Ms______is permitted admission to above mentioned course, I herby give an undertaking to pay regularly all his/her charges/dues related to that course. I also undertake the responsibility for his/her conduct. I shall not claim refund of fee in part or full once the admission has been taken.
Date :
Place: Signature of Parent/Guardian
For the use of Proctor Office
1. Name of the Applicant
2. Date of Birth: dd/mm/yyyy
3.Sex: Male Female
4. Category: General SC ST OBC OTHERS*
5. Father’s Name
6.Mother’s Name
7. Address for Correspondence
Pin8. Permanent Address
Pin9. Phone No: Landline with STD Code……………………………Mobile:…………………………………..
10.E-Mail ID:…………………………………………………………………………………………
Declaration by the Applicant
I hereby declare that all the information given above is correct and nothing has been concealed. I shall abide by the decisions of the admission committee. Further, if admitted, I pledge to abide by the rules and norms of discipline of University and will be liable to administrative action if I am found guilty of a breach of conduct in the campus.
Date :
Place: Signature of the Applicant
Declaration by Parent/Guardian
If my son/daughter/ward Mr./Ms______is permitted admission to above mentioned course, I herby give an undertaking to pay regularly all his/her charges/dues related to that course. I also undertake the responsibility for his/her conduct. I shall not claim refund of fee in part or full once the admission has been taken.
Date :
Place: Signature of Parent/Guardian