Professional Documents
Culture Documents
FACULTY OF MEDICINE
Bank: STATE BANK OF INDIA, DD/CR No.: 526356, Date: 2011-03-23, Amount: 350 Nationality: INDIAN
Course(s) Studied/Studying other than Qualifying Examination (Starting from the latest):
__________________________________________________________________________________________________
Course Yr. of Passing/Appearing Board/Univ. Roll No.
AISSE 2009 CBS 5228896
__________________________
Thumb Impression Signature of the Candidate
Male: Left Thumb, Female: Right Thumb
List of enclosures attached with the Application Form: FOR OFFICE USE ONLY
5. Copy of documents in support of Special Categories clamied, if any Identity & Original Documents Verified
The candidate is eligible/not eligible for admission to
6. Copy of document(s), if rusticated/debarred or convicted by a court of law ____________________________________
7. ________________________________________ Remarks ____________________________
8. ________________________________________
Verifying Officer ____________________
Hall Allotted:
Dept. of ___________________________
Date ____________________
Clearance by Proctor DSW
Thumb Impression
Male(Left Thumb)/Female(Right Thumb)
Specimen Signature of the candidate
To,
DEPUTY CONTROLLER (ADMISSIONS)
ADMISSION SECTION, AMU,
ALIGARH - 202002 (UP)
From:
Name: MOHD AQUIB FAROOQUI
Address: 504,A/1 AZAD NAGAR NEAR RELIAN
CE TOWER BANDA
BANDA - 210001(UP)
Tel./Mobile: 9628596989
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Aligarh Muslim University
CANDIDATE'S SLIP
(Keep this Slip with you for future reference)
Course Applied for: M.B.B.S./B.D.S.
Transaction ID: 8228466/MBBS Test Date: 29.5.2011
Password: 1993-05-01
_______________________________________________________________________________
INSTRUCTIONS
1. Please ensure that you have appended Photographs, Thumb Impression and Signature at the designated places on
the Application form.
Note: a) Use identical good quality color photographs taken not earlier than 3 months. The photographs should be taken preferably
wearing dark clothes on a white background.
b) Your Thumb Impression & Signature establish your identity hence, do not merely write your name in capital letters.
2. You must Ensure that all the documents along with Demand Draft/Cash Receipt is attached with the Application
Form.
Note: Demand Draft (valid for 6 months) of the requisite amount should be drawn in favor of FINANCE OFFICER, AMU, payable at
Aligarh.
3. You must NOT make any type of correction(s) / modification(s) on the Application Form else your candidature may be
rejected.
4. Paste the ‘POSTAL SLIP’ given above on the A-4 size Envelope containing the Application Form and send it on the
Pre-Printed Address.
5. Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with necessary
updates regarding the status of your Application Form/Admission Test results etc.