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    Annamalai University Dec 2015 Exam Application Form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18K views2 pages

    Annamalai University Dec 2015 Exam Application Form

    Uploaded by

    Firdosh Khan
    Annamalai University Dec 2015 Exam Application Form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ANNAMALAI UNIVERSITY

    FORM OF APPLICATION FOR REGISTRATION


    DEGREE/DIPLOMA/CERTIFICATE/FOUNDATION/GRADE EXAMINATIONS DECEMBER 2015
    (FOR STUDENTS OF DISTANCE EDUCATION)
    [ALL ENTRIES SHOULD BE IN CAPITAL LETTERS]
    _____________________________________________________________________________________________________________________

    I. COURSE

    II. COURSE CODE

    III. ENROLMENT NUMBER

    Affix recent
    passport size
    photo attested
    by self

    1.EXAMINATION CENTRE CODE:

    CENTRE NAME:

    (REFER TO THE CENTRE CODE LIST)

    2. NAME:

    3.ADDRESS:

    PIN:
    4. SUBJECT CODES OF (THEORY ,PRACTIAL & PROJECT) PAPERS FOR WHICH APPEARING NOW:
    I

    II

    III

    IV

    VI

    XII

    XIII

    XIV

    VII

    VIII

    I-SEM/YEAR
    IX

    XI

    XV

    XVI

    II-SEM/YEAR

    III-SEM/YEAR

    IV-SEMESTER

    V-SEMESTER

    VI-SEMESTER

    5. REG.NO. OF LAST APPEARANCE IF ANY:


    6. EXAMINATION FEES PAID BANK DETAILS: (ENCLOSE ORGINAL D.D. / CHALLAN)
    (A) DD DETAILS:
    NAME OF BANK :

    DD NO:

    BRANCH CODE :
    D.D. DATE :

    AMOUNT:
    _ / _ / 20_

    (B) CASH CHALLAN :


    PAID AT CASH COUNTER / IB:
    DATE :

    CHALLAN NO:
    _ / _ / 20_

    (C) ONLINE PAYMENT TRANSACTION ID:


    DATE :
    _ / _ / 20_
    7. I HAVE REMITTED THE TUTION FEES UP-TO-DATE.
    8. I HAVE ATTENDED THE COMPULSORY PERSONAL CONTACT PROGRAMME.

    DATE :

    AMOUNT:
    AMOUNT:

    YES
    YES

    NO
    NO

    SIGNATURE OF THE CANDIDATE


    NOTE: PLEASE RETAIN A COPY OF THE APPLICATION AND THE DD/CHALLAN FOR FURTHER CORRESPONDENCE
    HALL TICKET CAN BE DOWNLOADED FROM THE WEBSITE FROM 15.12.2015 ONWARDS
    (P.T.O.)

    ANNAMALAI

    UNIVERSITY

    DISTANCE EDUCATION
    (Including Lateral Entry/Double Degree) PROGRAMMES - DECEMBER - 2015

    APPENDIX I Examination Centres

    CENTRE
    CODE
    001
    006
    007
    009
    011
    017
    021
    027
    035
    041
    042
    046
    055
    058
    075

    CENTRE NAME
    TAMILNADU
    ANNAMALAINAGAR
    CHENNAI
    COIMBATORE
    DHARMAPURI
    ERODE
    KARAIKUDI
    MADURAI
    NAGERCOIL
    SALEM
    THIRUCHIRAPPALLI
    THIRUNELVELI
    THIRUVARUR
    VELLORE
    ANDHRA PRADESH
    HYDERABAD
    KARNATAKA
    BENGALURU

    CENTRE
    CODE
    080
    092
    095
    097
    105
    110
    113
    114
    115
    116

    CENTRE NAME
    KERALA
    ERNAKULAM
    MAHARASHTRA
    MUMBAI
    MEGHALAYA
    SHILLONG
    PUDUCHERRY
    PUDUCHERRY
    RAJASTHAN
    JAIPUR
    UTTAR PRADESH
    LUCKNOW
    WEST BENGAL
    KOLKATA
    UNION TERRITORIES
    CHANDIGARH
    NEW DELHI
    PORT-BLAIR

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