DR.B.R Ambebekar Open University: Student Services Branch
DR.B.R Ambebekar Open University: Student Services Branch
: : ... : : : OC / SC / ST /BC-A, B, C, D, E ( ) : INDIAN -HINDU / ISLAM / CHRISTIAN ( ) : .. : B.A / B.Com / B.Sc / Diploma / PG
Pass port Size Photograph
5. Caste 6. Nationality of the Study Centre 7. Name of the Study Centre 8. Course Studied .. 9. Medium of Instruction 10. Modern Indian Language in I year 11. Optional Subjects of UG /PG/ Dip
12. Month & Year of Passing 13. Identification marks (as per SSC)
: ......... : 1) 2)
: .. ..
` .. 15. Particulars of D.D./ Challan drawn in favour of the Registrar, Dr.B.R.Ambedkar Open University, Hyderabad DD/ Challan No .. dated ..Name of the Bank . Branch ..Amount Rs I declare that the information given by me is correct and in the event of any information given is found to be incorrect. I am liable for any punishment as per rules of the university. Date: Station: Signature of the Applicant FOR OFFICE USE ONLY The particulars mentioned above by the applicant are verified with original records of the student and the information is found correct. Further, the student has paid prescribed fee due to the University. Therefore the T.C. may be issued. T.C. is issued bearing No Date .
JACT /DEO
Superintendent
Asst. Registrar
Director
The following certificates are to be enclosed along with this application form (Xerox copies of certificates attested by any Gazetted Officer)
4) Attested copy of the Caste Certificate issued by Mandal Revenue Officer. (Copy to be attested by any Gazetted Officer). 5) Copy of the Date of Birth Certificate attested by any Gazetted Officer. (As recorded at the time of Admission) Note : 1) TCs are issued only to the student in person. Those who cannot come to the University to collect the TC in person, can obtain by Registered post. *2) SELF ADDERESSED ENVELOPE MAY ALSO BE ENCLOSED. 3) The TC applications may submit in person or send by post to the Director, Student Services, Dr.B.R. Ambedkar Open University , Jubilee Hills, Hyderabad.