Admission Form

1. Name of the Course2. Specialization3. Sem/ Year

a. Name of the Candidate

b. Father's Name

c. Mother's Name

d. Guardian's Name

General SC ST OBC Physically Handicapped (PH)g. Social Status:

a. Permanent Address

For Office Use Only

Enrollment No.

b. Contact Number (With STD code) Mobile:

c. Email ID

7. Academic Information

Exam Passed University / Board Year Percentage(%)

(Attach certified/ attested photocopies of all qualifying Exams)

City State Pin

Sr. no.a

b

cd

e

10th

12th

ITI / DiplomaGraduation

Masters

e. Date of Birth (dd/mm/yyyy) f. Gender: Male Female

(if Applicable Relationship)

Occupation:

Occupation:

Instruction: write in CAPITAL LETTERS:

4. Session:

5. Personal Information

(for all communication by the University)

Residence: Office:

6. Contact Details

h. Nationality Indian Other (specify the country name)

f Any other Degree

(as per 10th Certificate)

Lekhi Village, Naharlagun, Itanagar, Distt. Papum Pare, Arunachal Pradesh- 791110

Application No.

i. Aadhar (Uidai) No. .

www.arunodayauniversity.ac.in

( )Established Under Section 2(f) of UGC Act, 1956

Your Future. Our Mission.

(Attach Caste certificate copy if applicable )

8. Documents to be submitted along with application form:

11. Rules & Regulations

9. Fees Details for Application Processing

Amount ( ) DD/Cheque / Challan no.

Bank Name:

Date

1. The fees paid are non-refundable and non-transferable under any circumstances.

2. Failure to pay fees by due date shall result in imposition of fine.

3. The University reserves the right to make any changes / amendments in terms and condition of admission at anytime.

4. Student is required to inform the University about any change in his/her contact details including permanent/

correspondence/ PG address, email – id at any point of time.

5. The University may make mandatory the submission of any certificate or documents before or at the time of the admission or

afterwards, for the purpose of admission or otherwise, as decided by the University.

6. Students undertake / certify that the documents submitted by him/her are original/genuine and not fake and to the best of

his/her knowledge. If found otherwise the fee of the student shall be forfeited and separate legal action would be taken by the

University.

7. University reserves the right to cancel admission / Withhold result, if student fails to submit relevant document(s) or otherwise

if fails to fulfil any condition.

8. University will charge the fee for various facilities like re-appear/backlog etc. as decided from time to time.

9. Student should keep himself/herself well versed with the updates in the University through our notice boards/website.

University is not responsible for any individual intimation of information.

10. In the event of any disputes between the parties shall be referred to dispute settlement panel constituted by University.

10. How did you come to know about Arunodaya University?Website Print media Social media Outdoor Hoardings Education Fair

Coaching Institutes Google Search Referrals Existing Student Emailers Others

SMS

Form & DD should be send to Arunodaya University, Admission Department.

1. Draft / cheque drawn in favor of 'Arunodaya University', payable at Itanagar.

2. thSelf attested photo copy (10 certificate ) Showing date of birth

3. Self attested photo copy of qualifying examinations ( marks sheet & certificate )

4. Original Migration / Transfer certificate

5. Aadhar card copy

6. Photo ID

7. Address Proof

8. Affidavit

9. Any other document if needed ( ___________________________________________________ )

Sr. No. Description

Branch Name:

12. DECLARATION BY THE APPLICANT

1. I understand that admission is provisional subject to verification of documents and approval by university.

2. I hereby tender that I will regularly attend the classes and will maintain at least 75% attendance in my class.

3. The eligibility document submitted by me are true and genuine to the best of my knowledge and belief. The

University reserves the right to withhold result if any document in not submitted .

4. During the course of study I will not be in any kind of regular job either in any Govt./ Semi Govt. or Pvt.

Authority/Co.

5. During the course of study I will not do any other regular course from any other University.

6. I will not indulge in any sort of legal cases, whether criminal/civil during the course of study.

7. I will not involve in malpractice, misconduct, fraud in any manner during the tenure of study in the University.

8. I have gone through the rules, regulations and Education programs offered by Arunodaya University and on

being fully satisfied, I have applied for admission on my own. Hence I am aware that the programs offered by the

said University are approved by the UGC/ HRD. However if I am unable to get advantage out of said programs

after its completion, in securing job, job promotion and / or for further advance studies on any account and for

any other reason, the said university will not be held responsible in any manner and I also undertake not to claim

any damages for the same.

