E.E. Reg. No.

:
(To be filled by the Office)

..

Application

No. :

..

VINAYAKA MISSIONS UNIVERSITY

(Declared under Section 3 of the UGC Act, 1956)
(Vlnayaka {\,lission's Research Foundation)
SANKARI MAIN ROAD (NR-47), ARIYANOOR
SALEM - 636 308, TAMIL NADU, INDIA

Affix hereyour passport

size(4x5cm)Photograph
andgetit attestedby the
APPLICATION FORM FOR ALL INDIA
HeadoftheInstitution
last
COMMON ENTRANCE EXAMINATION FOR
studiedorbyanyGazetted
POSTGRADUATE DEGREE PROGRAMMES - 201 - 201
OfficeralongwithOfficial
Note: Please fill in each column in your own handwriting. Place a tick mark ('" ) seal. Photosaffixedon
wherever necessary and strike off the portion not applicable. Incomplete
the Hall Ticket and
application forms will be summarily rejected.
applicationformmustbe
I.
Programme applied for:
identical
andmostrecent.
(Choose from Annexure)
II.

Specialities applied for in the order of preference

(Refer Annexure)

,..,..,..,

2. .

Choice of the College

in the order of preference
(Refer Annexure)

Permanent address with

PIN Code

ii. Address for communication

with PIN Code

Residence:
Mobile

iv. E-mail
1/4

.
,

b) Expansion of the Initials

iii. Phone No. with STD Code

,..,

IV. 1.a) Name of the Candidate

(In BLOCK Letters)

c) i.

,..,
,

3. . ,
Ill.

,..,

2. a) Name of the Father I Husband I

Guardian
Occupation
Annual Income
Address
b) Name of the Mother
Occupation
Annual Income
Address

7. a) Name and address of the

College last studied
b) Whether the College is
recognised by the respective
Statutory Council ( ./ Tick)
8. Name and place of the University
which awarded the Degree
2/4

9.

Details of the Qualifying Degree Examination:

Reg. No.

Month & Year of Passing

Marks Obtained

10. a) Period of Internship

From

b) College where it was done

c) If Internship not yet completed

i.

Date of Commencement

ii. Expected Date of Completion

iii. College where it is being done
11. Details of previous experience (Attested
photo copy of Certificate to be enclosed) :

12. Details of the Registration of the

Candidate in the respective
Statutory Council

a) Name of the State Council

b) Permanent Registration No. & Date

3/4

Percentage of Marks

Max. Marks

To

13.

Check List:
Have you enclosed the following photo copies ofthe
Documents duly attested (v Tick)

1}

Mark statements of qualifying Examination

2)

Provisional I Degree Certificate

3}

Transfer Certificate

4}

Community Certificate

5)

C.R.R.I. Completion Certificate

6}

State Council Registration Certificate

7}

Experience Certificate

DECLARATION

Yes

No

BY THE CANDIDATE

I declare that the information furnished by me herein are true and correct. If any information furnished
above is found to be incorrect at any stage, I agree to forego my claim for admission.

The original certificates

will be produced at the time of counselling I admission.

Place
Date
Signature of the Candidate

4/4

VINAYAKA MISSIONS UNIVERSITY

(Declared under Section 3 of the UGC Act, 1956)

(Vinayaka Mission's Research foundation)

SANKARI MAIN ROAD (NlI-47), ARIYANOOR
SALEM - 636 308, TAMIL NADU, INDIA

ALL INDIA COMMON ENTRANCE EXAMINATION

POSTGRADUATE DEGREE PROGRAMMES - 201 - 201
HALL TICKET
Application No. :

Name of the Programme:

Affix here your passport
size(4 x Scm) Photograph
and get it attested by the
Head of the Institution last
studiedor by any Gazetted
Officer along with Official
seal. Photos affixed on
the Hall Ticket and
application form must be
identicaland most recent.

Speciality:
Name:
(In BLOCK Letters)
Address:

PIN

(SIGNATURE OF THE CANDIDATE)

(For Office Use Only)

Register Number
Examination Centre
Date of Examination
Time of Examination
Signature of the
issuing authority
(Controller of EXaminations)

Signature of the Candidate

(To be signed in the Examination Hall)

Important Note: Candidates are instructed to report at the Examination Hall half-an-hour before
the scheduled time of starting of the examination with Hall ticket, pen, pencil
and eraser.

( ANNEXURE)

Colleges, Programmes and Specialities

1. Vinayaka Mission's Homoeopathic

IMoD.(Homoeopathy)

Medical College & Hospital, Salem

Degree Programme

Specialities Offered :
(1) M.D. (HomoeopathicMateriaMedicaincludingappliedaspects)
(2) M.D. (Organonof Medicinewith HomoeopathicPhilosophy)
(3) M.D. (Repertory)
(4) M.D. (HomoeopathicPharmacy)
(5) M.D. (Practiceof Medicine)
(6) M.D. (Paediatrics)
(7) M.D. (Psychiatry)
2.

Vinayaka Mission's Annapoorana College of Nursing, Salem, Tamilnadu.

3.
4.

Vinayaka Mission's College of Nursing, Puducherry.

Vinayaka Mission's College of Nursing, Karaikal, U.T. of Puducherry.

I MoSco(Nursing) Degree Programme I

Specialities Offered:
(1) M.Sc. (MedicalSurgicalNursing)
(2) M.Sc. (Obstetricsand GynaecologyNursing)
(3) M.Sc. (PaediatricNursing)
(4) M.Sc. (CommunityHealthNursing)
(5) M.Sc. (PsychiatricNursing)
5. Vinayaka Mission's College of Pharmacy, Salem.

I M.Pharmo Degree Programme I

Specialities Offered:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)

M.Pharm.(Pharmaceutics)
M.Pharm.(PharmaceuticalChemistry)
M.Pharm.(Pharmacology)
M.Pharm.(Pharmacognosy)
M.Pharm.(PharmaceuticalAnalysis)
M.Pharm.(PharmacyPractice)
M.Pharm.(PharmaceuticalBiotechnology)
M.Pharm.(QualityAssurance)

IpharmoDo( Post Baccalaureate)

6. Vinayaka Mission's

I M.P.T. Degree

College of Physiotherapy,

Programme

Salem.

Specialities Offered :
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)

M.P.T.(Orthopaedic Physiotherapy)
M.P.T.(Neurological Physiotherapy)
M.P.T.(Cardio - Thoracic Physiotherapy)
M.P.T.(Sports Physiotherapy)
M.P.T.(Paediatric Physiotherapy)
M.P.T.(Hand Rehabilitation)
M.P.T.(Obstetrics and Gynaecological Physiotherapy)
M.P.T.(Community Physiotherapy)