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LAST DATE FOR RECEIVING COMPLETED FORM: 27 APRIL 2012
Registration No.
(to be filled by office)
New Delhi
M.Sc. ADMISSIONS 2012/13
Common Application Form for M.Sc. Programme in
ECONOMICS (with specialization in Environmental and Resource Economics)
Paste (do not pin)
your photograph in
Choice of test centre* this space and attest
it yourself
1. Do not send any attested copies of certificates with this form. Original and attested copies
of degree certificates/marksheets would be asked for later.
2. Incomplete application forms are likely to be rejected.
3. Candidates who are in the final year of their Bachelors programme would be considered
for admission only if their provisional degrees are available before 23 July 2012.
4. This form must be accompanied with a demand draft of Rs 1450/-.
5. Use capital letters wherever possible.
TYPE OR WRITE LEGIBLY IN ENGLISH
1. Name in full (as in 10+2 certificate):
2. (a) Address of the candidate for (b) Name and Address of Parent/Present
communication Guardian (i.e. Permanenent Address)
City ___________________________________ City _______________________________
State _____________Pin State ____________Pin
3. Telephone Number (with STD Code): ________________________ _
4. Mobile: 5. E-mail: _____________________________
* Please see information brochure/www.teriuniversity.ac.in for written-test centres.
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6. Date of Birth: (as in School Leaving Certificate)
D D M M Y Y Y Y
7. GN/SC/ST/PH† 8. Nationality (I-Indian, F-Foreign) 9. Sex (M/F)
10. Status of Bachelor’s examination result:
(write A: Appeared and result awaited, P: Passed)
11. Details of Academic Record of the Bachelor’s programme:
a) Programme done/undergoing (eg. B.Com (H), Economic (H),) etc.
b) College
c) University
d) Exam Passed/ Subjects/courses taken Month/ % Marks/Grade/
Appeared (Please provide details) Year Class obtained
I year
II year
III year
IV year
e) Final aggregate marks/Grade point obtained#
12. In case you hold a higher degree/degrees, please mention the degrees here and give
details in the format of item 12 on a separate sheet of paper.
Higher Degree 1
Higher Degree 2
13. Are you a sponsored candidate (Y/N)
14. If yes, indicate the name and address of the sponsoring agency:
†
General/Scheduled Caste/Scheduled Tribe/Physically Handicapped
#
If the programme is not completed, indicate the aggregate marks/grade point obtained so far.
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15. Declaration by the Applicant:
If selected for admission, I undertake to abide by the rules and regulations of TERI
University. I certify that the information given above is correct and I am aware that
providing incorrect information in the application form may result in the cancellation of
admission secured. I am further aware that, if the admission is secured before the results
for the qualifying examination are published and if I fail to satisfy the minimum academic
requirement for admission when such results become available, the admission will be
cancelled. I also certify that I have not been convicted in any criminal case and that there
is NO pending criminal case against me.
Place: _______________ Date: _______________ Signature of Applicant
Details of Demand Draft drawn in favour of “Registrar, TERI University”, payable at New
Delhi, enclosed with this application
Demand Draft No. ________________________ Dated ______________ Amount Rs________
Bankers Name_________________________________________________________________
Please indicate how you got to know about the TERI University and its programmes
(you may mark more than one):-
1.Website 2. Newspaper advertisement
3.Word-of mouth from friends 4. Word-of-mouth from alumni
5. Functions at TERI University 6. Educational fairs
7. Facebook/Twitter/other social media
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