Details of Admission Test Fee/ Processing Charges Page 1of 5

DD/C.R. No. Amount

Course Name with date (For Office use only)
(Rs.)

ALIGARH MUSLIM UNIVERSITY, ALIGARH Affix

Session: 2011-12 (Do not staple)

Application Form for Admission to Self Attested

Recent
(Non-Test/Departmental Test Courses Only) Photograph of
(For Indian Nationals Only) size 2.5cm. x 3 cm.

(1) Course Applied For

(2) Department (3) Faculty

(4) Order of Preference of Branches of Study/Specialization/Course alongwith Course Code(s)

i) _______________________ iii) _______________________

ii) _______________________ iv) _______________________

(5) Status (5a) Enrolment No. (5b) Hall/NRSC

(Internal/External) (For candidates already enrolled or has been a student of AMU, Aligarh) (Code only)

(6) Name of the Candidate (Mr ./Ms.)

(As in HS/SS Certificate)

(7) Father’s Name ___________________________________ (8) Mother’s Name ______________________________

Day Month Year

(9) Date of Birth (10) Gender (M/F) (11) Gate Score / Passing year
(Applicable to M.Tech. courses only)

(12)
Claim for Nomination
(To be filled up by the candidate belonging to special categories, who in the event of not being selected, wish to be considered for nomination)

(i) Special Category Claimed (iii) Domicile State

(Attach Attested Certificate)
i) ii) iii) (Code only)

(ii) Order of preference of Courses/Subjects along its course code in which the candidate wishes to be nominated

(a) _____________________________ (b) _____________________________

(13) Details of Qualifying Examination (*Write RA if result is not declared)

Year of
Board/ Maximum
Examination Roll No. Passing/ Marks Remarks*
University Marks
Appearing

Subject

Marks Obt./Max
(14) Details of Other Examination Passed/Appearing as on date: Page 2of 5
Year of Passing/ Board/ Maximum
Examination Roll No. Marks
Appearing University Marks
S.S.C./High School

S.S.S.C./Intermediate

U.G (B.A./B.Sc./B.Com./......................................)

P.G. (M.A./M.Sc./M.Com./..................................)

Others (.................................................................)

(15) Is Hostel Accommodation Required, if admitted? (Y es/No) : ________

(16) Employed (Y es/No) : ________ (If yes, No Objection Certificate from the present employer must be enclosed.)
(17) Correspondence Address (18) Permanent Home Address
________________________________________________ ________________________________________________

________________________________________________ ________________________________________________

District _________________________________________ District ________________________________________

State _________ Pin Code _________________________ State __________ Pin Code ______________________

Email __________________________________________ Email _________________________________________

Tel. /Mobile No. __________________________________ Tel./Mobile No. ________________________________

(Father’ s/Mother’ s/Guardian’ s)

(19) Information for statistical purpose

(a) Religion______________ (b) SC/ST/OBC______________ (c) Rural/Urban_____________________
(d) Father’s/Guardian’s monthly income Rs. ____________________

(20) 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 2011-12 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 initiated against me.

_____________________________
Date: ________________ Thumb impression of the candidate, Male (LTI), Female (RTI) _____________________________
Signature of the candidate

(For the Office of the Proctor)

Nothing objectionable has been found against the candidate. He/she may be considered for admission to _________________
Course for the academic session 2011-12.
_________________________________
PROCTOR
Dated_______________________ With Office Seal

(For Office of the Dean, Students’ Welfare)

Allotted___________________________________________________ Hall
_________________________________
DEAN, STUDENTS’ WELFARE
Dated_______________________ With Office Seal
(21) List of enclosures attached with the Application Form:
For Office Use 1. DD/Cash Receipt in Original For Office use

1. V erified Original Documents.

2. Self attested copy of HS/SSC Certificate or its equivalent
in support of date of birth 2. The candidate is eligible /or not eligible

3. Copies of Marksheets/Grade Sheets of all previous for admission ______________________

Examinations passed/appeared including parts therein
3. Reason(s) for being not eligible________
4. If employed, copy of No Objection Certificate from the
employer _________________________________

_________________________________
5. Copy of documents in support of Special Categories
claimed, if any (________________________________)

6. Copy of Office Memo, if rusticated/debarred/convicted by Signature of V erifying Officer

a court of law
Name ______________________________

7. _____________________________________________ Deptt.______________________________
Signature & Name
of Scrutiny Officer 8. _____________________________________________ Date _______________________________

Note: 1. Original certificates/documents not to be attached with the Application Form in any case.
2. All documents must be self attested.

