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Monad Application Form

This document contains an admission form for Monad University that must be filled out in blue or black ink by applicants. It requests information such as name, date of birth, address, family details, educational qualifications, activity achievements, employment history, payment details, and a declaration agreeing to the university's rules. It also lists the terms and conditions for admission such as the university reserving the right to cancel admission if the candidate does not pay fees or join the program by the deadline or fails to meet minimum qualifications. A parent or guardian must also endorse the application.

Uploaded by

Chandan Kumar Verma
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
119 views

Monad Application Form

This document contains an admission form for Monad University that must be filled out in blue or black ink by applicants. It requests information such as name, date of birth, address, family details, educational qualifications, activity achievements, employment history, payment details, and a declaration agreeing to the university's rules. It also lists the terms and conditions for admission such as the university reserving the right to cancel admission if the candidate does not pay fees or join the program by the deadline or fails to meet minimum qualifications. A parent or guardian must also endorse the application.

Uploaded by

Chandan Kumar Verma
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ADMISSION FORM

MONAD UNIVERSITY.

This form should be filled by the applicant applying for admission to any regular programme of this
University, in his/her clear and legible writing in BLOCK LETERS, and in BLUE/BLACK INK ONLY.

1. COURSE NAME:
2. NAME OF THE CANDIDATE :
3. PHYSICAL STANDARD: HEIGHT ft. Inch :
4. GENDER: Male/Female :
5. CATEGORY: GEN/ST/SC/OBC :
6. NATIONALITY: Indian/Others : If any othe
Valid Till: / / (DD/MM/YY) Issuing Country VISA Type: Time perio
7. DATE OF BIRTH: / / (DD/MM/YY)
8. BLOOD GROUP:
9. CORRESPONDENCE ADDRESS:

CITY STATE PIN CODE


11. TEL NO MOBILE NO
12. EMAIL ID

13. HOSTEL ACCOMMODATION: YES/NO AC/Non AC


14. TRANSPORT REQUIRED: YES/NO
15. PRE-QUALIFYING TEST:
(For School of Management) CAT/MAT/GMAT/XAT/ATMA/UPTU/OTHERS.
If others, please specify (for School
If others, please specify
16. DATE OF TEST: / / Roll / ID Score Percentile

17. EDUCATIONAL QUALIFICATIONS:


It is mandatory to attach certified copies of educational qualification (as applicable) from Class X
onwards till last completed semester/year.

Name of the Examination : Board/University


Passing Year Subjects
School/ College
Attended %age/ Div

High School/Equivalent
Intermediate/Equivalent
Graduation
Post-Graduation
Others

18. HAVE YOU BEEN AWARDED ANY SCHOLARSHIPS? IF YES, PLEASE GIVE DETAILS:
19. AWARDS/PRIZES
AWARD Year For

Name of Activity Period of Participation Position


20. ACTIVITY ACHIEVEMENTS:
21. EMPLOYMENT, IF ANY
Date of Employment:
Your Role and Responsibilities:
Nature of Organization's activities:
From:
To:
Address:
Tel:
Annual Turnover:
No. of Employees:
Your Designation:
Last Salary Drawn:
Name of Organization:
Full Time / Part Time

22. FAMILY INFORMATION:


E-mail
Address
Employee ID if working at MONAD
23. DO YOU SUFFER FROM ANY CHRONIC AILMENT?
if yes, give details:

24. HAVE YOU EVER BEEN SUSPENDED, DISMISSED OR PUT ON ACADEMIC PROBATION AT ANY SCHOOL OR
COLLEGE?
Yes/No
Yes/No if yes, give details:

25. DETAILS OF PAYMENT FOR APPLICATION FORM:


By Cash Receipt No.
By Demand Draft Receipt No. DD No.
Bank Date

26. ENCLOSURES CHECK LIST:

25. DECLARATION:

I hereby declare that the information given in theapplication form is complete and true to the best of my
knowledge and belief. I undertake to abide by all rules and regulations of the MONAD. I understand and agree
that misrepresentation, concealment of facts, any contravention or breach of rules and regulations will justify
denial / cancellation of admission / expulsion and / or initiation of proceedings under appropriate law. I have
read and do hereby agree to the terms and conditions for admissions.

Place Date Signature of the Candidate

Parent / Guardian's Endorsement

I agree with the above and take full responsibility of my son / daughter / ward and to pay all his / her dues, till
completion of the Course.

Parent's / Guardian's Name:


Signature:
Place:
Date:

TERMS AND CONDITIONS FOR ADMISSION

1. Non-Liability: Prospectus/Application Form and other admission correspondence will be sent by Post/Courier.

However, MONAD will not accept responsibility for delays and/or loss of admission correspondence in transit.

2. Cancellation of Admission: MONAD reserves the right to cancel admission of short listed candidates in any of
the following circumstances:

a. If the fee is not deposited by the stipulated date.


b. If the candidate does not join the particular programme by the stipulated date even though the fee has been
deposited.
c. If the candidate fails to furnish the proof of stipulated minimum qualifications.
d. If, in the opinion of the concerned authority, the candidate has violated any of MONAD
norms/rules/regulations or has in any manner shown disrespect towards the traditions/staff of MONAD.

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