i mi i - rbudde.in · Self attested Photo copy of the M.A. Part-I / M.S.W. Part-I Marksheet,...
2
r RABINDRA BHARATI UNTVERSITY DIRE,CTORATE OF DISTAI{CE EDUCATION Rabindra Bhavan. EE-9 & 1"0, Sector-Il, Kotrkata- 700 091 Fitt utl informntion in BLOCK Letters on| f ADMISSION FORM (m. A" P a rt-l lJfill. $,Ylf. P art-l$ YEAR. ffi Draft Arnount Rs. Draft No. Journal No. Narne of the Bank D DM.MY Y YY AfIix.Stamp sffie Photograph 4cmx3cm i i i mi ...i Subject Enroknent No. ,[-l-l Subleet Code Signature of the caw,didate RollNo. (PartI) I] t I I I , | !: a a t I ul il:j_-] ffi,I] tm l.lame of the Candidate Father'siMothefls hiame Phone No. Male Sex : Female Study Centre SCil Speciff {if *thers} Category : Total Marks obtained in M.A.Part-I/M.S.\t/, Part-I under DDE, RBU For Non*Migrating (RBU) Students only sr I oBC I Minonry I others n Study Centre Code Division (Attach SeIf Attested Photo copy of the Registration Certificate) session ffi* ffi I n ml il Registration No. I shall abide by the rales, regulations and dbectives fiom the DDE authority, failing which the authority may forfeit nry s tudent s hip w ith out any notic e. Date : ...---"- Documrnt must be enclored I I Signature of the Candidate ; r i6 For Migrating Students only ( Attach Original Migration Certificate) Narne of the Universify from whsre Graduation or M.A Completed Registration l.{o. session m ffi Self attested Photo copy of the M.A. Part-I / M.S.W. Part-I Marksheet, Identity Card, Enrollment Certificate, Registration Certificate, Migration Certificate (for migrating students only) and Demand Draft. * Submit this form and all enclosed documents to respective study centre. ** This form is not applicable for academic year 2016-17.
Transcript of i mi i - rbudde.in · Self attested Photo copy of the M.A. Part-I / M.S.W. Part-I Marksheet,...
r
RABINDRA BHARATI UNTVERSITYDIRE,CTORATE OF DISTAI{CE EDUCATIONRabindra Bhavan. EE-9 & 1"0, Sector-Il, Kotrkata- 700 091
Fitt utl informntion in BLOCK Letters on| f
ADMISSION FORM(m. A" P a rt-l lJfill. $,Ylf. P art-l$
YEAR. ffiForm No.
$80Draft Arnount Rs.
Draft No.
Journal No.
Narne of the Bank
D DM.MY Y YY AfIix.Stampsffie
Photograph
4cmx3cmi
i
imi...i
Subject
Enroknent No.
,[-l-lSubleet Code Signature of the caw,didate
RollNo. (PartI) I] t
I
II
,
| !:
a
at
I
ul il:j_-] ffi,I]tm
l.lame of the Candidate
Father'siMothefls hiame
Phone No.
MaleSex :
Female
Study Centre
SCilSpeciff{if *thers}
Category :
Total Marks obtained in M.A.Part-I/M.S.\t/, Part-I under DDE, RBU
For Non*Migrating (RBU) Students only
sr I oBC I Minonry I others n
StudyCentre Code
Division
(Attach SeIf Attested Photo copy of the Registration Certificate)
session ffi* ffi
In
mlil
Registration No.
I shall abide by the rales, regulations and dbectives fiom the DDE authority, failing which the authority may forfeit nrys tudent s hip w ith out any notic e.
Date : ...---"-
Documrnt must be enclored I
ISignature of the Candidate ;
Seltancstud Photo copy otthe M.A.Pafi-Ilh/1S.lY. Part-I Marbhe4 l.Isnlity Card, Enrollment Cefiificate ond Feesdeposil challan of Part II Admission
ri6
For Migrating Students only ( Attach Original Migration Certificate)
Narne of the Universify from whsreGraduation or M.A Completed
Registration l.{o. session m ffi
Self attested Photo copy of the M.A. Part-I / M.S.W. Part-I Marksheet, Identity Card, Enrollment Certificate, Registration Certificate, Migration Certificate (for migrating students only) and Demand Draft.
* Submit this form and all enclosed documents to respective study centre.** This form is not applicable for academic year 2016-17.
