Page 1of 4

Details of Admission Test Fee/ Processing Charges

Course Name

DD/C.R. No.
with date

Amount

(For Office use only)

(Rs.)

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Affix

Session: 2016-17

(Do not staple)

Application Form for Admission to

Self Attested

Non-Test/Departmental Test Courses Only

Photograph of

Recent
size 2.5cm. x 3 cm.

(1) Course Applied For

(2)

Department

(3) Faculty

(4) Order of Preference of Main Subjects/ Specialization/Course alongwith its Code(s)

i)

_______________________

iii) _______________________

ii)

_______________________

iv) _______________________

(5) Status

(5a) Enrolment No.

(Internal/External)

(5b) Hall/NRSC

(For candidates already enrolled or has been a student of AMU, Aligarh)

(Code only)

(6) Name of the Candidate (Mr./Ms.)

(As in HS/SS Certificate)

(7) Fathers Name ___________________________________ (8) Mothers Name ______________________________

(10) Applicable to M.Tech. Courses only
Day
Month
Year
(a) Gate Score / Passing year
(9) Date of Birth
(b) Tick the appropriate option given below
Regular
Part-time
Mode
Mode

(11) Gender (M/F)

(12)

Claim for Nomination

(To be filled up by the candidate belonging to special categories, who in the event of not being selected, wish to be considered for nomination)

(i)

Special Category Claimed

(Attach Attested Certificate)

(ii)

i)

ii)

(iii) Domicile State

iii)

(Code only)

Order of preference of Courses/Main Subjects along its course code in which the candidate wishes to be nominated
(a) _____________________________

(b) _____________________________

(13) Details of Qualifying Examination

Examination

Subject
Marks Obt./Max

Roll No.

Year of
Passing/
Appearing

Board/
University

Marks

Maximum
Marks

Remarks
(Write RA if
result not
declared)

Page 2of 4

(14) Details of Other Examination Passed/Appearing as on date:

Examination

Year of Passing/
Appearing

Roll No.

Board/
University

Marks

Maximum
Marks

S.S.C./High School
S.S.S.C./Intermediate
U.G (B.A./B.Sc./B.Com./......................................)
P.G. (M.A./M.Sc./M.Com./..................................)
Others (.................................................................)

(15) Is Hostel Accommodation Required, if admitted? (Yes/No) : ________

(16) Employed (Yes/No) : ________

(If yes, No Objection Certificate from the present employer must be enclosed.)

(17) Correspondence Address

(18) Permanent Home Address
________________________________________________ ________________________________________________
________________________________________________ ________________________________________________
District _________________________________________

District ________________________________________

State _________ Pin Code _________________________

State __________ Pin Code ______________________

Email __________________________________________

Email _________________________________________

Tel. /Mobile No. __________________________________

Tel./Mobile No. ________________________________

(Fathers/Mothers/Guardians)

(19) Information for statistical purposes:

(a) Religion______________

(b) SC/ST/OBC______________

(c) Rural/Urban_____________________

(d) Fathers/Guardians monthly income Rs. ____________________

(20) Declaration
I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic Council &
other appropriate University bodies in regard to my admission.
I hereby solemnly affirm that I have gone through the Guide to Admissions 2015-16 and 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 initiated against me.

_____________________________
Date: ________________

Thumb impression of the candidate, Male (LTI), Female (RTI)

(For the Office of the Proctor)

Nothing objectionable has been found against the candidate.
He/she
may
be
considered
for
admission
to
_______________________ Course for the academic session
2015-16.

_________________________________
PROCTOR
(With Office Seal)

Dated_______________________

_____________________________
Signature of the candidate

(For Office of the Dean, Students Welfare)

Allotted__________________________________ Hall

_________________________________
DEAN, STUDENTS WELFARE
(With Office Seal)

Dated_______________________

Page 3of 4
(21) List of enclosures attached with the Application Form: (Tick the relevant boxes)
For Office Use

1.
2.
3.
4.
5.
6.

Signature & Name

of Scrutiny Officer

7.
8.

DD/Cash Receipt in Original

Self attested copy of HS/SSC Certificate or its equivalent
in support of date of birth
Copies of Marksheets/Grade Sheets of all previous
Examinations passed/appeared including parts therein
If employed, copy of No Objection Certificate from the
employer

Copy of documents in support of Special Categories

claimed, if any
Copy of Office Memo, if rusticated/debarred/convicted by
a court of law

Documentary evidence in support of Internal Status

_____________________________________________

For Office use

1. Verified Original Documents.
2. The candidate is eligible /or not eligible for
admission ______________________
3. Reason(s) for being not eligible________
_________________________________
_________________________________
(________________________________)

Signature of Verifying Officer

Name ______________________________
Deptt.______________________________
Date _______________________________

It is mandatory to attach relevant documents in support of Internal Status/Special Categories failing which all such claims will be disregarded.

