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6. FEE DETAILS

Bank TR/JR No.

TR/JR No.Date Amount*

(Including Late Fee)

Issuing Bank

*Rs. 100/- Extra (Admission form charges) for downloaded/Emailed form

1 - English

2 - Hindi

1. Scholar No. (For office use only) (Leave Blank)

7. Name of Applicant (Leave one empty box between First Name, Middle Name and Surname)

8. Fathers Name of Applicant

9. Mothers Name of Applicant

10. Address for Correspondence (Leave one empty box between each unit of Address like House No., Street Name, Post etc.)

11. Tehsil 12. District

13. State 14. Pin Code 15. Mobile No. (for SMS Alerts)

16. Medium of Study 17. Gender 18. Category 19. Domicile 20. Nationality 21. Person with Disability

22. Religion 23. Special Category 24. Marital Status 25. Employment Status

26. SUBJECT OPTION :

B.A./B.Com. Students are required to fill in three optional (elective) subjects. B.Sc. students are required to select any one of the optional (elective) subject

group. B.Ed. students are required to select any one of the optional (elective) subject group. B.Ed. students are required to select any two optional (Teaching)

subject. Refer to the prospectus for details.

1. _________________________________________________________________________________________________

2. _________________________________________________________________________________________________

3. _________________________________________________________________________________________________

VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA (Formerly Kota Open University, Kota)

RAWATBHATA ROAD, KOTA (RAJ.) 324021

APPLICATION FORM FOR ADMISSION

SESSION JANUARY / JULY 20___ (Please fill according to Guidelines attached)

ADMISSION FORM

Serial No.

Application No.

2. Programme Code

3. Regional Centre 4.Study Centre Code

PHOTOGRAPH

Affix your latest passport size

photograph

SIGNATURE

Put your Signature within the

box given below

5. Date of Birth (DD/MM/YYYY)

(Attach Certificate) / /

/ /

1 - Male

2 - Female

3 - Third Gender

1 - General 4 - OBC

2 - SC 5 - SBC

3 - ST 6 - Any other

1 - Indian

2 - Others

1 - Urban

2 - Rural

1 - Loco motor 4 Mental Retardation

2 - Low Vision 5 Mental Illness

3 - Hearing 6 Multiple Disability

1 - Hindu 4 - Christian 7- Parsi

2 - Muslim 5 - Jain 8 - Jews

3 - Sikh 6 - Budhist 9 - Others

1 - Ex-Serviceman 4 - Not applicable

2 - Kashmiri Migrant

3 - War-Widow

1 - Married 4 - Divorcee

2 - Unmarried

3 - Widow

1 - Employed

2 - Unemployed

3 - VMOU Employee/Wards

27.COURSE OPTION :

Write the Course Code and Credit in relevant box. Refer to the prospectus for details.

28. Relevant Qualifications (Which makes you eligible for the programme)

29. Experience in related field (In years)

30. Declaration by Applicant

DECLARATION BY APPLICANT I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek admission. I fulfill the minimum eligibility

criteria and I have provided necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be

liable to cancellation by the University at any time and I shall not be entitled to refund of any fee paid by me to the University. Further, I have carefully read and

understood the rules of the University as printed in the Prospectus and I accept them and shall not raise any dispute in the future over the same rule.

Date :__________________

Place :__________________

Full Signature of the Applicant

Checklist (Please tick in relevant box)

Photograph and self signature in appropriate Box

Challan for Programme fee with Name & Form No. overleaf

Attested Certificates and Mark sheets of relevant qualifications

Age Certificate

Experience Certificate (Wherever Applicable)

Category Certificate

Physically Handicapped Certificate

Widow/Divorcee Certificate

Ex-Service man/Kashmir migrant/War widow Certificate

Examination form

MBA student should attach entrance test score card

For office use only

Form checked, found Eligible/Not Eligible for Admission.

