Read the Prospectus and Instructions carefully before filling up the application form.
1. Name of the Student (same as in the SSC / Matriculation certificate) in Capital letters
Mr./Ms./Mrs ...
2. (a) Father’s Name ...
(b) Mother’s Name ...
(c) Guardian’s Name ...
3. (a) Permanent Address: (b) Address for Correspondence
... ...
... ...
... ...
PIN ... Phone / Mobile No ... E-mail: ...
4. a) Date of Birth : Date...Month...Year...
b) Nationality - ( Indian / Foreign) ...
If foreign national, name of the Country ...
5. In case you fail to secure admission to the programme you have applied for, indicate a second choice:
...
6. Blood Group:
7. Religion:
8. Aadhaar Number : ...
Paste here one recent Passport size photograph
Female Male
APPLICATION FOR ADMISSION TO DISTANCE EDUCATION PROGRAMMES 2023
UNIVERSITY OF HYDERABAD
COURSE APPLIED FOR CATEGORY
SC ST OBC MINORITY PH
Online Recpt. No. Date Name of the Bank & Place Amount
GENDER GEN
8 a) Particulars of past academic record (from Bachelor’s Degree onwards)
Examination University
/ College
Month & Year of Passing
Subjects Studied and
Passed
Maximum Marks
Marks Obtained
Percentage Division
b) Previous and Present Professional Experience if any :
Designation and nature and job done
Organization / Institution Total No. of years worked
From (month & year)
To (month & year)
DECLARATION BY THE APPLICANT
I hereby declare that all the information furnished by me in this application and the documents I have submitted in support of my application are true, complete and correct to the best of my knowledge and belief.
Place
Date : SIGNATURE OF THE CANDIDATE
NOTE:
1. Application is downloaded from the website the registration fee is : Rs. 300/- Registration fee payment through
Online Link :
https://www.onlinesbi.com/sbicollect/icollecthome.htm?corpID=8920
Read the Prospectus and Instructions carefully before filling up the application form.
1. Name of the Student (same as in the SSC / Matriculation certificate) in Capital letters
Mr./Ms./Mrs ...
2. (a) Father’s Name ...
(b) Mother’s Name ...
(c) Guardian’s Name ...
3. (a) Permanent Address: (b) Address for Correspondence
... ...
... ...
... ...
PIN ... Phone / Mobile No ... E-mail: ...
4. a) Date of Birth : Date...Month...Year...
b) Nationality - ( Indian / Foreign) ...
If foreign national, name of the Country ...
5. In case you fail to secure admission to the programme you have applied for, indicate a second choice:
...
6. Blood Group:
7. Religion:
8. Aadhaar Number : ...
Paste here one recent Passport size photograph
Female Male
APPLICATION FOR ADMISSION TO DISTANCE EDUCATION PROGRAMMES 2023
UNIVERSITY OF HYDERABAD
COURSE APPLIED FOR CATEGORY
SC ST OBC MINORITY PH
Online Recpt. No. Date Name of the Bank & Place Amount
GENDER GEN
8 a) Particulars of past academic record (from Bachelor’s Degree onwards)
Examination University
/ College
Month &
Year of Passing
Subjects Studied and
Passed
Maximum Marks
Marks Obtained
Percentage Division
b) Previous and Present Professional Experience if any :
Designation and nature and job done
Organization / Institution Total No. of years worked
From (month & year)
To (month & year)
DECLARATION BY THE APPLICANT
I hereby declare that all the information furnished by me in this application and the documents I have submitted in support of my application are true, complete and correct to the best of my knowledge and belief.
Place
Date : SIGNATURE OF THE CANDIDATE
NOTE:
1. Application is downloaded from the website the registration fee is : Rs. 300/- Registration fee payment through
Online Link :
