![]() NETAJI SUBHAS OPEN UNIVERSITY DD-26, Sector-I, Salt Lake City, Kolkata - 700 064. APPLICATION FOR STUDENT ENROLMENT ACADEMIC YEAR : -1 |
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Application No : | Date : |
The Learner Support Centre (LSC) provisionally allotted as chosen by the applicant : | |||
LSC Code No : | Name : | ||
District : |
Programme Details as chosen by the applicant: | |||
Programme Name : | Under Graduate | Programme Code : | UG |
Stream : | Honours Subject : | ||
Preferred Mode for SLM : | |||
Applicant's Name, Address & Other Details | |||
Name : | |||
Gender : | |||
Category : | State of Domicile : | ||
Guardian's Name : | |||
Guardian's Relationship : | |||
Father's Name : | |||
Mother's Name : | |||
Spouse's Name : | |||
Permanent Address : | |||
Pin No : | |||
Communication Address : | |||
Pin No : | |||
Mobile No : | |||
Alternate Mobile No : | Email : | ||
Whatsapp No : | |||
Date of Birth (DD-MM-YYYY) : | |||
Marital Status : | |||
Whether Physically challenged : | Type of Disability : | ||
Applicant's Occupation : | |||
Defence & Security Forces : | Type : | ||
Whether belong to BPL : | |||
Monthly Income of the family : | |||
Aadhaar Card No : | |||
Nationality : | |||
Religion : | |||
Residential Area : | |||
ID Proof : | ID Proof No : | ||
Academic Bank of Credit (ABC) ID : | |||
Whether already registered in NSOU : |
Course Details as chosen by the applicant : | ||||||
Semester I | GE | GE 1 | AECC 1 | |||
Semester II | GE | GE 2 | AECC 2 | |||
Semester III | GE | GE 3 | SEC 1 | |||
Semester IV | GE | GE 4 | SEC 2 | |||
Semester V | DSC 1 | DSC 2 | ||||
Semester VI | DSC 3 | DSC 4 |
Academic Record : | ||||
10+2 Stream : | ||||
Examination Passed | Board/University | Year of Passing | Subject Studied | % of marks |
DECLARATION BY APPLICANT I hereby declare that I have read and understood the condition of eligibility for the programme for which I seek admission. I full fill the minimum eligibility criteria and I will provide necessary information in this regard. In the event of any information being found incorrect / false / misleading / forged contrary to my eligibility at any stage of admission or after admission or even after conferment of degree and thereafter any time in future, my admission as well as my degree will be cancelled by the University and I shall not be entitled to get refund of any fee paid to the University. I understand that my admission at respective Learner Support Centre will be provisional and will be guided in accordance to UGC approval vide File No. 30/22/2023 (DEB-II) dated 16.06.2023 and 05.12.2023. The University reserves the right to change / reallocate the Learner Support Centre chosen by the learners in order to regulate the admission in accordance with UGC order(s) if any. I understand that, the use of personal device ('devices' will include: laptops, netbooks, smart phones, IPods, IPads, tablets etc.) and internet connection may be required to participate in any academic activities if I get selected to take admission in any intended UG programme of Netaji Subhas Open University. I hereby allow Netaji Subhas Open University / its authorize Assignee to contact me through SMS / E-mail / Whatsapp at the mobile no., email and whatsapp no. (as provided by me during online admission) provided by me during or after completion of my study with respect to Admission / Renewal / Examination / other related information. I hereby declare that I have read and understood the Course Curriculum and SLM available in (version of SLM) of intending programme. After thorough understanding of Course Curriculum, SLM available in (version of SLM) and Mode of SLMs (E-SLM and/or Print SLM), I have provided my choice very carefully. I understand that, change of Subject / Programme / Course after completion of admission will not be entertained under any circumstances. I understand that, change in mode (Print SLM or E-SLM) of SLMs after completion of admission will not be entertained under any circumstances. Further, I hereby declare that I will abide by the Rules and Regulations of the University relating to admission, examination including publication of results, Personal Contact Programme (PCP), continuation of studentship, anti-ragging and other related Rules and Regulation. I understand that, the University reserves the right to alter, variate, amend, repeal and interpret any of theRules/Regulations relating to programmes of Study, Eligibility and Admission criteria including intake limit of Learners, Fee Structure and other related matters. I understand that, merely submission of admission form and causing appearance in the counselling for admission does not confer any right of admission to a particular programme unless found suitable in accordance with the eligibility criteria which may be altered, amended and/or variated from time to time in the event, such action is felt necessary by the University authority. I understand that, The University Authority reserves the right to fix the Schedule of Examination and reschedule the same with prior notice to learners through University Website and/or may employ any other mode which the University Authority may feel convenient in its discretion. REFUND POLICY : I hereby understand and agree that the University will refund fees to the applicants only for following reasons:- 1. If any applicant pays his/her requisite fees for admission twice (through Bank Challan / Payment Gateway) against same application ID. 2. If one applicant applies for two subjects inadvertently. |
Date : |
Full Signature of the Applicant |
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