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Registration No.

(for office use)

OSMANIA UNIVERSITY
HYDERABAD - 500 007 Application for Post Graduate Common Entrance Test & Admissions - 2012 (For Osmania, Telangana, Mahatma Gandhi & Palamuru Universities)
Candidates applying through downloaded application form have to pay a registration fee of Rs.320/- per subject plus late fee, if any, in the from of a demand draft drawn on any nationalized bank in the favour of The Director, Directorate of Admissions, O.U. and payable at Hyderabad. Without Demand Draft, the application is liable for rejection.

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Note-1: The candidate should go through the Information Brochure for Rules, Regulations & Instructions before filling this form and ICR Summary Sheet In English. Note-2: Candidates should submit the filled in application form and ICR Summary sheet at the office of the Directorate of Admissions, Osmania University on or before the stipulated last dates mentioned in Information Brochure.

passport size
Photograph & sign across it (Do not pin / stapple)

Particulars of the Fee paid:


(Please write your name and application number on the backside of the Demand Draft)

Name of the Bank : ................................ Branch : ............................................

DD. No : ..........................Date : ......................... Amount : ....................... 1. 2. 3. 5. 6.


SC

Name of the Candidate


(in capital letters as entered in the qualifying examination)

Name of the Father/ Mother


D D M M Y Y Y Y

Sex (Put a mark) Male

Female

4. Date of Birth
(Attach xerox copy of S.S.C. Certificate)

Residential status (Put a mark) Local


(See annexure - I in Brochure)

Non-Local

Other than A.P.

Category (Put a mark)


ST BC-A BC-B BC-C BC-D BC-E Others

7. Minority status (Put a mark)


Muslim Christian Sikh Zorastrian Linguistic

8.

Special Category ( uta mark) P

NCC

NSS

Sports

CAP B.Sc.

PH

Teacher

Lab.Asst.

9.

Name of the qualifying examination passed (Put a mark)

B.A.

B.Com.

Others*

* B.C.A., B.E., B.Tech., etc.

10. Subjects studied at B.A./B.Sc/B.Com. level: First Language: Second Language: Optionals: i) ii)

iii)

11. Subject(s) Name and Code Number(s) in which the candidate wishes to take entrance test ( Refer to Information
Brochure for subject codes)

Subject Code

Subject Name

12.

Address for Communication : (in Block Letters)

Pin Code ____________ Phone/Mobile No. _______________ 13. Permanent Address

Pin Code_______________Phone/Mobile No.__________________ 14. Particulars of study during preceding seven (7) years ending with the qualifying examination: Course/Class Degree III Year Degree II Year Degree I Year Inter Inter II Year I Year Year of study School/College/University Place

Class X Class IX I hereby solemnly affirm that the above information is correct and I am aware that my admission is liable to be cancelled at any time in case any information is found to be incorrect. I have gone through and understood the Rules, Regulations and Instructions of the Entrance Test and Admission procedure. Date : __________________ CHECK LIST Arrange the application and enclosures in the following order : 1. 2. 3. 4. 5. Acknowledgement Card Demand Draft with required fee amount Application form Xerox copy of S.S.C. Certificate (without this the application will not be accepted) ICR Summary Sheet (not to be pinned or tagged to the application) Submit the filled in application to THE DIRECTOR Directorate of Admissions (New Building) Near PGRR Centre for Distance Education Osmania University Campus, Hyderabad-500 007 (A.P.), Phone:040-27090136 Signature of the Candidate

Application Number _________________ ACKNOWLEDGEMENT CARD


O.U.P.G. COMMON ENTRANCE TESTS - 2012
OSMANIA UNIVERSITY

Your Registration Number is ___________________ (Quote this number for any future correspondence)

for Director Directorate of Admissions, O.U.

Candidates Address
Affix Rs. 6-00 Postage

____________Pin Code________
From: The Director Directorate of Admissions (New Building) Near PGRR Centre for Distance Education Osmania University Campus, Hyderabad - 500 007 (A.P.).

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