9. The Hon’ble High Court of Guwahati (Itanagar Bench) shall have exclusive jurisdiction in the event of any dispute.

I confirm that the information given in this form is true, complete and accurate and none of the information

requested or other material information has been omitted. I accept if it is discovered that I have supplied false,

inaccurate or misleading information, Arunodaya University reserves the right to cancel my application, withdraw its

offer of a place or terminate attendance at the Arunodaya University and I shall have no claim against Arunodaya

University in relation thereto.

Applicant's Name Applicant's Signature Date

13. Declaration by Parent / Guardian

I, _________________________________________ hereby fully endorse the above undertaking/declaration given by my child/ward. And I will endeavour to induce my child to do his/her best to observe the above stated undertaking in word and spirit.

Date: Full Signature of Parent / Guardian

CHECK LIST For Office use only

C V

Candidate Name (as per 10th Certificate/Marksheet)

Aadhar Card

Course Title and Semester (as per Eligibility norms)

Date of Birth Proof (as per 10th Certificate, Passport Copy)

Proof of Educational Qualification [attested photocopy]

10th Certificate & Marklist 12th Certificate & Marklist

Diploma Certificate & all sem Marklist Graduation/Degree Certificate &

Marklists

Masters Certificate & Marklist Provisional Degree

Original Leaving certificate OR Original Migration Certificate

Proof of Job(Experience Certificate/Pay slip)

Six Passport size latest colour photos

Remarks

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………………………………………………………………………………………………………………………………………………………………………………..

Checked By Verified by Confirmed by

Name …………………………………………. Name ………………………………………….

Designation ……………………………….. Designation ………………………………..

Sign. ……………………………………………. Sign. ……………………………………………. Sign ………………………

Date ………………………………………….. Date …………………………………………..

Stamp……………………………………….. Stamp……………………………………….. Stamp ……………….....

Affidavit

Candidate Name: _____________________________________________________

Course Applied: _____________________________________________________

From: - Dated:- Student`s Name Father`s Name Mother’s Name Student`s Permanent Address: ................................................................................... ................................................................................... ...................................................................................

Student Mobile No – Student E-Mail Id – Date of Birth: DD/MM/YYYY !adhaar card no. : ...................................... ........................

To,

The Vice Chancellor, Arunodaya University, Lekhi Village, PO & PS: Naharlagun, Dist. Papum Pare-791109, Arunachal Pradesh

UNDERTAKING

Respected Sir/Madam,I………………………………………………………………………….aged about ………….year , S/o / D/o of………………………………………… is a regular student of Arunodaya University vide EnrollmentNo.: ……………………… Roll No…………………………………under the………………………………….…………… course, I hereby tender the following undertaking withregard to my eligibility document/ conduct as a statutory requirement for admission/ awardof Mark Cards/ Degree, in the aforesaid course.a) That I have passed my matriculation/ 10th / High School Examination in the sessionof……………………………… bearing roll no.: …………….... from the School/ Institute…...............................................……………Affiliated to……………………......................................…. board and attached is the true copy of thesame.b) That I have passed my 12th /Sr. Secondary Examination in the session

of......................... bearing roll no.: ...............................from the School/Institute ..........................................................Affiliated to..................................... ......... ................. Board and attached is the true copy of the same.

c) That I have passed my Bachelors/ Masters Examination in the session of......................... bearing roll no. :.............................. from the College/Institute ........................................................Affiliated to ........................................................... University annexure and attached is the true copy of the same.

d) That I will/have regularly attend(ed) the classes and appear/ed examination in University campus and will maintain /have maintained at least 75% attendance in my classes.

e) That the eligibility documents submitted by me are true & genuine to the best of my knowledge and belief.

f) That during the course of study I will not take up fulltime employment and under take to concentrate fully on study.

g) That during the course of the study I will not / was not doing any other regular course from any other university/Board/ Institute.

h) That I will not / was not indulged in any sort of legal cases, Whether Criminal/Civil during the course of study.

i) That I will not get / was not involved in any malpractice, misconduct, fraud in any manner during my tenure of study in the University.

j) That my above statements are true & correct and in case any document, information & statement given by me in this undertaking are found false, fake, duplicate, and wrong and forged, the University will have every right to cancel/withdraw my Mark Card/Degree issued by the University and University may take appropriate legal action in this regard against me.

Witnessed By

1 __________________________

Student Name and Sign