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Last Date for Receipt of Application Form
By Hand : 07.05.2015
By Post : 09.05.2015
Roll No.
(To be assigned by the of fice)
HIMACHAL PRADESH UNIVERSITY BUSINESS SCHOOL,
SUMMER HILL, SHIMLA - 171005
APPLICATION FORM FOR ADMISSION TO MBA FOR THE SESSION 2015-2016
(SUBSIDIZED SC/ST SEATS)
(I)
University from which you have passed/pursuing graduation
(ii)
Domicile State
At tested copy
of photograph
be pasted
( Note : Column No. (I) & (ii) are compulsary )
(iii)
Category : Please see page no. 7 of the Hand Book of Information
(a)
Open General (SC/ST) of other State
(b)
SC/ST (only for Himachal Pradesh)
General
Sports
Cultural
Single Girl Child
Ward of HPU Employee
Tick the appropriate Box.
IMPORTANT NOTE: Forms without valid certificate for particular category will be treated in General category.
(iv)
(b)
Examination Centers (In Capital Let ters) (a)
in order of preference (see page no 7)
A Centre will be created only if more than 100 application opt for it.
TO BE FILLED BY THE OFFICE ONLY
Date of receipt of application __________________________________________________
ELIGIBLE
NOT ELIGIBLE
PROVISIONAL
Remarks : .........................................
PERSONAL DATA
1. Name (in Capital Let ters)
________________________________________
2. Father’s Name (in Capital Let ters)
________________________________________
3. Father’s Occupation
________________________________________
4. Permanent Home Address
________________________________________
________________________________________
5. Date of Birth (as per matriculation Certificate) ________________________________________
6. Student Contact No. & Email ID
________________________________________
7. Father’s /Mother’s Contact No
________________________________________
8.
Father’s/Guardian’s Annual Income
________________________________________
9.
Address for Correspondence
________________________________________
________________________________________
________________________________________
10. HP University Registration No.
________________________________________
11. Nationality
________________________________________
12. Educational Qualifications :
Examination
Stream
BA/B.Com/BCA
/BBA/B.Sc etc
Name of
School/College
Name of
University
Borad
Year of Total Marks
Passing obtained &
Out
Ma x. Marks
%&
Division
Matric
10+2
Name of
Bachelor Degree
Note: At tach all at tested copies of certificates
13. Have you ever been disqualified by any Board/University from appearing in any examination? if
so, give details:
DECLARATION BY THE APPLICANT AND THE GUARDIAN:
(a)
I declare that the entries made by me above are correct to the best of my knowledge.
I am conscious that if any of the entries are found to be incorrect, my admission is liable to
be cancelled.
(b)
I have read carefully the Handbook of Information and undertake to abide by the rules of
the University.
©
I hold muself responsible for payment of fees and other dues as per the schedule given in hte
handbook.
(d)
I was never disqualified in any examination.
(e)
I have gone through the rules and regulation regarding ragging and discipline of the University
and I hereby solemnly af firm that I will not indulge in any of ragging/indiscipline and that if
I am found guilty of such of fences as are covered under these rules, I will have no claim
against the order of the rustication/expulsion from the University.
Signature of the Parent/Guardian
Signature of the Applicant
Last Date for Receipt of Application Form
By Hand : 07.05.2015
By Post : 09.05.2015
Roll No.
(To be assigned by the of fice)
HIMACHAL PRADESH UNIVERSITY BUSINESS SCHOOL,
SUMMER HILL, SHIMLA - 171005
APPLICATION FORM FOR ADMISSION TO MBA FOR THE SESSION 2015-2016
(FOR NON-SUBSIDIZED CATEGORY STUDENTS)
At tested copy
of photograph
be pasted
Note : At tach at tested copies of testimonials.
TO BE FILLED BY THE OFFICE ONLY
Date of receipt of application
NOT ELIGIBLE
ELIGIBLE
PROVISIONAL
PERSONAL DATA
1. Name in Full (in Capital Let ters)
________________________________________
2. Father’s Name (in Capital Let ters)
________________________________________
Occupation
3. Permanent Home Address
________________________________________
________________________________________
________________________________________
________________________________________
4. Date of Birth (as per matriculation Certificate) ________________________________________
5. Father’s /Mother’s Contact No
________________________________________
6. Address of Correspondence
________________________________________
________________________________________
7. Student Contact No & Email ID
________________________________________
8. HP University Registration Number
________________________________________
9. Nationality
________________________________________
10. Educational Qualifications :
Examination
Stream
BA/B.Com/BCA
/BBA/B.Sc etc
Name of
School/College
Name of
University
Borad
Year of Total Marks
Passing obtained &
Out
Ma x. Marks
%&
Division
Matric
10+2
Name of
Bachelor Degree
Note: At tach all at tested copies of certificates
11. Have you ever been disqualified by any Board/University from appearing in any examination? if
so, give details:
DECLARATION BY THE APPLICANT AND THE GUARDIAN:
(a)
I declare that the entries made by me above are correct to the best of my knowledge.
