For Office Use only

Transaction ID: 4294790/MBAM

ALIGARH MUSLIM UNIVERSITY

Session: 2015-2016 Affix the same
Photograph as you
Application Form for Admission to have uploaded in
the Application Form
M.B.A./ M.B.A.(IB)/ PG DIP. I.B.F.
FACULTY OF MGMT. STUDIES & RESEARCH

Bank: CANARA BANK, DD/Txn No.: 034666, Date: 16-03-2015, Amount: 500 Nationality: INDIAN

Order of Preference of Branches/Course Code:

__________________________________________________________________________________________________
1. MBAA 2. MBIB 3. PDIB 4. MBAK 5. MBAW 6. MBAR 7. -- 8. -- 9. --
Preference for Test Centres:
__________________________________________________________________________________________________
1. ALIGARH 2. PATNA
Personal Details:
__________________________________________________________________________________________________
Name: AMAN VARSHNEY Father's Name: UMESH KUMAR VARSHNEY
Date of Birth: 06-07-1994 Mother's Name: NEERU VARSHNEY
Gender: MALE
Religion: HINDUISM

Details of Qualifying Examination: Status & Special Categories:

__________________________________________________________________________________________________
Examination: B.SC(HONRS) Status: INTERNAL
Roll No.: Enrolment No.: GH1651
Year of Passing/Appearing: 2015 Hall: NR
Board/Univ.: 109 Special Categories: 1. -- 2. -- 3. --
Marks Obt./Max. Marks: /
Remarks (if any): RA

Course(s) Studied/Studying other than Qualifying Examination (Starting from the latest):
__________________________________________________________________________________________________
Course Yr. of Passing/Appearing Board/Univ. Roll No.
10TH 2009 549 0323578
12TH 2011 549 0177633

Permanent Address: Address for Correspondence:

__________________________________________________________________________________________________
Address: H.NO. 19/1 GALI NO.1 HANUMAN Address: H.NO. 19/1 GALI NO.1 HANUMAN
PURI MAHENDRA NAGAR PURI MAHENDRA NAGAR
ALIGARH - 202001(UP) ALIGARH - 202001(UP)

Phone 1: 7417033470 Phone 2: 7417033470 Email ID: amanvarshney.amu@gmail.com

Is hostel accommodation required? NO (Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel)
__________________________________________________________________________________________________
DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic
Council & other appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions
and solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief and if at any time, the
entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me.

Transaction ID: 4294790/MBAM

16/03/2015-02:59

__________________________
Thumb Impression Signature of the Candidate
Male: Left Thumb, Female: Right Thumb
 List of enclosures attached with the Application Form: FOR OFFICE USE ONLY
1. DD/Cash Receipt in Original

2. Self Attested copy of HS/SS Certificate in support of date of Birth

3. Copies of Marksheets/Grade Sheets of all previous Examinations
passed/appeared including parts therein after passing High School
4. If employed, copy of No Objection Certificate from the employer Signature of Scrutiny Officer
5. Documents in support of Internal Status/Spcl. Categ., if clamied* Identity & Original Documents Verified
6. Copy of document(s), if rusticated/debarred or convicted by a court of law The candidate is eligible/not eligible for admission to
____________________________________
7. ________________________________________
Remarks ____________________________
8. ________________________________________
* Attach latest Marksheet/Document(s) in support, failing which your claim will be rejected
Verifying Officer ____________________
Hall Allotted:
Dept. of ___________________________
Date ____________________
Clearance by Proctor DSW

Address Slips (for Office Use):

---------------------------------------------------------------------------------------------------------------------------------------
Name: AMAN VARSHNEY Name: AMAN VARSHNEY
Address: H.NO. 19/1 GALI NO.1 HANUMAN Address: H.NO. 19/1 GALI NO.1 HANUMAN
PURI MAHENDRA NAGAR PURI MAHENDRA NAGAR
ALIGARH - 202001(UP) ALIGARH - 202001(UP)
Tel./Mobile: 7417033470 Tel./Mobile: 7417033470
---------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------
Name: AMAN VARSHNEY Name: AMAN VARSHNEY
Address: H.NO. 19/1 GALI NO.1 HANUMAN Address: H.NO. 19/1 GALI NO.1 HANUMAN
PURI MAHENDRA NAGAR PURI MAHENDRA NAGAR
ALIGARH - 202001(UP) ALIGARH - 202001(UP)
Tel./Mobile: 7417033470 Tel./Mobile: 7417033470
---------------------------------------------------------------------------------------------------------------------------------------
(For Office Use only)
Aligarh Muslim University
Scan Card, 2015-2016
Transaction ID: 4294790/MBAM
M.B.A./ M.B.A.(IB)/ PG DIP. I.B.F.

Affix the same

Photograph as you
Name: AMAN VARSHNEY have uploaded in
Address: the Application Form

H.NO. 19/1 GALI NO.1 HANUMAN

PURI MAHENDRA NAGAR
ALIGARH - 202001(UP)
Tel./Mobile: 7417033470

Thumb Impression
Male(Left Thumb)/Female(Right Thumb)
Specimen Signature of the candidate

ACKNOWLEDGEMENT SLIP, AMU, Aligarh

Application form for admission to: To,
M.B.A./ M.B.A.(IB)/ PG DIP. I.B.F., 2015-2016 Name: AMAN VARSHNEY
has been received. Address: H.NO. 19/1 GALI NO.1 HANUMAN
App. No. is: _____________________ PURI MAHENDRA NAGAR
ALIGARH - 202001(UP)
Transaction ID: 4294790/MBAM
Tel./Mobile: 7417033470
 POSTAL SLIP
(To be pasted on envelop containing the Application Form)
Application Form for Admission to
M.B.A./ M.B.A.(IB)/ PG DIP. I.B.F.

To,
ASSTT./DY. CONTROLLER (ADMISSIONS)
ADMISSION SECTION, AMU,
ALIGARH - 202002 (UP)

From:
Name: AMAN VARSHNEY
Address: H.NO. 19/1 GALI NO.1 HANUMAN
PURI MAHENDRA NAGAR
ALIGARH - 202001(UP) 4294790/MBAM
Tel./Mobile: 7417033470

---------------------------------------------------------------------------------------------------
Aligarh Muslim University
CANDIDATE'S SLIP
(Keep this Slip with you for future reference)
Course Applied for: M.B.A./ M.B.A.(IB)/ PG DIP. I.B.F.
Transaction ID: 4294790/MBAM
Password: 1994-07-06
_______________________________________________________________________________
INSTRUCTIONS

1. Please ensure that you have appended Photographs, Thumb Impression and Signature at the designated places on
the Application form.
Note: a) Use identical good quality color photographs taken not earlier than 3 months. The photographs should be taken preferably
wearing dark clothes on a white background.
b) Your Thumb Impression & Signature establish your identity hence, do not merely write your name in capital letters.

2. You must Ensure that all the documents along with Demand Draft is attached with the Application Form.
Note: Demand Draft (valid for 3 months) of the requisite amount should be drawn in favor of FINANCE OFFICER, AMU, payable at
Aligarh.

3. You must NOT make any type of correction(s) / modification(s) on the Application Form else your candidature may be
rejected.

4. Paste the 'POSTAL SLIP' given above on the A-4 size Envelope containing the Application Form and send it on the
Pre-Printed Address.

5. Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with necessary
updates regarding the status of your Application Form/Admission Test results etc.

6. Admit cards shall be available for download from the website. No Admit card shall be sent via postal mail.