Signature : Dealing Assistant Section Officer Regional Director

Emp. Code :

S.No. Course Code Credit


8

9

10

11

12

13 6

5

4

3

2

1

7 14

EXAMINATION PASSED Board/University

01 - Middle/8th

02 - Matriculation/SSC/10th

03 - Intermediate/HSC/10+2/Equivalent

04 - Diploma in Engineering

05 - Graduation in Engineering Year of Passing Division/Grade Marks Obtained Total Marks Percentage

06 - Graduation (Three Year Degree)

07 - Post Graduation in Engineering

08 - Post Graduation or Equivalent Subjects (Leave one box empty between each subject)

09 - MBBS/BHMS/BAMS/BPT/B.Sc.Nursing

10 - BAP/BCP/BSCP from VMOU

11 - No formal Qualification but have

attained 18 years of age

INSTRUCTIONS Fill up separate form for due papers/courses of various Examinations.

Write in CAPITAL LETTERS only within the box. Please read carefully the instructions given overleaf before filling up the form.

++++++++++

8. Name of the Candidate (Leave one empty box between First Name, Middle Name and Surname)

9. Address for Correspondence (Leave one empty box between each unit of Address like House No., Street Name, Post etc.)

10. City 11. District

12. State 13. Pin Code 14. Mobile No. (for SMS Alerts)

15. COURSE OPTION :

Course Codes for which appearing for the first time or failed in the earlier TEE including Practical Courses. Examination fee schedule and Instructions are given overleaf. A

Student shall not be allowed to appear in an examination for more than 54 Credits in Bachelors Degree Programme(s) and 56 Credits in Master Degree Programme (s).

Fees will be deposited in account of VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA.

16. FEE DETAILS (Only to be paid by defaulter students for Due Papers)

Bank TR/JR No. Total No. of Courses Amount Rs.

TR/JR No. Date

Challan Amount

\

Issuing Bank

VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA (Formerly Kota Open University, Kota)

EXAMINATION SECTION

RAWATBHATA ROAD, KOTA (RAJ.) 324021

Term End Examination June / December 20____

EXAMINATION FORM

Serial No.

Control No.

1. Scholar No.

(New admission leave blank)

2. Programme Code

3. Regional Centre Code 4. Study Centre Code

5. Examination Centre City (Fill your Choice)

6. Medium of Examination (HINDI/ENGLISH/Any other permitted language)

7. Examination Centre Code (Leave Blank, To be allotted by Examination Section)

PHOTOGRAPH

Affix your latest passport size

photograph

SIGNATURE

Put your Signature within the

box given below



8

9

10

11

12

13 6

5

4

3

2

1

/

7 14

Theory Courses

Practical Courses

LATE FEE

TOTAL FEE

X

/

X

DETAILS FOR SUBMISSION OF EXAMINATION FORM

Students For JUNE TEE* FEE For DECEMBER TEE* FEE WHERE TO SUBMIT

Regular With Admission Form Nil With Admission Form Nil Concerned Regional Centre

Defaulter 1 April to 30 April Without Late Fee 1 October to 31 October Without Late Fee Controller of Examination, VMOU,

Rawat Bhata Road, Kota 324021 (Raj.) 1 May to 10 May With Late Fee 1 November to 10 November With Late Fee

*Term End Examination

SCHEDULE OF EXAMINATION FEE

PROGRAMMES FEE LATE FEE BAP/BCP/BScP

Certificate

Diploma

Bachelor Degree

100/- (Per Course/Paper)


P.G. Diploma

Master Degree

Management



EXAMINATION CENTRES

RC Code Regional Centre City 1 AJMER Ajmer, Bhilwara, Niwai, Beawer

2 BIKANER Bikaner, Suratgarh*, Sriganganagar, Hanumangarh

3 JAIPUR Jaipur,Itarna (Alwar)*, Dausa, Rajgarh, Dholpur,

Jhunjhunu, Sikar, Alwar, Neem Ka Thana, Bharatpur, Kotputli, Chomu

4 JODHPUR Jodhpur, Barmer , Pali, Falna, Jaiselmer, Jalor, Balotra, Sirohi

5 KOTA Kota, Bundi, Baran, Sawai Madhopur, Chhabra, Jhalawar, Karauli

6 UDAIPUR Udaipur, Dungarpur, Banswara, Nathdwara, Pratapgarh, Chittorgarh, Sajjangarh

*Exam Centre Suratgarh and Itarna (Alwar) is reserved for Defence personnel and their dependents

*DLIS & BLIS Exam will be held at scheduled Exam centers under concerned Regional Centre

INSTRUCTIONS FOR FILLING UP THE EXAMINATION FORM 1. Please write correct course code(s) as indicated in Prospectus, failing which the course(s) will not be included in the Permission Letter and Hall Ticket for

appearing in Examination.

