Professional Documents
Culture Documents
(3) Tick any one for Class XI (Science)/Diploma Engg. combined Admission Test Only
(Candidates should mention their preference for combinations/branches in column No. 4)
XI (Science) only Diploma Engg. only XI (Science) & Diploma Engg. both
(15) Special Category Code i) ii) iii) (16) Gate Score / Passing year
(Attach Attested Certificate) (Applicable to M.Tech. courses only)
Subject
Marks Obt./Max
(19) Test Subject (Studied at B.A./B.Sc./B.Com./B.Th.)
(Applicable to B.Ed. only -- Attach Marksheets of I, II & III rd yr .)
Subject Name Subject Code
Page 2of 3
(20) Details of Professional Experience after Passing the Diploma in Engg. Examination
(Attach documentary proof for B.E. (Evening) only)
Name of the Organization/ Employer Period of Experience Remarks
Position held
From To
(21) Declaration
I, hereby solemnly affirm that I have gone through the Guide to Admissions and its supplement. I have neither been involved in any
criminal case nor any criminal case is pending against me in any court of law. I have not been debarred/rusticated by the institution
last attended/presently attending. I, _________________________________, hereby 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.
__________________________
Date _______________ Signature of the Candidate
______________________________________
Dealing Assistant DEPUTY CONTROLLER Pin Code
Date ____________ (Admissions)
Affix
(Do not staple)
Self Attested
ALIGARH MUSLIM UNIVERSITY, ALIGARH Recent
Photograph of
Session: 2010-11
size 2.5cm. x 3 cm.
PROFORMA FOR OUTSTANDING DEBATER/SPORTSPERSON
Instructions:
1. This proforma is to be filled in only if the candidate desirous of consideration under special categories 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 Admission before filling in this proforma
(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.
_________________________________________ _________________________________________