(22) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Name ____________________________________

Address __________________________________ Address __________________________________

_________________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________

Pin Code Pin Code

Tel./Mobile No. ____________________________ Tel./Mobile No. ___________________________

Name ____________________________________ Name ____________________________________

Address __________________________________ Address __________________________________

_________________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________

Pin Code Pin Code

Tel./Mobile No. ____________________________ Tel./Mobile No. ___________________________

 ALIGARH MUSLIM UNIVERSITY, ALIGARH Page 4 of 5
(2) R. No.: ______________________
For Office Use
Affix
(Do not staple)
Non-attested
Photograph
of size
2.5cm. x 3 cm.
INDEX SLIP Photograph must
Session: 2011-12 not exceed this
box.
Course Applied for ___________________________
(1) Details of Adm. Test Fee/Process. Charges

DD/Cash Receipt No. Dated Amount

(Rs.)

(3) Name of the Candidate

(4) Father’s Name ____________________________________ (5) Mother’s Name _______________________________________

(6) Correspondence Address ____________________________________________________________________________________

____________________________________________________________________________________

(7) Gender (M/F) ______________________ (8) Tel./Mobile No.________________________________________

(Father’ s/Mother’ s/Guardian’ s)

__________________________
Date _______________ Signature of the Candidate

Fold from here Fold from here

ALIGARH MUSLIM UNIVERSITY Postage stamp(s)

of Rs. 6/- must
be affixed here
Your application for admission to
ACKNOWLEDGEMENT SLIP
_____________________________ INSTRUCTIONS
(mention course) (1) Write your complete mailing address on the To
Class / Course for 2011-2012 has right hand side. ______________________________________
(2) Keep this card with you as a proof of
been received under R. No.:
submitting your Application Form. ______________________________________
_________________________ (3) IMPORTANT: For reference always quote
R.No. in all your correspondence/queries.
______________________________________

______________________________________
Dealing Assistant DEPUTY CONTROLLER
(Admissions) Pin Code
Date ____________
 ALIGARH MUSLIM UNIVERSITY, ALIGARH
Admission Test Card ____________________
(mention course)
Session: 2011-12
Name of the Candidate

(For Office use only)

Father’s Name ___________________________

Address ________________________________ Affix
______________________________________ Test Date :_________________ (Do not staple)
Self Attested
______________________________________ Schedule Start :_________________ Recent
Photograph of
District _____________ Pin
Duration :_________________ size 2.5cm. x 3 cm.
State _______________ Phone _____________

CENTRE FOR TEST

Candidate’s Signature
______________________ (In Examination Hall) Signature of the Invigilator
CHAIRMAN
Fold from here Fold from here
Instructions to Candidate
1. The Admission T est Card is being issued provisionally subject to have used unfair means and may lead to cancellation of 17. Use of unfair means or impersonation in Admission T est
the scrutiny of the eligibility. It is only after verification of the his/her candidature. will be dealt with severely as per the law. Students’ Conduct &
eligibility that the candidate would be considered for admission. 8. During the T est, candidates must maintain perfect silence and Discipline Rules of the University are also applicable to the
Mere appearing or qualifying in the test does not entitle a candidate must not indulge in any conversation or gesticulation. candidates appearing at the Admission T est.
for selection / admission. 18. Violation of any of these instructions by the candidate or
9. During the T est, the invigilators will check the Admission T est
2. The allotted T est Centre of the candidate is specified on the the instructions printed on Question booklet/ OMR Answer
Card of candidates to satisfy themselves about their identity. Sheet/Guide to Admissions or as announced by the Invigilators
Admission T est Card. Additional information, if any, regarding its
location is available on the official website specified below. 10. Candidates should read carefully the instructions printed on during the T est may lead to cancellation of his/ her
3. The University shall not be responsible if it is compelled to make the Question booklet and the OMR Answer Sheet before making candidature. Further, he/she may be debarred from appearing
changes in the Admission T est Schedule/ T est Centre due to any entry on them. in any T est/Examination of this University.
unforeseen circumstances. 11. Use only Ball Point Pen (black/blue) for making entries in the 19. No request for re-evaluation / re-totaling will be entertained.
4. Candidates are required to bring their own Stationery Items Question booklet and the OMR Answer Sheet. Attempting Questions
required to attempt the Admission T est. 1. All questions are compulsory.
12. Initially, the candidates shall complete entries on the OMR
5. Candidates will be permitted to enter into the Admission T est 2. Each question is followed by four alternative answers. Select only
Answer Sheet and the Question Booklet shall be provided to them
Hall/Room only 15 minutes before the scheduled commencement of one answer, which you consider as the most appropriate. Shade the
15 minutes after the scheduled commencement of the T est. relevant circle against the corresponding question number on the
the test.
6. No candidate will be permitted to enter the Admission Test 13. Candidates should not use whitener/ correction fluid for OMR Answer Sheet.
making any corrections in the entries/answers on the OMR 3. Selecting more than one answer for a question, even if one of the
Centre/Hall/Room 15 minutes after the scheduled commencement
Answer Sheet. selected answers is correct, would result in its being treated as an
of the test. incorrect answer.
7. Handbag / Carry bag/ Mobile phone / pager / calculator /any 14. The time (T est duration) as specified on the question booklet 4. Negative Marking: Incorrect answer shall result in a negative
other electronic gadget or any paper (other than the Admission shall be reckoned from the moment of its distribution. score of 25 per cent of the marks allotted to the question. For
Test Card) shall not be allowed inside the Admission Test 15. No candidate shall be permitted to leave his/her seat for the instance, if the correct answer to a question would get you one mark,
the incorrect answer would take away 0.25 marks. However, the
Hall/Room and the University shall not be responsible for its entire duration of the Admission T est, except under exigencies.
provision of Negative Marking will not be applicable in the
safekeeping. If a candidate is found in possession of any such 16. Candidate should not leave his/her seat without handing over Admission Tests of MBBS / BDS / MDS / MD / MS/ PG Diploma
item during the test, he / she would be deemed to the original OMR Answer Sheet to the Invigilator. Courses in the Faculty of Medicine.
Fold from here Fold from here

