DEVI AHILYA VISHWAVIDYALAYA, INDORE

Price Rs: 400/-
DEVI AHILYA VISHWAVIDYALAYA, INDORE
Website: www.dauniv.ac.in
Admission into University Department/School/ Institute
APPLICATION FORM FOR
M.Sc./M.A./ B.S.W/M.S.W./ M.LISc./ B.LISc./ M.Ed./ B.P.E./ M.P.Ed./M.B.A.(C.M.)
Attested
Photo
ACADEMIC SESSION 20…..
Department/ School/Institute ………………………………………………
Course/Program ……………………………………………………………
1. Applicant’s Name (in Hindi) ……………………………………………………..........
(in English)……………………………………………………...........
2.. Date of Birth ………………………………………………………………................
Domicile of M.P.: Yes / No
(if yes, attach photocopy of proof)
Category- Unreserved/ SC/ST/OBC/PF/FF ……………………………...........................
(Attach Photocopy of proof except Unreserved)
Sex: Male/Female ………………………………………………………………………..
Blood Group ……………………………………………………………………………..
3. Applicant’s Address
(a) Permanent ……………………………………………………………...........
………………………………………………………………...........
………………………………………………………………...........
(b) Address for correspondence
. ..…………………………………………………………...........
………………………………………………………………...........
………………………………………………………………...........
Phone (if any) ………………………………………………………………..................
E- mail (if any) ……………………………………………………………….................
4. Enrollment Number of DAVV (if applicable)……………………………………..
5. Nationality ………………………………………………………………………..........
6. Name of Father / Guardian/ Husband ……………………………………….............
7. Name of Mother …………………………………………………………………..........
8. Yearly Income of Parents Rs. ……………………………………………….............
9. Education qualifications (Enclose attested copies)
Class
Board/University
Year
Division
NSS
Yes/No
NCC
% of Marks /
Grades
Subjects
Yes/No
Participation in Co-curricular Activities
Any other information
Date
(Signature of Applicant)
Parents /Guardian Declaration
I, Father/ Mother / Guardian of …………………………………………….who is seeking
admission in Department /School / Institute of ……………….......................................
declared that my ward will act as per rules of the University, Program, Department
etc. and not involved in any antisocial activities /ragging. We know that ragging is
totally banned in the Institute. It is a cognizable offence. If my ward is found
indulged in any type of ragging /in disciplinary activity, he/she will be punished by
the Institute as per the rules of the University. I take complete responsibility of
his/her overall conduct in the University, Department and class.
Date
(Signature of Applicant )
(Signature of Parents/Guardian )
________________________________________________________________________
Instruction for filling the Application Form:
1. The candidate is advised to apply for admission only if he/she fulfills the
eligibility requirements.
2. Application Form is downloaded from the website www.dauniv.ac.in
send the complete form to respective school of studies and draft of Rs. 400/- in
favor of The Registrar, Devi Ahilya Vishwavidyalaya, Indore payable at Indore.
In case the candidate belongs to SC/ST category the demand draft will be of Rs.
250/- only.