Part I

Part II

Part III (excluding FC.NSS etc.)

Major / Main

Ancillary / Allied I

II

15. Details of other PG courses applied for in this University

14. Details of Qualifying Examination(U.G Level) Passed Yet to Pass

12. Address for Communication

11. Annual Income of the Family Rs.

9. Number of Members in the Family :

8. Differently abled Yes No if yes specify the category ..............................................................

7. Community

4. Gender

3. a. Name of Father/Guardian and Occupation

b. Name of Mother and Occupation :

2. Name (In block letters) (as in the SSLC Mark Sheet)

1. Course Applying for Application No. : PG / 2017 - 18

5. Date of BirthMALE FEMALE

Whether belonging to OC/BC/BCM/MBC/DNT/SC/ST/SCA/Others State (Enclose attested Xerox Copy of the Community Certificate)

10. Details of Registration Fee Rs.

OC BC BCM MBC SC SCA ST

Date:

DD/Challan No.& Date

Bank :

Phone No.:

e-mail ID :

Phone No.:

e-mail ID :

Mobile No.:

13. Permanent Address

a. Degree & Branch of study

b. Name of the College

c. Name of the University

d. Register Number

e. Month & Year of Passing

16. Extra curricular activities :

.................................................................

.................................................................

........................................................

.................................................

SubjectsMarks obtained upto

V sem / II year Max. Marks Percentage of Marks

Affix a Passport sizePhotograph attested by

the candidate

Re - Accredited by NAAC with “A” GradeApplication for admission to Post - Graduate / PG Diploma Courses during 2017 - 2018

Please give all the information asked for, clearly indicate, ‘not applicable’ wherever necessary.The filled in application should reach the respective Heads of the University Department,

Bharathiar University, Coimbatore - 641 046 on or before 22-05-2017, 5.30 pm.

Bharathiar University, COIMBATORE - 641 046.

6.Native state

Prospectus2017 - 2018

Signature of the attesting officerName and designation of the attesting officer with seal

Attested

Class in Part III Total in Part III

Strike out whichever is not applicableHSC Eligibility should enclose the attested copy of mark list

Station :

Date :Signature of the Candidate

I certify that all the above statements and entries are true.

Part I :

1.

2.

3.

4.

DETAILS OF SUBJECTS AND MARKS OBTAINED IN THE QUALIFYING EXAMINATION UPTO V SEM. / II YEAR

Part II :

1.

2.

3.

4.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

Class in Part I

Class in Part II

Total in Part I

Total in Part II

Part III : (Main, Elective & allied / ancillary subjects) - upto V sem. / II year

SubjectsNo. of

AttemptsMarks

securedMax.

Marks% of

Marks

INDEX CARDAppln. No. : PG / 2017 - 18 /

Strike out whichever is not applicable For office use only:

Signature of the Applicant

Eligible / Not eligible

Percentage of Marks in Part III(upto V Sem. / II Year)

Ancillary & Main AlliedMajor subjects:

Degree :

Month & Yearof completion

University :*Passed/yet to pass Passed / Yet to pass

%

Date :

Affix a Passport size

Photograph attested by

the candidate

P.T.O.

Head of the Dept.

(with seal)*To be filled in by the candidate

* Name of the Candidate :

* Course for which application is submitted

*Specimen Signature of the Candidate

The candidate is requested to report at the test centre one hour before the commencement of the

test and present this Hall Ticket. The Candidate is permitted to write the entrance test, subject to the

condition that he/she satisfies the Eligibility conditions presscribed for admission to the course.

Re - Accredited by NAAC with “A” Grade

Entrance Test for Admission to the P.G. Programme 2017 - 2018

Phone : +91-422-242222 Fax : +91-422-2452706 Webiste : www.b-u.ac.in

HALL TICKET

Bharathiar University, COIMBATORE - 641 046.

Name (in block letters as in SSLC Mark Sheet)

Address for sending Hall Ticket

Community :

Indicate the State to which you belong :

Mobile : PIN :Gender Male / Female

Course applied for

Duration Year(s) :OC BC BCM MBC SC SCA ST

Bharathiar UniversityRe - Accredited by NAAC with “A” Grade

COIMBATORE - 641 046

Differently abled Yes No if yes specify the category ..............................................................

Prospectus2017 - 2018

Address to which the Hall Ticket is to be sent:

Date :

Time :

Exam. Centre :

Register No. PG / 2017-18 /

ToTo

Name :

Address :

..............................................................................................................

............................................................................................................

............................................................................................................

............................................................................................................

Pin : ...................................................................................................