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PG Admission Application Form 2024

This document is an online admission registration form for Ayesha Amreen, who is applying for an MSc in Psychology program at Dr. B.R. Ambedkar Open University in Hyderabad, India. It provides her personal details like name, date of birth, religion, education qualifications. It also lists the program and study center details, total fees to be paid, and includes undertakings signed by the student and coordinator.

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Amreen Hameed
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28 views2 pages

PG Admission Application Form 2024

This document is an online admission registration form for Ayesha Amreen, who is applying for an MSc in Psychology program at Dr. B.R. Ambedkar Open University in Hyderabad, India. It provides her personal details like name, date of birth, religion, education qualifications. It also lists the program and study center details, total fees to be paid, and includes undertakings signed by the student and coordinator.

Uploaded by

Amreen Hameed
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

3/8/24, 4:02 PM PGFirstyear

Dr. B. R. AMBEDKAR OPEN


UNIVERSITY
HYDERABAD, INDIA.
Recognised by UGC and Distance Education Bureau (DEB)
MA/[Link]/[Link]/Diploma/ Certificate Programmes
Online Admission Registration Form
Registration Details
Application No. : 106796617
Date & Time of Registration : 08-03-2024 & 15:43

Candidate Details
1. Candidate Name : AYESHA AMREEN
2. Father Name : MOHAMMED MOHIUDDIN
3. Mother Name : AKHTAR JAHAN
4. Date of Birth : 16-12-1987
5. Gender : Female
6. Religion : Muslim
7. Social Status : BC-E
8. Physically Challenged : None
9. Marital Status : Married
10. Employment Status : Unemployed
11. Area of Residence : Urban

Communication Details
12. House No. : 23-6-33//1
13. Street/Colony/Village : HARI BOWLI X ROAD CHARMINAR
14. Mandal/Town/City : HYDERABAD
Affix Your
15. District : HYDERABAD
Passport
16. State : TELANGANA
Size Photograph
17. Pincode : 500065
18. Mobile No. : 9553886135
19. Email Id : aishamreen6@[Link]

Programme Details
20. Programme
: MSc PSYCHOLOGY
Applied
21. Medium of
: English
Study
22 (a). Study Centre 228:[Link] OPEN UNIVERSITY,ACADEMIC BUILDING
:
Opted (SOCIAL SCIENCE),JUBILEE HILLS,HYDERABAD,500033.
23. Educational
: Bachelor Degree in Any Discipline
Qualification
[Link] : Osmania University
Marks/CGPA
: 780 Maximum Marks/CGPA : 950 Percentage : 82.11%
Secured

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3/8/24, 4:02 PM PGFirstyear

Fee Details
25. Tuition Fee : Rs.15300 /-
26. Late Fee : Rs.200 /-
27. Total Fee : Rs.15500 /-
28. Payment Status : UNPAID

Signature of Student Signature of [Link]/[Link]/Co-ord.

NOTE : Please take print out of this Application Form and visit your Study Centre for
Certificate Verification along with Original Certificates and one set of Xerox copies.

UNDERTAKING : I hereby declare that I have read and understood the conditions of
eligibility for the programme for which I seek admission I fulfill minimum eligibility
condition, and I have provided necessary information in this regard. In the event of any
information being found incorrect or misleading my candidature shall be liable to
cancellation by the University at any time and I shall not be entitled to refund of any fee
paid by me to the University.

Print Proceed for Payment Go To Home Page

Designed & Developed by COMPUTER CENTER, BRAOU.

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