MANAV BHARTI UNIVERSITY-INDIA

2009

Vill.-Laddo, P.O.-Sultanpur (Kumarhatti), Solan, H.P.-173 229

E-mail: mbuia@manavbhartiuniversity.edu.in | www.manavbhartiuniversity.edu.in

Admission Form
(For Office Use Only)
Registration No.

Country

Enrolment No.

Application No.

Course Applying for

1. Applicants Name

: ________________________________________________________________

2. Nationality

: _________________________ Gender : Male o Female o (Tick appropriate)

3. Fathers/Guardians Name

: ________________________________________________________________

4. Mothers Name

: ________________________________________________________________

5. Permanent Address

: ________________________________________________________________
_________________________________ Pin Code ______________________

6. Present Address

: ________________________________________________________________
_________________________________ Pin Code ______________________

7. Date of Birth (DD/MM/YY)

: _______________________________ Place/Country of Birth _______________________________________

8. Passport No.

: ______________________ Place of Issue ______________________ Date of Expiry ____________________

9. Place/Country of Application of Visa

: __________________________________________________________________________________________

Phone No.: _______________________E-mail__________________________

Latest
Passport Size
coloured
Photograph
duly attested

Phone No.: _______________________E-mail____________________________________________________

10. Summary of Educational Qualifications:

Exam. Passed

Board/University

Year of
Passing

Marks Obtd./
Total Marks

%age of
Marks

MBU

11. Have you ever been expelled/rusticated/

punished on account of misconduct/
indiscipline by any Institution?
: Yes/No (If yes, state the reason)
12. Are you applying for Hostel?
: Yes/No (Tick the appropriate)
13. Declaration by the Applicant and his/her Father/Guardian
I declare that entries made by me in this Admission Form and the documents submitted by me with the admission form are true in all respects and in any
case, any information is found to be false, or inequivalent automatic cancellation of my admission besides rendering me liable to such action, as the University
may deem proper.
I note that my admission to the university and my continuance on its rolls are subject to the provision/rules of the university, issued from time to time. I shall
abide by the rules of discipline and proper conduct. I am fully aware of the law regarding ragging as well as the punishment and that if found guilty on this
account I am liable to be punished appropriately.
I undertake that I shall not indulge in any act of ragging and any other unlawful act or violation of law, rules and regulation for a foreign citizen in India.
Dated:___________
Place:___________

Signature of the Father/Guardian

List of attached documents:

1.
__________________________________________________________________
2.
__________________________________________________________________
3.
__________________________________________________________________
4.
__________________________________________________________________
5.
__________________________________________________________________

Signature of the Applicant

Annexure-A

AFFIDAVIT BY THE STUDENT

On the stamp paper of `5/-

I, ________________________________ S/O, D/O ____________________________ Citizen of ___________,

Passport No._______________ Issued on _____________ Expiry by ______________, have applied for the admission in _______________
for the academic session _____________, hereby declare the following:
1.

It shall be my responsibility to get the educational Visa stamped and facilitate my in time arrival to the campus, informing my arrival
schedule and other details to the concerned department of the university.

2.

I have read the Rules and regulations for the stay of a foreign citizen in The Republic of India for study purpose, and shall abide by.

3.

I agree to pay the Registration fees, annual academic/tuition fees, hostel fees & other dues in time & understand that the dues once
deposited cannot be reimbursed under any circumstances.

4.

I neither have been debarred from admission or expelled from rolls by any Indian Institution nor have been convicted by the Court
of Law for my involvement in any unlawful action and am not in trial anywhere in the world.

5.

I affirm the authenticity of my academic certificates and other related documents produced by me for the admission in the desired
course in Manav Bharti University.

6.

I shall abide by all the rules & regulations for a regular student in an Indian Educational establishment and Manav Bharti University
Solan, HP-India.

7.

I am aware and understand that in case of found guilty in the violation of Law of the Republic of India, Rules and Regulations for the
stay & study in India during the whole course or any of the above, necessary action will be taken against me.

Name: ____________________

Place:_____________________

Signature: __________________

Date: ______________________

Annexure-B

AFFIDAVIT BY PARENT/GUARDIAN

On the stamp paper of `5/-

I, ________________________ Father/Mother/guardian of ___________________________, hereby understand and affirm the above

declaration of my son/daughter/ward.

Name:______________________________

Signature______________________________

Admission Facilitator: _______________________________________________________________________________________________

_________________________________________________________________________________________________________________

Sig. & Stamp ______________________________________