Manipal University, Dubai - Application Form

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A P P L I C A T I O N F O R M F O R A D M I S S I O N

Name Of The Program Applied For SIS # & DATE(OFFICIAL USE ONLY)

PERSONAL INFORMATION Sex M FBloodGroup

Name of the candidate

Date of birth Nationality

Fathers name Occupation (parents)

Mothers name EmergencyContact No.

Address for Correspondence Permanent Address

Students Mobile No. Name, Relationship & Mobile No. of Parent / Local Guardian

Telephone no.

Fax No.

E-Mail ID Parent E-Mail ID

Passport No: Passport Valid until

Visa Required Yes No Visa Valid until

Current Visa status Residence Visit Transit Present Visa Number

Name of Sponsor

Hostel Required Yes No Transportation Required Yes No Pickup Point

School / College last studied:

Name of the degree awarded:

Name of the Board / university issuing the certificate:

Month and year of passing Overall Aggregate %

Details of subject taken and Grade / Marks scored in Examination:

Subject

Marks / Grade

Maximum Marks

How did you Know about us?

M a n i p a l U n i v e r s i t yE - M a i l : a d m i s s i o n s @ m a n i p a l d u b a i . c o m W e b s i t e : w w w . m a n i p a l d u b a i . c o m

D u b a i C a m p u s G-04 Dubai International Academic CityP.O. Box: 345050 Dubai UA.ETel. 00971 4 429 0777 / Toll free: 800 (MUDC) 6832
mailto:[email protected]:[email protected]://www.manipaldubai.com/http://www.manipaldubai.com/http://www.manipaldubai.com/http://www.manipaldubai.com/mailto:[email protected]

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3. PROFESSIONAL INFORMATION (For Students of Masters Program only)

Position Name & Address of the organization From To

I hereby declare that all the information given and statements made in this application and its accompanying attachments and enclosures are true tothe best of my knowledge. I agree to the condition that if any information or statement is found to be incorrect, my admission will automatically becancelled. I, the Parent / Guardian of the aforementioned candidate am convinced and agree to the refund policy (mentioned below).

Date Signature of the student Signature of Parent / Guardian

I h a v e r e a d a n d a c c e p t e d t h e r e f u n d p o l i c y I h a v e r e a d a n d a c c e p t e d t h e r e f u n d p o l i c y

List of documents to be enclosed along with application for Bachelors Programs:

Attested copy of the mark-sheet /grade-sheet of 12th STD examination/equivalent. (*original + one photocopy). 10th STD mark-sheet. (*original + one photocopy). Transfer certificate or school leaving certificate. (originals will not be returned) Conduct certificate issued by the school. (originals will not be returned) Passport copy. 4 passport-size photographs.* Originals will be returned after verification

List of documents to be enclosed along with application for Masters Programs:

Certified copy of Bachelors Degree and copy of mark sheet (along with the *original). One passport copy 5 Passport size photographs

REFUND POLICY:

If the student withdraws from the Program, within two weeks from the commencement of the same, 50% amount of the 1st semester fee will be refunded. 15 daysand above will entitle the student to lose the whole semester fee, the same refund policy applies to the 2nd semester.

Note:

Whole year Hostel & Transport fee is non refundable if the facility is withdrawn under any circumstance.Once paid, Application and Registration (Dhs.100/- & Dhs. 1500/- or Dhs.1000/-) is non-refundable under any circumstance.

FOR OFFICIAL USE ONLY

Admitted to: Program:

Registration Fee paid: Yes No Rt. No. Date

Remarks: Signature (Accounts)

Scholarship / concession if given to Student

ADMISSION OFFICER ACADEMIC DEAN

Scholarship (Graduate programs only)

Students scoring 70% and above in 12th grade or equivalent examare eligible for 15% scholarship on the 1 stsemester fee.




To continue scholarship in subsequent semesters, student needs tomaintain a GPA of 3.6 on a 4 point scale or 9 on a 10 point scale.

Manipal University, Dubai - Application Form

Documents

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