Form No. En.No..
NALANDA OPEN UNIVERSITY
Biscomaun Bhawan, Gandhi Maidan, Patna–800 001
ADMISSION FORM, 2013
(For Ist year students of all courses)
Annexure–A
1. Name of the applicant in Block letters in
Roman Script (as per Matriculation
Certificate). Leave one blank space between
first, second and third name.
2. Name of the applicant in Devanagari script
3. Mother's Name
4. Father's Name/
Husband's Name
5. Permanent Address.
Tel. No. PIN
6. Address for Correspondence
Tel. No. PIN
Mobile No. E-mail
7. Name of the Programme/Course in which the admission is sought : .........................................................
8. Name of the Compulsory Subject : Hindi 100 Marks or 50 Marks Hindi and 50 Marks Urdu
(For Intermediate and Graduation only)
9. Name of the Optional/Subsidiary Subjects 1............................. 2 ........................... 3............................
(For Intermediate and Graduation only)
10. Name of the Language & Literature subject : Hindi or English
(For the Intermediate courses only)
11. Date of Birth : Date Month year
12. Gender (Male/Female) 13. Nationality 14. Religion
15. Gategory : SC/ST/BC-1/BC-II/WBC/Physically Handicapped/ General
16. Background (Urban/Rural/Tribal) 17. Marital Status (Married/ Unmarried)
18. Status (Empolyed / Unemployed 19. Choice of Language of SLM is needed
(See para 10 of Prospectus)
Affix
Coloured
Photograph
of
3 cm × 4 cm

Signature of the candidate In English
21. Educational Qualifications : (Matriculation Onwards)
Name of the Div./Class Percentage of Year of Name of the Name of the
Examination Passed awarded Marks Passing College/School Board University
22. Specify any other qualification : .................................................................
DECLARATION BY THE APPLICANT
I...............................................................(Name) hereby declare that I have read and understood the
condition of eligibility of the course for which I seek admission. I declare that I fulfil the minimum eligibility criteria and have provided the required information in this regard in the admission form. In the event of any information being found incorrect or misleading, my candidature shall be liable to be cancelled by the University at any time and I shall not be entitled to refund of any fee paid by me to the University.
I also declare that I have not taken admission simultaneously in any other course during the same session of the Nalanda Open University or any other institution.
I enclose Bank Draft No. Demand Draft. No. Date Amount Name of the Bank
Signature of the Candidate
FOR OFFICE USE
ELIGIBLE : Admit in.................................................................................Course/NOT ELIGIBLE : Rejected
Enrolment No. :
Signature of in-Charge Admission
( ii )
NALANDA OPEN UNIVERSITY
EXAMINATION APPLICATION FORM
Sir,
I request you for permission to appear at the - - - - - - - - - - - - - - - - - - - - - - - - - - -
Examination to be held in - - - - - - - - - - - - - - - , 20- - - - - .
I am required to be examined in the following subjects (Mention name of Subjects/Paper) :
1. - - - - - - - - - - - - - - - - - - - - - - - - - - - 2. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3.- - - - - - - - - - - - - - - - - - - - - - - - - - - 4. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5.- - - - - - - - - - - - - - - - - - - - - - - - - - - - 6. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7.- - - - - - - - - - - - - - - - - - - - - - - - - - - - 8. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1. Name in Full (in Roman Script)
(Block Letters only)
3. Enrolment No.
4. Registration No. Year of Registration
5. Session of Study
6. Permanent Address
7. Correspondence Address
Annexure—B
Stamp Size
coloured
Photo of
3 cm x 4 cm
RECEIPT
Received Examination Form from Mr./Miss/Mrs. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
Enrolment No. . . .. . . . . . . . . . . . on (date). . . . .. . . . . . . . . . . . . Time . . . .. . . . . . . . . . . . . . .
Singnature of Receiving Officer
(mention name of the course)
(Signature of the Student)
( iii )
Tel. No. PIN
Signature of Verifying Officer
Tel. No. PIN
Signature of the Student
(FOR ALL STUDETNS OF ALL YEARS)
For the Year–2014
1. Examination Application Form
2. Examination Application Form(Enrolment Number),(Registration Number)
3. Admit Card
4. [3 cm × 4 cm coloured photo
Coloured Photographs
6. Admit Card
( iv )
Annexure—C
Nalanda Open University
2nd, 3rd, & 4th Floors, Biscomaun Bhawan, Patna
CHECK LIST
Students must check that they have collected the following items and papers after taking Admission :
1. Money Receipt
2. Registration Slip
3. Identity Card
4. Admit Card for Examination
5. Bag containing Self Learning Material (SLM) of all papers.
6. Assignment Answer Books
7. Assignment Questions
8. Envelops for Assignment Answer Books
(Signature of the Student) (Signature of the Office Assistant)

ANNEXURE–D
Nalanda Open University
2nd, 3rd, & 4th Floors, Biscomaun Bhawan, Patna
CHECK LIST
Students must check that they have collected the following items and papers after taking Admission :
1. Money Receipt
2. Registration Slip
3. Identity Card
4. Admit Card for Examination
5. Bag containing Self Learning Material (SLM) of all papers.
6. Assignment Answer Books
7. Assignment Questions
8. Envelops for Assignment Answer Books
( vi )
(Signature of the Student) (Signature of the Office Assistant)