I am conscious that if any of the entries are found to be incorrect, my admission is liable to
be cancelled.
(b)
I have read carefully the Handbook of Information and undertake to abide by the rules of
the University.
©
I hold muself responsible for payment of fees and other dues as per the schedule given in hte
handbook.
(d)
I was never disqualified in any examination.
(e)
I have gone through the rules and regulation regarding ragging and discipline of the University
and I hereby solemnly af firm that I will not indulge in any of ragging/indiscipline and that if
I am found guilty of such of fences as are covered under these rules, I will have no claim
against the order of the rustication/expulsion from the University.
Signature of the Parent/Guardian
Signature of the Applicant
Sr. No. ...................
HPU-MAT-2015
ADMIT-CARD
Roll No.
(To be assigned by the of fice)
HIMACHAL PRADESH UNIVERSITY BUSINESS SCHOOL
SHIMLA - 171005
Paste your duly
at tested latest
passport size
photograph here
The following candidate is permit ted to appear for the
HPU-MAT 2015-2016 as per details given below :Note :1.
To be filled up by the candidate.
Name : __________________________________________________________
Specimen signature of the Candidate :_______________________________
Name of the Examination Centers/
(where the candidate wants to appear
in order of preference) (I)_________________________ (ii) _______________
(Centre of exams: Shimla, Solan, Dharamshala, Hamirpur, Mandi, Una,
Palampur & Chandigarh).
Note : A Centre will be created only if more than 100 applicants opt for it.
FOR OFFICE USE ONLY
Examination Centre__________________________________________
DATE OF ENTRANCE TEST
Entry in Examination Hall
Test Duration
30-05-2015 (Saturday)
9.45 A.M.
10.00 A.M. to 12.00 Noon
Director
Note : The Roll Number is purely provisional subject to eligibility.
Roll No.
Sr. No. ...................
(To be assigned by the of fice)
HP UNIVERSITY BUSINESS SCHOOL
SUMMER HILL, SHIMLA
HPU-MAT-2015
Result-cum-Detailed Marks Card
(To be filled by the Candidates)
Name..............................................................................................................
Son/Daughter of Shri......................................................................................
(Not to be filled by the Candidate)
Marks obtained by you in HPU-MAT Entrance Test conducted by this
University on 30.05.2015 (Saturday)
Marks Obtained
Ma x. Marks
50
(Marks in words ..........................................................)
Shimla
Dated :
Prepare by
Checked By
Director
Note : This detailed marks card shows your performance in the test only. Final
eligibility for admission shall be subject to fulfillment of other requirements as
per Handbook of Information.
HP UNIVERSITY BUSINESS SCHOOL
SUMMER HILL, SHIMLA
HPU - MAT - 2015
Sr. No. ....................
IDENTIFICATION SHEET
Roll No. ........................
Name...........................................................................................
.....................................................................................................
(IN CAPITAL LETTERS)
Affix with gum your
duly attested recent
passport
Size Photograph here.
Father’s Name..............................................................................
Xeroxed copy of
photograph shall not
be accepted
Specimen Signatures...................................................................
(Signature of the candidate during Test)
(Signature of the invigilator)
IMPORTANT INSTRUCTIONS
1. Affix with GUM your Four latest attested passport size photographs at the
appropriate places. (Photocopies shall not be accepted).
2. Fill in the required information in every column accurately. Do not leave any
column blank. The information supplied by the candidate especially relating to
DATE OF BIRTH, GROUP, CATEGORY, DOMICILE, and ACADEMIC
QUALIFICATION shall be treated as final and no change shall be allowed to be
made in this regard at a later stage. The applications shall be scrutinized strictly
according to the information supplied by the candidate and the responsibility with
regard to the accuracy of the information shall lie with the candidate
himself/herself supplying the marks of qualifying examination required for
admission shall be the responsibility of the candidate.
3. The completed application form accompanied by the attested copies of
relevant certificate/documents, admit card, result card, identification sheet
and the demand draft for the requisite amount and three self-addressed
envelope with postage stamps for Rs. 6/- each.
4. The demand draft of Rs. 1,000 /- for General Category and Rs. 5,00/- for
SC/ST category should be in favor of Director, Himachal Pradesh University
Business School, Himachal Pradesh University, Summer Hill Shimla (H.P.)
171005 payable at Shimla only.
5. The original certificates and testimonials shall be seen only at the time of
interview for admission.
Note: THE APPLICATION FORMS WITHOUT THE REQUISITE FEE SHALL BE
SUMMARILY REJECTED.