KRISHNA UNIVERSITY
MACHILIPATNAM - 521 001
DIRECTORATE OF ADMISSIONS
APPLICATION FOR ADMISSION INTO P.G. COURSES OFFERED BY KRISHNA UNIVERSITY,
Dr. MRAR KRISHNA UNIVERSITY P.G. CENTRE NUZIVID &
COLLEGES AFFILIATED TO KRISHNA UNIVERSITY, MACHILIPATNAM
FOR THE ACADEMIC YEAR 2012 - 2013
APPLICATION FORM
(To be filled by the candidate)

Note: 1) The applicant should go through the Admissions Information Brochure for Rules, Regulations
& Instructions before filling this form in English.
2) Separate application is to be submitted for each test/course
Subject Code: Subject Name:
To be filled by the candidates appearing for the entrance test only
Test No. Test Name:
Test Centre opted: (Put a
mark)
1. Name of the Applicant (in Capital Letters)
as entered in the qualifying examination
2. Name of the Father/Mother
(Guardian if parents not alive)
3. Sex (Put a
mark) Male Female
4. Date of Birth 1 9
5. Residential status (Put a
mark) Local Non - local Others (specify)
6. Reservation Category (Put a
mark)
7. Special Reservation category (Put a
mark)
Note: VH: Visually Handicapped, HI: Hearing Impaired, OH: Orthopaedically Handicapped , IN: International, N: National, RDP: Republic Day Parade,
IU: Inter University. CAP: 1,2,3,4 indicate priorities as given in the certificate issued by district sainik Welfare Officer
8. Details of the Qualifying Examination
Center No. Name Center No. Name Center No. Name
9. Subjects studied and Marks Secured First Second
in the qualifying examination Language Language
Optional Subjects: i) ii) iii)
Give particulars of study of other courses like B. Tech., P.G., B. Ed., B.L. / L.L.B. in the space given below.
11. Address for Communication in Block Letters
Pin Code ___________
DECLARATION
I hereby solemnly and sincerely affirm and state that the statements made and information furnished by me in this application form and also in the enclosures herein submitted by me are true and correct. I have not suppressed any information. However, if it is found that any information furnished herein is fraudulent, incorrect or untrue in material particulars, I realize that I am liable to criminal prosecution and also I agree to forego my admission. I am also fully aware of the rules, regulations and Instructions of the admissions.
Signature of Parent or Guardian Signature of the Applicant
__________________________________________________________________________________________________________
FOR OFFICE USE ONLY
Rank obtained: Allotted to
Reservation Category
Admission Recommended / Rejected
Signature of the recommending authority Signature of the admitting authority
IInd Year
ENGLISH
IIIrd Year
Marks
Obtained
Maximum
Marks
Marks
Obtained
Maximum
Marks
Subject 1
Marks
Obtained
Maximum
Marks
Subject 2
Marks
Obtained
Maximum
Marks
Subject 3
Marks
Obtained
Maximum
Marks
IInd Year
Ist
Year
10. Qualifying Examination Code :
GRAND
TOTAL :
2nd LANGUAGE
Students passed from Autonomous Institutions should enter marks obtained in the final Examination only
(excluding internal assessment marks)
Note : B.Com/B.L./B.Tech/B.Ed student should fill Group and Grand Totals Only
Code Code Code
MAX.
GRAND
TOTAL :
GROUP
TOTAL :
MAX.
GROUP
TOTAL :
Code
IstYear
TOTAL : TOTAL :
12. Phone. No. STD Code :__________Phone : _________________________
Email ID. : _______________________