For Office Use only

Application No: 60023039/PLMM

ALIGARH MUSLIM UNIVERSITY

ONLINE PAYMENT

Session: 2018 - 2019 Do not send/submit

Application Form for Admission to the PDF copy of
the Application
M.A. (Political Science) /M.A. (Public Administration) /M.A. (Human Rights) Form
Faculty of Social Sciences

Bank: 1170, CR No./Online Txn No.: 478598860, Date: 2018-03-22 03:44:19, Amount: 400 Nationality: INDIAN

__________________________________________________________________________________________________

Preference for Test Centres:

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1. Aligarh 2. Aligarh
Personal Details:
__________________________________________________________________________________________________
ONLINE PAYMENT

Name: HANNAN ALI Father's Name: ABDUL HASIM

Date of Birth: 11-02-1996 Mother's Name: RUMESA KHATUN
Gender: MALE
Religion: Islam

Details of Qualifying Examination: Status & Special Categories:

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Examination: UNDER GRADUATE DEGREE Status: External
Enrolment No.:
Roll No.: A-15307 0071
Hall: NA
Year of Passing/Appearing: 2018 Special Categories: 1. NA 2. NA 3. NA
Board/Univ.: 272
Marks Obt./Max. Marks: 0/0
Remarks (if any): NA
Documents to be kept ready if selected for Interview/Admission/Chance Memo
5. Documents in support of Internal
1. ______________________________ Status/Spcl. Categ., if claimed
ONLINE PAYMENT

2. Self Attested copy of HS/SS Certificate 6. Copy of document(s), if rusticated/debarred

in support of date of Birth or convicted by a court of law
Copies of Marksheets/Grade Sheets of all previous Examinations
3. passed/appeared including parts therein after passing High School 7. ________________________________________

4. If employed, copy of No Objection 8. ________________________________________

Certificate from the employer
* Attach latest Marksheet/Document(s) in support, failing which your claim will be rejected

Permanent Address: Address for Correspondence:

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Address: VILL-GERJAIPAM , PO-GERJAIPAM Address: VILL-GERJAIPAM , PO-GERJAIPAM
PS-KACHUA PS-KACHUA
NAGAON - 782426(AS) NAGAON - 782426(AS)

Phone 1: 7663800243 Phone 2: 9101914968 Email ID: alihannan1996@gmail.com

Is hostel accommodation required? YES (Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel)
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DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic
Council & other appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions
& Supplement - M and solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief
INE PAYMENT

and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me.

Application No: 60023039/PLMM

__________________________
Signature of the Candidate
Left Hand Thumb Impression (for All candidates)
 For Office Use only

ALIGARH MUSLIM UNIVERSITY

Session: 2018 - 2019
Hall Ticket Affix the same
Photograph as you
have uploaded in
the Application Form
M.A. (Political Science) /M.A. (Public Administration) /M.A. (Human Rights)
Faculty of Social Sciences

Roll No. : 0

Personal Details:
Name: HANNAN ALI Transaction ID: 60023039/PLMM
Father's Name: ABDUL HASIM
Mother's Name: RUMESA KHATUN

Test Centre Name/Code : .............................................. Signature of Candidate : ................................................

Test Date & Time : ____/____/__________ Name & Signature of Invigilator : ...................................