Note: 1. Original certificates/documents not to be attached with the Application Form in any case.
2. All documents must be self attested

(22) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________

Name ____________________________________

Address __________________________________ Address __________________________________

_________________________________________

_________________________________________

District ________________ State _____________

District ________________ State _____________

Pin Code

Pin Code

Tel./Mobile No. ____________________________

Tel./Mobile No. ___________________________

Name ____________________________________

Name ____________________________________

Address __________________________________ Address __________________________________

_________________________________________

_________________________________________

District ________________ State _____________

District ________________ State _____________

Pin Code

Pin Code

Tel./Mobile No. ____________________________

Tel./Mobile No. ___________________________

ALIGARH MUSLIM UNIVERSITY

Your application for admission to

ACKNOWLEDGEMENT SLIP

_____________________________
--www (mention course)
INSTRUCTIONS
Class / Course for 2016-17 has been Write your complete mailing address on the right

To
____________________________________

hand side.

received

under

R.

_________________________

Dealing Assistant
Date ____________

No.: (1) Keep this card with you as a proof of

____________________________________

submitting your Application Form.

(2) IMPORTANT: For reference always quote
R.No. in all your correspondence/queries.

____________________________________
____________________________________

Deputy Controller
(Admissions)

Pin Code

Page 4of 4
(For Office use only)

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Admit Card
Session: 2016-17
Name of the Candidate: _______________________________________________
Name of the Course:

_______________________________________________

Centre for Test:

_______________________________________________

Affix
(Do not staple)
Self Attested
Recent
Photograph of
size 2.5cm. x 3 cm.

(For Office use only)

Candidates Signature
(In Examination Hall)

________________________

Signature of the Invigilator

Male (LTI), Female (RTI) In Examination Hall

CHAIRMAN

Instructions to Candidates
1.

2.

3.

4.

5.

6.

7.

8.

9.

The Admit Card is being issued provisionally

University shall not be responsible for its
subject to the scrutiny of the eligibility. It is
safekeeping. If a candidate is found in
only after verification of the eligibility that the
possession of any such item during the
candidate would be considered for admission.
test, he / she would be deemed to have
Mere appearing or qualifying in the test does
used unfair means and may lead to
not entitle a candidate for selection /
cancellation of his/her candidature.
admission.
10. During the Test, candidates must maintain
Any discrepancy in the Admit Card,
perfect silence and must not indulge in any
especially with regard to candidates
conversation or gesticulation.
particulars, must be brought to the notice
of
the
Admission
Section/Centre 11. During the Test, the invigilators will check
the Admit Card of candidates to satisfy
Superintendent by the candidate in writing
before the commencement of the Test.
themselves about their identity.
(Not: Attach a copy of the Admit Card
Received).
The allotted Test Centre of the candidate is
specified on the Admit Card. Additional
information, if any, regarding its location is
available on the official website specified
below.
The University shall not be responsible if it is
compelled to make changes in the Admission
Test Schedule/ Test Centre due to
unforeseen circumstances.
Candidates are required to bring their own
Stationery Items required to attempt the
Admission Test.
Eatables/Beverages (except drinking water)
are not allowed inside the Admission Test
Hall/Room.
Candidates will be permitted to enter into the
Admission Test Hall/Room only 15 minutes
before the scheduled commencement of the
test.
No candidate will be permitted to enter the
Admission Test Centre/Hall/Room 15 minutes
after the scheduled commencement of the
test
Handbag / Carry bag/ Mobile phone/ pager
/ calculator / any other electronic gadget
or any paper
(other than the Admit
Card) shall not be allowed inside
the Admission Test Hall/ Room and the

12. For OMR based tests, the candidates shall

initially complete entries on the OMR
Answer Sheet and the Question Booklet
shall be provided to them 15 minutes after
the scheduled commencement of the Test.

19. Candidate should not leave his/her seat

without handing over the Answer
Sheet/Booklet to the Invigilator.
20. Violation of any of these instructions by
the candidate or the instructions printed
on
Question
booklet,
Answer
Sheet/Booklet, Guide to Admissions or as
announced by the Invigilators during the
Test will lead to cancellation of his/ her
candidature. Further, he/she may be
debarred from appearing in any
Test/Examination of this University.
21. No request for re-evaluation / re-totaling
will be entertained.
22. The admit card must be preserved and
produced by the candidate at the time
of reporting for admission/chancememo, if offered.

13. The time (test duration) as specified on the

Question Booklet shall be reckoned from the
moment of its distribution.
14. Use only Ball Point Pen (black/blue) for

Attempting Questions on OMR Answer Sheet

1.
2.

All questions are compulsory.

Each question is followed

3.

alternative answers. Select only one

answer, which you consider as the most
appropriate. Shade the relevant circle
against the corresponding question
number on the OMR Answer Sheet.
Selecting more than one answer for a

4.

question, even if one of the selected

answers is correct, would result in its
being treated as an incorrect answer.
Negative Marking: Incorrect answers

making entries in the Question booklet and

the Answer Sheet/Booklet.
15. Candidates

should

not

use

whitener/

correction fluid for making any corrections in

the

entries/answers

on

the

Answer

Sheet/Booklet.
16. No candidate will be permitted to leave
his/her seat for the entire duration of the
Admission Test, except under exigencies.
17. Use of unfair means or impersonation in
Admission Test will be dealt with severely as
per the law. Students Conduct & Discipline
Rules of the University are also applicable to
the candidates appearing at the Admission
Test.
18. Candidate

should

read

carefully

the

instructions printed on the Question booklet

and

the

Answer

Sheet/Booklet

making any entry on them.

before

by

four

shall result in a negative score of 25 per

cent of the marks allotted to the question.
For instance, if the correct answer to a
question would get you one mark, the
incorrect answer would take away 0.25
marks. However, the provision of
Negative Marking will not be applicable
in the Admission Tests of MBBS / BDS
/ MDS / MD / MS/ PG Diploma/MCH
Courses in the Faculty of Medicine.

