Faculty of Interdisciplinary Studies, Law & Management
Online submission of application(s) for admission to M.A. in Journalism & Mass communication: 2019-2020
All the fields marked with asterisk ( * ) are mandatory.
Personal information
 Surname  First Name*  Middle Name
 Address in full
(i) Permanent address*
 Phone no.
 (ii) Present address  Phone no.
 Gender*  Father's  Name*  Mother's Name*
 Name of the guardian  Guardian's Phone no.
 Relationship with the guardian Occupation of father/mother/guardian
Applicant's annual family income
 Date of birth*  Mother tongue  Nationality
 Place of birth  District*
 E-mail  Minority*  Physically disabled*
 Category* Registration No. of Graduation*  

Record of complete academic career starting from secondary or equivalent
Examination passed
Full Name of school/college*
Name of board/university*
Combination of Subjects*
Marks obtained*
Percentage of marks*
Year of passing*
Secondary or equivalent*
Higher Secondary or equivalent*
B.A/ B.Sc./B.E./B.Tech. or equivalent*

Other information
Whether the applicant is a student of this university *  
Registration No.
Course of Study

Academic course being pursed at this time , the result of which has not yet been declared? *  

Name & address of the College/ Institution*
Name of University*
Name of the Course with Class/ Year*
Whether appeared/ due to appear*
When expected to be completed*

Whether the applicant is employed? *  

Particulars of Employment
Name & address of the Organization*
Designation of Candidate*
Date of joining*
Date of Leaving*
Name & Designation of the Person whose certificate will be submitted*

If admitted, I undertake to abide by all the Rules and Regulations of the University existing at the time of my admission or as may be altered during my studentship, failing of which appropriate action may be taken against me.

As per my knowledge and belief, all information submitted above are correct and true. The University shall not be liable for any implication (be responsible in any way) in case any of the information submitted by me is found to be erroneous and incorrect. My application/ counseling/ admission may be terminated in such cases.