2. In case wrong/invalid course code is mentioned in examination form, the course will not be included in the Permission letter and Hall Ticket and the

examination fee will not be refunded.

3. Defaulter student should fill separate form for Due papers of various Examination.

4. Please send the examination form by Registered/Speed Post and retain the proof of its mailing till you receive the Hall Ticket.

5. Term End Examination result is also available on the University website (www.vmou.ac.in or www.vmouonline.in). Please see the result status before filling

examination form.

6. It is advised to enclose/forward only the Examination Fee along with this form. Any other fee forwarded with this form will result in rejection of the

examination form.

7. Examination form received without examination fee or late fee (if applicable) will similarly be rejected.

8. A Student shall not be allowed to appear in an examination for more than 54 Credits in Bachelors Degree Programme and 56 Credits in Master Degree

Programme.

9. Fees will be deposited in the account of VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA.

10. Examination Permission letter/Hall Ticket should be downloaded from the University website, One week before the commencement of examination.

Student should report at the Examination Centre with VMOU Identity Card.

11. University reserves the right to change the Examination Centre.

12. Change of Examination Centre, once allotted is not permissible under any circumstances.

DECLARATION BY STUDENT I hereby declare that I have read and understood the instructions given above. I also affirm that I shall submit all the required number of assignments as

applicable for the course(s) filled in the examination form and that my registration for the course(s) is valid and not time barred. If any of my statements is found

to be untrue, I shall have no claim for taking examination. I undertake that I shall abide by the rules and regulations of the University.

Date :__________________

Place :__________________ Full Signature of the Student

Checklist (Please tick in relevant box)

Challan for Examination fee.

Photograph & Signature in appropriate box.

Full Signature with Date & Place in DECLARATION BOX.

For office use only

Form checked, found Eligible/Not Eligible for Term End Examination

Signature : Dealing Assistant Section Officer Assistant Registrar

Emp. Code :

130

Guidelines for filling in the Application Form for Admission(Deposit the fee through Challan Only, Demand Draft will not be entertained)

Please fill up the form in English only and submit the same, in person or by post along with copies of

attested certificates, to your Regional Centre, so as to reach on or before the prescribed last date.

Incomplete application form and those received after the last date will be rejected.

Here are some specific instructions that will help you in filling in the application form. The instructions

are aimed at getting correct and accurate information from you so that you do not face problems

while filling it.

Instructions for filling in of Admission Application Form:-

1. Leave this column blank. Scholar number will be filled in by the University Office.

2. For the programme code of the selected programme, refer to the relevant pages of your

prospectus.

3. Fill the name of the nearest Regional Centre, refer to the prospectus.

4. Fill the study centre code of the selected Regional centre, refer to the prospectus.

5. Fill your date of Birth in given format i.e. DD/MM/YY

6. Fill your relevant fee details (JR/TR no.; JR/TR No. Date; Issuing Bank; amount)

7. To fill your name see the correct format: for example, if your name is Kaushal Sharma then

write each alphabet separately in CAPITAL LETTERS in the box provided for and leave a

gap for clarity.

8. Please write your Fathers name in CAPITAL LETTERS . Married women are also required

to write their Fathers name. For example if the Fathers name is Jagdish Prasad Sharma,

then write it in the following format:

9. Please write Mothers name in English in the boxes in the format mentioned above in the

similar way. Use only CAPITAL LETTERS.

10. Fill in your address for correspondence where you would like to receive your study material

and all other letters. Do not repeat your name and fathers name here.

