APPLICATION FOR MASTER’S DEGREE Paste your recent passport size photograph here Admission For (USE ONLY BLOCK LETTERS) Education M.A. M.Com. English Theology History M.A. - Home Address (Please skip a box between each word) State Pin / Zip Code Country City/Town/Village Street M.B.A. M.C.A. Surname Name Father's / Husband's Name Name of Student Name of Father Name of Mother District Post Office Application No. SPICER ADVENTIST UNIVERSITY (A Chirstian Minitory University) (Established vide Maharashtra Act XIV of 2014) Aundh Road, Ganeshkhind Post, Pune 411007, Maharashtra, India. Tel.No.: General Enquiry: +91 20 25807001, Fax No.:+91 20 2569 8418 E-mail : [email protected]Website: www.spiceradventistuniversity.com INDIAN SAARC INTERNATIONAL TI S N T E U V N D I V A E R R E S C I I T P Y S FOR OFFICE USE ONLY Name :_____________________________________________________________________ Admission Status: [ ] Granted [ ] Refused [ ] Provisional __________________________ Secretary, Admission Committee Date : Id.No.:
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APPLICATION FOR MASTER’S DEGREE
Paste your recent
passport sizephotograph
here
Admission For
(USE ONLY BLOCK LETTERS)
Education
M.A. M.Com.
English TheologyHistory M.A. -
Home Address (Please skip a box between each word)
(Established vide Maharashtra Act XIV of 2014)Aundh Road, Ganeshkhind Post, Pune 411007, Maharashtra, India.Tel.No.: General Enquiry: +91 20 25807001, Fax No.:+91 20 2569 8418
For M.Ed, MA & BEd Degrees & Mark Sheet, CET Pass Result
Visa Copy Residence Permit
1. X, XII, & Degree Marks Sheets 2. X, XII, & Degree Marks Sheets 3. Transfer Certificate ( not returnable)
4. Migration Certificate ( not returnable )
5. Conduct Certificate ( not returnable )
6. Medical Certificate ( Registered Physician )
7. Passport Size Photos
Original Certificates (for Verification):
D. DOCUMENTS TO BE ATTACHED DOCUMENTS TO BE SUBMITTED
Name of the
College and
University
Registration No.Month & Year
of PassingMajor Subjects
Maximum
Marks
Marks
ObtainedMarks %
Total Marks Obtained :
Percentage of Marks: %
How did you come to know about Spicer Adventist University?
Newspaper Website Spicer TV Channel Family Members Hoardings Organization Friends
Faculty Education ConsultantSpicer Students
A. PERSONAL INFORMATION
Gender: Female Male Other Marital Status: Single Married Divorced Widowed
Date of Birth: __ __ / __ __ / __ __ __ __ Place of Birth: __________________ Country :_____________ Language: ______________
Religion: ____________________________ If Christian, State Denomination _________________________________________________
Residence: Boarder Day Scholar Married Quarters Other __________________________________________
Mobile No. Email Id:________________________________________________
Parent’s Phone No. Parent’s Mobile No.
D D M M Y Y Y Y
UNDERTAKING BY THE STUDENT
ToThe RegistrarSpicer Adventist UniversityPune
I hereby declare that
1.
10. I will not cause any damage to any property of the University such as furniture, switch boards, laboratory & sports equipment, library items such as books, magazines, newspapers etc, and any public property in the vicinity of the University or elsewhere.
11. deface the desks, chairs, walls of the University, hostel, class-rooms, blackboards, toilets, etc. with any writing whatsoever. This also includes all property of the University not mentioned here.
14. I shall agree to follow the entire curriculum as given in the University Prospectus.
I, ______________________________________________________________, have read all the rules and agree to abide by the rules and conditions of Spicer Adventist University, Pune for my admission.
Date : _____________________
Place : _____________________ Signature of the Candidate
I will be regular to all my classes throughout the year and I will maintain a minimum of 75% of attendance as per the rules of the University.
2. I am aware that if 75% attendance is not maintained in all subjects my term will not be granted on, I will not be allowed to fill the University Examination application form.
3. I shall complete all the assignments, class/home, in all the subjects throughout the semester.
4. I shall fulfil all academic requirements as per the University rules.
5. I shall commit myself to be disciplined and devoted to the chosen course of study.
8. I shall keep up the good name of the University in all my thoughts, behaviour and actions in the classroom, campus & hostel.
7. I shall dress modestly and be neat and clean at all times.
8. I shall not indulge in any act of ragging like teasing, manhandling, using aggressive words and inflicting any physical or mental torture, or show any kind of misbehavior with the other students.
9. I will not use any obscene or unparliamentary language anywhere, especially with the faculty, staff and students of the college.
I will not
12. I shall accept the decision of the Management as final in all matters of discipline.
13. I agree that my admission is subject to the decision of the Spicer Adventist University, Pune
UNDERTAKING BY THE PARENT / GUARDIAN
ToThe RegistrarSpicer Adventist UniversityPune
1. I am aware that if my ward does not maintain 75% attendance in all subjects, he/she will not be allowed to fill the University Examination application form.
2. I hereby declare that I know the financial obligation of my ward and I can afford to pay all the requisite costs towards the University.
3. I undertake to pay the tuition and other fees on time to the University under the rules in force and which may be framed from time to time by the management.
4. I agree to pay the fees at the beginning of each semester.
5. I am aware that the fee once paid to the University is not refundable in caseMy son/daughter/ward does not join this University.He / She discontinues the studies.He / She is expelled from University for any reason.
6. I will not claim the refund of fees if my ward leaves the University on his/her own or is expelled by the University for breach of conduct, discipline and rules of the University.
7. I also stand by the declaration given by my son / daughter / ward to the University and shall ensure that he/she abides by the rules of the University.
8. I shall be responsible for his/her good conduct, attendance and discipline during the period of his/her study in the University.
9. I understand that admission to Spicer Adventist University, Pune is a privilege not a right and I shall encourage my ward to uphold the standards and image of the University.
Date : ____________________________ Place : ____________________________ Signature of Parent / Guardian
REGISTRATION SHEET
(The Registration must be completed within 10 working days after the admission letter is issued.)
Name : _______________________________________________________________ ID No. : ___________________
Year: First Second Third Semester: First Second
“Understanding that enrollment at Spicer Adventist University is a privilege, and a not a right, I declare that during my citizenship at the university, I will follow all the rules and regulations of the University.I am aware that the university has all the right to cancel my term if I do not attend at least 80 per cent of the classes regularly. In case the term is refused due to my absences the entire responsibility lies on me.”
SPICER ADVENTIST UNIVERSITYAundh Road, Ganeshkhind Post, Pune 411007, Maharashtra, India.