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RX-1
ALIGARH
MUSLIM
UNIVERSITY, ALIGARH
Course of Study.............................................................................................
Branch/Main Subject/Specialization (if any): .......................................
Year/Part/Semester/Term/Prof............................... Session.....................
For Graduation -Subsidiary (1)............................................... (2).................................
(If applicable)
Comp. (1)......................................... (2)........................................ (3)................................
Regular
Cash Receipt No.
1.
Dated
PASTE
(do not staple)
recent
PHOTOGRAPH
2.5 x 3 cms.
duly attested
by the Certifying
Authority
Ex-Student
Rs.
Enrolment No.
Faculty No.
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(In figures)..........................................................................................
(In Words)..........................................................................................
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8.
9.
2.
3.
4.
5.
6.
7.
Sex
Father's Name
Mother's Name
Religion (In case of Muslims, state
Sunni or Shia)/Caste for Non-Muslims
Permanent Address (in full)
Religion
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Exam. ........................ Year............... Roll No. ..................................
Examining Body.................................................................................
:
:
Regular / Ex-Student.................................................................
Exam. Roll No.................................Result...............................
Year of
Passing
Roll No.
Name of University/Board
Result
% of
Marks
Subjects Offered
NOTE:
1.
2.
3.
This Examination Form is applicable for Regular / Ex-Student, desiring to appear in the examination of the
courses, mentioned on the back page of the Hall-Ticket.
The students must tick the column of Regular /Ex-Students, whichever is applicable as per Ordinances (Academic).
Please see the back page of the Hall-Ticket for details of Examination Fee payable.
[2]
13. Specify the Papers and their Codes (including Practicals/Seminar/Viva-Voce, etc.). in which the candidate intends to appear in
the Examination.
CODE NO.
TITLE OF PAPERS
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Backlog Papers (if any)
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NOTE: Candidates with Madarsa background studying in M.A. (Arabic/Islamic Studies/ M.Th.) Should also clear English Paper of
SSSC level for award of Degree.
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 further affirm that I have not taken Migration Certificate from this University/submitted the Migration
Certificate.
I shall abide by all the rules and regulations of the University as amended and enforced from time to time.
Hall....................................................
Address for
Correspondence
(in Block Letters)
Hostel................................................
Room No. .........................................
Left (Male)
Right (Female)
Contact No.
Thumb
Impression
(a) is a regular/ex- student of the course of study as detailed in this Examination Form.
(a)
Chairman/Coordinator/Director
Principal/Dean
ALIGARH
MUSLIM
[3]
Examination Roll No.
UNIVERSITY,
ALIGARH
Regular / Ex
PASTE
(do not staple)
recent
PHOTOGRAPH
2.5 x 3 cms.
duly attested
by the Certifying
Authority
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.
Course of Study...................................................................................................................................................................................
Branch/Main Subject/Specialization (if any): .............................................................................................................................
Year/Part/Semester/Term/Prof.................................................................................. Session.......................................................
Regular
Ex-Student
TITLE OF PAPERS
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Backlog Papers (if any)
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................................................
(Signature of the Candidate)
Dealing Assistant
(Examination)
Dated
Left (Male)
Dated...................................
Right (Female)
Thumb
Impression
[4]
DETAILS OF EXAMINATION FEE
Course
M.A./M.Sc./M.Com./M.P.E./M.F.A./M.S.W./M.A.E.B.M./M.Tech.
(Ag.)/M.B.A./M.B.A.(I.B.) M.F.C./M.T.A./M.Th./M.Ed.
M.C.A./LL.M.
M.L.I.Sc.
M.D. (Unani)/M.S.(Jarahat)
M.D./M.S.(F/o Medicine)
B.A./B.Sc./B.Com.(Hons.)/B.C.A./B.C.M./B.I.T./B.F.A./B.Th./B.Ed.
B.P.Ed./BRTT I Year
B.L.I.Sc.
B.A.LLB./B.E. III/IV Year
B.U.M.S. Pre-Tib.
B.U.M.S. First Professional
B.U.M.S. Second/Third Professional
M.B.B.S./B.D.S. First Professional
M.B.B.S./B.D.S. Second to Final Professional
B. Tech./B.Arch. I, II, III & IV Semester
B. Tech./B.Arch. V, VI, VII, VIII, IX, X Semester
Diploma in Engg. I Year
Diploma in Engg. II Year
B.E. I/II year/Diploma in Engg. III Year
M. Tech.
Examination Fee
Regular
Ex-Student
Fee per
Backlog Paper
Rs. 60/-
Rs. 70/-
Rs. 50/-
Rs. 100/Rs. 50/Rs. 100/Rs. 400/Rs. 60/Rs. 200/Rs. 50/Rs. 100/Rs. 25/Rs. 35/Rs. 50/Rs. 100/Rs. 150/Rs. 50/Rs. 100/Rs. 30/Rs. 40/Rs. 50/Rs. 150/-
Rs. 110/Rs. 60/-------Rs. 410/Rs. 70/Rs. 210/Rs. 60/Rs. 110/Rs. 35/Rs. 45/Rs. 60/-
Course
Cert. / Dip. in Qiraat, Shia Theology
Cert./Dip. of Proficiency in Languages/Certificate in Professional Skills Regular/
Short Term.
Cert. / Dip. in Linguistics
Dip. in Teaching/ West Asian Studies/ Cert. in. RS & GIS application in
environment studies/Wild Life Ecology Management/ Dip. /P.G. Dip. in
Professional Courses (1 year)/Dip./Cert. in Professional Courses (2/3 years)
P.G. Dip. in Banking Risk & Insurance Management (BRIM)/P.G. Dip. in Islamic
Banking and Finance.
P.G. Dip. Translation (Hindi)/ Post M.A. / M.Sc. Dip. /Dip. in Translation
(Urdu)/P.G. Dip. in Personnel Management/ Marketing Management/ Business
Finance/P.G. Dip. in conflict resolution and Peace Studies / P.G. Dip. in
Hydrology/ Cert./Dip. Course in Urdu Electronic Media.
P.G. Dip. in Languages of Advertising Media & market/ Biodiversity Management
Conservation/P.G. Dip. in Womens Studies & Mass Communication (Urdu)/
Advance Dip. in French/ Dip. in Surgical Endoscopic Techniques/Physiotherapy &
Rehabilitation.
P.G. Diploma Courses (F/o Medicine)
Examination Fee
Regular
Ex-Student
Rs. 15/Rs. 25/Rs. 20/-
Rs. 30/-
Rs. 30/-
Rs. 40/-
Rs. 50/-
Rs. 60/-
Rs. 60/-
Rs. 70/-
Rs. 100/-
Rs. 110/-
Rs. 200/-
Rs. 210/-
Rs. 400/-
Rs. 410/-
Note: 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 Dean / Principal / Coordinator / Director concerned for
onward transmission to Assistant Controller, Examination Division, Controllers Office on or before the notified last
date.