Affix
(Do not staple)

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Self Attested

Session: 2016-17

Recent

PROFORMA FOR OUTSTANDING SPORTSPERSON

Photograph of
size 2.5cm. x 3 cm.

Instructions:
1. This proforma is to be filled in only if the candidate desirous of consideration under special category 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 Admissions before filling in this proforma

(1) Course Applied For

(2) Subject

(3) Tick only one category

SPORTSPERSON

(4) Tick any one of the following games (Applicable to outstanding Sportsperson only)
Athletics

Cricket

Football

Hockey

Tennis

Swimming

Riding

Volley-ball

Basketball

Badminton

Table Tennis

Wrestling

Skating

Weight Lifting

Hiking & Mountaineering

(5) Title of the Event with Highest Award won

(6) Name of the Candidate (Mr./Ms.)
(As in HS/SS Certificate)
(7)

Status

(9)

Fathers Name

(8) Date of birth

_____/_____/________

_________________________________ (10) Mothers Name _____________________________

(11) Correspondence Address

District ________________________________________________

State

Pin

(Code only)

(12)

Qualifying
Examination

Roll No.

Year of Passing/
Appearing

Board/
University

Marks
Obtained

Maximum
Marks

Remarks

(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.

Date:

Signature of the candidate

(14) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Name ____________________________________

Address __________________________________ Address __________________________________
_________________________________________

_________________________________________

District ________________ State _____________

District ________________ State _____________

Pin Code

Pin Code

Tel./Mobile No. ____________________________

Tel./Mobile No. ____________________________

Affix
(Do not staple)

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Self Attested

Session: 2016-17

Recent

PROFORMA FOR OUTSTANDING DEBATER

Photograph of
size 2.5cm. x 3 cm.

Instructions:
4. This proforma is to be filled in only if the candidate desirous of consideration under special category of Debater/Sportsperson
5. Candidate is only considered eligible if he/she claims the special category on the main Application Form
6. Candidate must read the Guide to Admissions before filling in this proforma

(1) Course Applied For

(2) Subject

(3) Tick only one category

DEBATER

(4) Tick any one of the following games (Applicable to outstanding talent only)
Debater

Dramatics

Creative Writer

Photography

Innovtor

Light Vocals

Classical Music

Fusion Music

Western Music

Environmentalist

Quiz

Fine Arts

Event Organizer

Graphic Designer

(5) Title of the Event with Highest Award won

(6) Name of the Candidate (Mr./Ms.)
(As in HS/SS Certificate)
(7)

Status

(9)

Fathers Name

(8) Date of birth

_____/_____/________

_________________________________ (10) Mothers Name _____________________________

(11) Correspondence Address

District ________________________________________________

State

Pin

(Code only)

(12)

Qualifying
Examination

Roll No.

Year of Passing/
Appearing

Board/
University

Marks
Obtained

Maximum
Marks

Remarks

(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.

Date:

Signature of the candidate

(14) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Name ____________________________________

Address __________________________________ Address __________________________________
_________________________________________

_________________________________________

District ________________ State _____________

District ________________ State _____________

Pin Code

Pin Code

Tel./Mobile No. ____________________________

Tel./Mobile No. ____________________________

POSTAL SLIP

(To be pasted on envelope containing the Application Form)

Application Form for Admission to

_____________________
(mention the name of the course)

To,
________________________________________
________________________________________
________________________________________

From:
___________________________
___________________________
___________________________

CANDIDATES SLIP
(Keep this slip with you for future reference)
Course Applied for : ____________________

INSTRUCTIONS
1.

Please ensure that you have appended Photographs, Thumb Impression and Signature at the designated places
on the Application Form.
Note: a) Use identical good quality color photographs taken not earlier than 3 months. The photographs should
be taken preferably wearing dark clothes on a white background.
b) Your Thumb Impression & Signature establish your identity hence, do not merely write your name in
capital letters.

2.

You must ensure that all the documents alongwith Demand Draft is attached with the Application Form.
Note: Demand Draft (valid for 3 months) of the requisite amount should be drawn in favor of FINANCE OFFICER,
AMU, payable at Aligarh.

3.

You must NOT make any type of correction(s) / modification(s) on the Application Form else your candidature may
be rejected.

4.

Paste the POSTAL SLIP given above on the A-4 size Envelope containing the Application Form and send it to the
concerned Dean/Chairman/Principal/Director/Co-ordinator, Aligarh Muslim University, Aligarh 202002.

5.

Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with
necessary updates.