ADMISSION CUM EXAMINATION FORM

(As recorded in your previous school or board certificate)

(Any changes in address should be immediately communicated to the university)

Academic Details (Enclose self attested true photocopy of the original Certificates)

S. No. Name of Examination Roll No. Year Name of Institution / Board Pass / Fail Document
1.
2.

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Address Proof (Aadhar)* Age Proof Enrolled under Nai- Manzil Scheme

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Address Proof (Aadhar)* Enrolled under Nai- Manzil Scheme Gap Certificate BPL Card Number

SUBJECTS (Tick Appropriate)

Secondary Certificate (Level 10/ NSQF Level 2)

(Applicant is required to choose minimum 5 and Maximum 7 subjects)

Group Subjects

Senior Secondary Certificate (Level 10+2/ NSQF Level 4)

(Applicant is required to choose minimum 5 and Maximum 7 subjects)

Science Stream Group - Science Subjects
I (Minimum 1 is mandatory)
II (All are mandatory)
III (Min. 1 is mandatory)
Commerce Stream Group - Commerce Subjects
I (Minimum 1 is mandatory)
II (All are mandatory)
Arts Stream Group - Arts Subjects
I (Minimum 1 is mandatory)
II (All are mandatory)

The Candidate can opt for remaining subjects from the following General electives in order to complete selection of minimum 5 and maximum 7 subjects :

General Electives (Non Mandatory-for all Streams)

DECLARATION BY THE APPLICANT

I hereby declare that aforementioned information and enclosed documents are correct and true to the best of my knowledge and belief. I have read and understood the rules, regulations and eligibility conditions of the University. I understand that I will have to submit any other document(s) that my required by the University in future. I further declare that I have to complete all the academic and other requirements in order to appear in examinations of the University. I also agree that University is empowered to cancel my candidature/admission, forfeit the fee deposited, also the claim for admission and to revoke previously issued statement of marks/degree/ diploma certificate, etc. or to take any appropriate action(s) including legal action(s) against me at any stage, if any information furnished by me is found to be incorrect, misleading or counterfeited or any act of mine comes under violation of Rules & Regulations prescribed by the University. Dispute(s), if any, shall be subjected to Namsai, Arunachal Pradesh's Jurisdiction only. I also understand that the Navsrijan programme is exclusively applicable for discontinued students.