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Admission Test Card ____________________ D U P L I C A T E
(mention course)
Session: 2011-12
Name of the Candidate
(For Office use only)
Father’s Name_________________________________

Test Date :_________________

CENTRE FOR TEST Affix
(Do not staple)
Schedule Start :_________________
Self Attested
______________________ Recent
Duration :_________________ Photograph of
size 2.5cm. x 3 cm.

Candidate’s Signature
(In Examination Hall) Signature of the Invigilator CHAIRMAN
 Affix
(Do not staple)
ALIGARH MUSLIM UNIVERSITY, ALIGARH Self Attested
Session: 2011-12 Recent
PROFORMA FOR OUTSTANDING DEBATER/SPORTSPERSON Photograph of
size 2.5cm. x 3 cm.
Instructions:
1. This proforma is to be filled in only if the candidate desirous of consideration under special category of Debater/Sportsperson
2. Candidate is only considered eligible if he/she claims the special category on the main Application Form
3. Candidate must read the Guide to Admissions before filling in this proforma

(1) Course Applied For (2) Subject

(3) Tick only one category

SPORTSPERSON DEBATER

(4) Tick any one of the following games (Applicable to outstanding Sportsperson only)
Athletics Cricket Football Hockey Tennis Swimming
Riding V olley-ball Basketball Badminton Table Tennis Wrestling
Skating Weight Lifting Hiking & Mountaineering
(5) Title of the Event with Highest Award won

(6) Name of the Candidate (Mr ./Ms.)

(As in HS/SS Certificate)

(7) Status (8) Date of birth _____/_____/________

(9) Father’s Name _________________________________ (10) Mother’s Name _____________________________

(11) Correspondence Address

District ____________________________ ____________________ State Pin

(Code only)
(12) Qualifying Year of Passing/ Board/ Marks Maximum
Roll No. Remarks
Examination Appearing University Obtained Marks

(13) Declaration
I hereby solemnly affirm that the facts stated in the proforma are true to the best of my knowledge and belief and no disciplinary action has been taken against me by any
University/College/Sports Authority.
I also undertake that in case I am offered admission under nomination category of “Outstanding Sportsperson/Debater”,
I shall participate in Sports/Debating activities regularly in the University, failing which my admission may be cancelled at any stage and I will have no claim for my
admission in any Court of Law.

Date: Signature of the candidate

(14) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Name ____________________________________

Address __________________________________ Address __________________________________

_________________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________

Pin Code Pin Code

Tel./Mobile No. ____________________________ Tel./Mobile No. ____________________________

 POSTAL SLIP
Application Form for Admission to
_____________________
(mention the name of the course)

T o,
________________________________________
________________________________________
________________________________________

From:
___________________________
___________________________
___________________________

CANDIDATE’S SLIP
(Keep this slip with you for future reference)

Course Applied for : ____________________

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. Y ou must ensure that all the documents alongwith Demand Draft/Cash Receipt is attached with the Application
Form.

Note: Demand Draft (valid for 6 months) of the requisite amount should be drawn in favor of FINANCE OFFICER,
AMU, payable at Aligarh.

3. Y ou 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 to the
concerned Dean/Chairman/Principal/Director/Co-ordinator, Aligarh Muslim University, Aligarh 202002.
e.g. Female candidates seeking admission to B.A./B.Sc./B.Com. courses may write the Address as:
Principal
Women’s College
Aligarh Muslim University
Aligarh – 202002
5. Candidates applying for Non-T est courses (like B.A./B.Sc./B.Com. etc) need not to fill Admission T est Card
proforma.

6. 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.