UTTARAKHAND OPEN UNIVERSITY
HALDWANI, NAINITAL
Website: http://uou.ac.in
Email Id: info [at] uou [dot] ac [dot] in
Contact No.: 18001804025
Admission Form for 2nd Year/ Above 2nd Semester Programs Only
1. Enrollment Number
2. Session (Summer/Winter) 201_ - 201_
3.
Study Centre Name
Study Centre Code
4.
Program Applied For
Program Code
Year/ Semester
5. Challan Details
Issuing Bank
Challan No.
Challan Date
Amount
6. Student’s Name
7. Father’s/ Husband’s Name
8. Mother’s Name
9. Mobile Number
10. Complete Address for Correspondence
Pin Code
Paste your
Latest Passport
Size (4×5cm)
Photograph
Duly Attested by
Yourself
11. Particulars of the Present Programme applied for (1st Year/ Previous Semester-
Which ever applicable)
S.No
dz0l0
Course Code
dkslZ dksM
Course Title
Semester
12. Course in Which Candidate Appeared in Previous Exam
S.No
dz0l0
Course Title
Year/ Semester
Date:
Place:
Signature of the Applicant
For Study Centre Use
I hereby certify that Mr. /Ms/Mrs. /Dr. ________________________________
son/daughter/wife of ________________________________ enrolled for this study
centre .He/she has been found eligible to be admitted in the…………. Semester of
……………………………. ………………Program.
Signature
Study Centre Coordinator
University’s COPY STUDENT’S COPY BANK’S COPY
Note: To be attached with the Application Form
Bank of Baroda
cSad vkWQ+ cM+kSnk
For Receiving Branch use Only
University Enrollment No
Transaction ID
SEAL/DATE Authorised Signatory
1. All Bank Of Baroda Branches in Uttarakhand State.
2. Please note Transaction ID on all three copies of form, retain One Copy and
return two copies to student.
3. Please write Name and Enrollment No of Student in Transaction Particulars.
FOR CLARIFICATIONS PLEASE CONTACT HALDWANI MAIN BRANCH
Ph. 05946-220149,220734
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Total
09670100017278
Late Fee
Branch Code
09670100017278
To be filled by Student
Bank of Baroda
For Receiving Branch use Only
University Enrollment No
Transaction ID
SEAL/DATE Authorised Signatory
1. All Bank Of Baroda Branches in Uttarakhand State.
2. Please note Transaction ID on all three copies of form, retain One Copy and
return two copies to student.
3. Please write Name and Enrollment No of Student in Transaction Particulars.
FOR CLARIFICATIONS PLEASE CONTACT HALDWANI MAIN BRANCH
Ph. 05946-220149,220734
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Total
09670100017278
Late Fee
Branch Code
09670100017278
To be filled by Student
Bank of Baroda
For Receiving Branch use Only
University Enrollment No
Transaction ID
SEAL/DATE Authorised Signatory
1. All Bank Of Baroda Branches in Uttarakhand State.
2. Please note Transaction ID on all three copies of form, retain One Copy and
return two copies to student.
3. Please write Name and Enrollment No of Student in Transaction Particulars.
FOR CLARIFICATIONS PLEASE CONTACT HALDWANI MAIN BRANCH
Ph. 05946-220149,220734
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Total
09670100017278
Late Fee
Branch Code
09670100017278
To be filled by Student
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only
University’s COPY STUDENT’S COPY BANK’S COPY
State Bank of India
Hkkjrh; LVsV cSad
For Receiving Branch use Only
University Enrollment No Journal Number
SEAL/DATE Authorised Signatory
1. Please credit 50/- to your Branch Commission A/c No. 98353xxxxxx
2. Please note to write the Journal Number in all the challans.
3. Please feed the Enrollment No in ENROLL/ID/Ref No. Column and
Name of the Candidate in the menu while posting.
FOR CLARIFICATIONS PLEASE CONTACT KUSUMKHERA BRANCH (5100)
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Bank’s Charges
Total
98353xxxxxx
31505220503
Late Fee 31505220503
State Bank of India
Hkkjrh; LVsV cSad
For Receiving Branch use Only
University Enrollment No Journal Number
SEAL/DATE Authorised Signatory
1. Please credit 50/- to your Branch Commission A/c No. 98353xxxxxx
2. Please note to write the Journal Number in all the challans.
3. Please feed the Enrollment No in ENROLL/ID/Ref No. Column and
Name of the Candidate in the menu while posting.
FOR CLARIFICATIONS PLEASE CONTACT KUSUMKHERA BRANCH (5100)
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Bank’s Charges
Total
Late Fee
98353xxxxxx
31505220503
31505220503
State Bank of India
Hkkjrh; LVsV cSad
For Receiving Branch use Only
University Enrollment No Journal Number
SEAL/DATE Authorised Signatory
1. Please credit 50/- to your Branch Commission A/c No. 98353xxxxxx
2. Please note to write the Journal Number in all the challans.
3. Please feed the Enrollment No in ENROLL/ID/Ref No. Column and
Name of the Candidate in the menu while posting.
FOR CLARIFICATIONS PLEASE CONTACT KUSUMKHERA BRANCH (5100)
Amount in words : _____________________________________________
Signature of Student/Remitter
Enrollment No
Name of Student
Study Center Code
Mobile No
Programme Code / Year
Course Codes
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Head Amount Credit to
Fee
Bank's Charges
Total
98353xxxxxx
31505220503
Late Fee 31505220503
Note: To be attached with the Application Form
Branch Code Branch Code Branch Code
50 50 50
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only
Uttarakhand Open University
Fee Payment (Admission)
For Enrolled Students Only