DEVI AHILYA VISHWAVIDYALAYA, INDORE
Website: [Link]
Self-
APPLICATION FORM FOR ADMISSION IN Attested
[Link]. Programmes Photo
ACADEMIC SESSION 2024-28
Name of the School of Studies: ………………………………………………
Name of the Programme: [Link] Subject: ________________________________
1. Applicant’s Name (in Hindi): ………………………….………………………..........
(In English): …………………………………………………...........
2. Date of Birth: ………………………………………………………………................
3. Domicile of M.P.: Yes / No
(If yes, attach photocopy of proof)
4 . Category- Unreserved/ SC/ST/OBC/EWS/PH…………………...........................
(Attach Photocopy of proof except Unreserved)
5. Sex: Male/Female: ………………………………………………………………………..
6. Blood Group: ……………………………………………………………………………..
7. Applicant’s Address
(a) Permanent: ……………………………………………………………...........
………………………………………………………………...........
………………………………………………………………...........
(b) Address for correspondence:
. ..…………………………………………………………...........
………………………………………………………………...........
………………………………………………………………...........
Mobile No.: ………. ……………… E-mail ID: …..………………………………
8. Enrollment Number of DAVV (if available): ……………………………………..
9. Nationality: ………………………………………………………………………..........
10. Name of Father / Guardian/ Husband: ……………………………………….............
11. Name of Mother: ………………………………………………….......
12. Yearly Income of Parents (Rs.): ……………………………………………
13. Education Qualifications (bring self-attested and Original certificates at the time of
admission):
% of Marks /
Class Board / University Year Division Grades Subjects
10th
12th
Bachelor
Degree
Any Other
NSS: ……….Yes/No……………… NCC: ………Yes/No…………
Participation in Co-curricular Activities: ………………………………………………………………..
Any other information: ____________________________________________________
________________________________________________________________________
Date: _________________ (Signature of Applicant)
Parents /Guardian Declaration
I, Father/ Mother / Guardian of …………………………………………….who is seeking
admission in School / Institute of ……………………………….......................................
declared that my ward will act as per rules of the University, Program, Department etc.
and not involved in any antisocial activities /ragging. We know that ragging is totally
banned in the Institute. It is a cognizable offence. If my ward is found indulged in any
type of ragging /in disciplinary activity, he/she will be punished by the Institute as per the
rules of the University. I take complete responsibility of his/her overall conduct in the
University, Department and class.
Date:
(Signature of Applicant) (Signature of Parents/Guardian)
________________________________________________________________________
Instructions for filling the Application Form:
1. The candidate is advised to apply for admission only if he/she fulfils the eligibility
requirements.
2. Application form downloaded from the website [Link] should be submitted
after completion to the respective School of Studies.