11. Fill the name of your City.

12. Fill the name of your District.

13. Fill the name of your State.

14. Fill in the correct Pin Code.

15. Fill your 10 digit mobile number.

1 2 / 0 5 / 1 9 8 7

J A G D I S H P A R S A D S H A R M A

K A U S H A L S H A R M A

131

16. For serial number 16-25 fill the relevant numeric code in the box. For example for English

write 1 and for Hindi write 2.(follow the same for all)

26. Students of B.A./B.Com./B.Sc. are required to fill in three optional (elective) subjects. B.A./

B.Sc. Students are required to select as per the optional (elective) subject groups. B.Ed.

students are required to select any 2 optional teaching subject

27. The candidate should fill up the relevant Course Code and Credit in the relevant box.

Refer to the prospectus for details

28. Please fill in relevant numeric code of the highest examination passed and fill the details of

required information of the examination passed. Please attach relevant Photocopies (duly

attested) of the mark sheet pertaining to Secondary, Senior Secondary and Graduation/ Post

Graduation whichever is applicable.

29. Fill in the relevant detail (wherever it is applicable) of experience.

30. Declaration by the Applicant should be filled and signed by the applicant himself/herself with

date and place.

Checklist: Before submission of form, check the whole form and tick all the attached documents.

Checklist (Please tick d c in relevant box)

Photograph and self signature in appropriate Box

Challan for Programme fee with Name & Form No. overleaf

Attested Certificates and Mark sheets of relevant qualifications

Age Certificate

Experience Certificate (Wherever applicable)

Category Certificate

Physically Handicapped Certificate

Widow/Divorcee Certificate

Ex-Service man/Kashmir migrant/War widow Certificate

Examination form

MBA student should attach entrance test score card

132

1 2 / 0 5 / 1 9 8 7

J A G D I S H P A R S A D S H A R M A

d vj c

H H

H

H

d

c

!

K A U S H A L S H A R M A

133

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d c d

c

H H

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d G

c

d c

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d c !

d d c !

H

d! c

d! c

d! c

d! c

Axis BankBranch......................................

A/C No. :913020025097530

Axis BankBranch......................................

Axis BankBranch......................................

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address

5.Fees Amount Rs. ........Words............................Fees Detail(a)Course Fee

(b)Exam Fee(c)Late Fee

(d)Pr Fee(e)Other Fee

at. Exam

Total Fees

6.Scholar No.

7.Mobile No.

Date Signature of Student

Bank Stamp

Note:- 1. Student can deposit the programme fee in any of the bankbranches in Rajasthan.

2. Fee once deposited will not be refunded.

Vardhaman Mahaveer Open University, Kota

Regional Centre of Student (Please Tick) : Jaipur/Ajmer/Jodhpur/Udaipur/Bikaner/Kota

Session: January/July 201....

Rawatbhata Road, Kota-324021

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address




at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address




at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







First Copy - Student Copy Second Copy - University Copy Third Copy - Bank Copy

A/C No. :913020025097530 A/C No. :913020025097530

Branch......................................

Oriental Bank of CommerceBranch......................................

Oriental Bank of CommerceBranch......................................

Oriental Bank of Commerce

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address

5.Fees Amount Rs. ........Words............................Fees Detail(a)Course Fee (b)Exam Fee(c)Late Fee(d)Pr Fee(e)Other Fee

at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







First Copy - Student Copy

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address


at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







Second Copy - University Copy

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address


at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







Third Copy - Bank Copy

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address


at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







First Copy - Student Copy

State Bank of Bikaner & JaipurBranch: ..............................

TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address


at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







Second Copy - University Copy


TR/JR No. of Bank

1.Programme Name

2.Student Name

3.Father's Name

4.Address


at. Exam

Total Fees

6.Scholar No.

7.Mobile No.


Bank Stamp







Third Copy - Bank Copy


A/C No. : 61187836446A/C No. : 61187836446 A/C No. : 61187836446 A/C No. : 61187836446

vardhman

Documents

kota open university

programme code

applicant declaration

course code

application form

admission form serial

relevant box

subject option