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SCHOOL OF DISTANCE LEARNING AND CONTINUING EDUCATION
Price : Rs.500/-
(Admission form fee) KAKATIYA UNIVERSITY, Warangal 506 009 (AP) India
ADMISSION-2013-14
APPLICATION FORM FOR ADMISSION TO MBA (DM) 2 Year PROGRAMME

Latest passport size photograph ICET Hall Ticket No. Rank
to be affixed
Bank DD No. . . . . . . . . . . . . . . . . Dt. . . . . . . . . . . . for Rs. 500/- drawn in favour of the Director, SDLCE, KU, Warangal Name and Address of the Bank issuing the DD : . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
1. Name of the Applicant in full ( in Block letters) 2. Name of the Parent/Husband 3. Address for communication (in Block letters)
4. Date of Birth Phone No. (Enclose attested Certificate)
Mobile
5. Gender Male Female
6. Category SC ST BC Minority Physically OTHERS Challenged
7. Details of Qualifying Examination passed.
8. Work Experience (If any) I hereby declare that the particulars filled by me are correct to the best of my knowledge and will be supported by Original documents when called for. I have carefully gone through the instructions and have become fully conversant with the eligibility criteria.
Signature of the Candidate
9. ENCLOSURES TO THE APPLICATION FORM
The following documents must be attached with the Application form.
Any lapse in this connection may result in delay in finalization of the Admission and / or rejection of the
application.
a) Rs. 500/- Demand Draft in favour of the Director, SDLCE, Kakatiya University, Warangal payable at
WARANGAL.
b) All the demand drafts should be taken from SBH / SBI and Andhra Bank only.
c) S.S.C., Intermediate and Under-graduation Degree Certificate Xerox copies.
d) Xerox copy of the Marks Memo of Qualifying Under-graduation examination
e) ICET-2012 or 2013 Rank Card Xerox copy.
f) ICET-2012 or 2013 Hall ticket Xerox copy.
g) One self addressed stamped envelope 4 x 10
h) Filled in application form shall be sent to ‘The Director, SDLCE, Kakatiya University,
Warangal 506 009 (AP) India” on or before 24-12-2013
NOTE : Original certificates are to be produced at the time of admission.
U N D E R T A K I N G
I S/o. D/o. here
by undertake to abide by the rules, regulations stipulated by SDLCE, Kakatiya University, Warangal and I am
aware that the legal jurisdiction in respect of all legal matters arising out of my admission for any matter such as admission / issue of course material / hall ticket / declaration of result and issue of marks memorandum / provisional certificate / original, degree certificate etc. or any other issues, is restricted to Warangal. I further agree
that the courts / consumer forums outside of WARANGAL will have no jurisdiction. I further, state that I shall abide by the regulations of the Kakatiya University issued from time to time during the course of my study.
I also declare and state that all the particulars furnished in the admission form are true and correct to the best of my knowledge and if any information is found to be contrary to the rules, my admission shall stand cancelled and I am liable for penal action as the SDLCE, Kakatiya University, Warangal deems fit. As such, I will not have any claims for refund of fees.
Place :
Date : Signature of the Applicant