(Established Under Section 2(f) of UGC Act, 1956)

www.arunodayauniversity.ac.in Email : [email protected]

Your Future. Our Mission.
Lekhi Village, Naharlagun, Itanagar, Distt. Papum Pare, Arunachal Pradesh- 791110

Admission Form
For Office Use Only
Enrollment No.
Instruction: write in CAPITAL LETTERS: Application No.

1. Name of the Course

2. Specialization
3. Sem/ Year 4. Session:
5. Personal Information
a. Candidate Name (In English)
(as per 10th Certificate)
b. Candidate Name (In Hindi)
c. Father's Name (In English)
d. Father's Name (In Hindi) Occupation:
e. Mother's Name (In English)
f . Mother's Name (In Hindi) Occupation:
g. Guardian's Name
(if Applicable Relationship)
h. Date of Birth (dd/mm/yyyy) i. Gender: Male Female Transgender
j. Social Status: General SC ST OBC Physically Handicapped (PH)
(Attach Caste certificate copy if applicable )
k. Nationality Indian Other (specify the country name)
l. Minority Yes No (specify)
m. Domicile Arunachal Pradesh Other (in case of domicile others, Specify)
n. Aadhar (Uidai) No. .
6. Contact Details
a. Communication Address
(for all communication by the University)

City State Pin

b. Contact Number Mobile: WhatsApp:
(With STD code)
Residence: Office:
c. Email ID
7. Academic Information
Sr. Exam Passed University / Board Year Percentage(%)
no.
a 10th
b 12th
c ITI / Diploma
d Graduation
e Masters
f Any other Degree
(Attach certified/ attested photocopies of all qualifying Exams)
8. Documents to be submitted along with application form:
(Please Tick against the document submitted by you)
Sr.No. Document Name Check
Box
1. Draft Cheque drawn in favor of ‘Arunodaya University’, payble at Itanagar AP
th
2. Self-attested photo copy (10 certificate) showing date of birth
th th

3. Self-attested photo copy of 10 / 12 Diploma / Graduation qualifying

examinations (marks sheet & certificate)
4. Original Migration / Transfer certificate
5. Aadhar card copy
6. Photo ID : PAN Card / Driving Licence / Passport
7. Address Proof: Latest Electricity Bill / Landline Phone Bill / Post Paid mobile bill /
House Rent Bill
8. Any other document if needed (--------------------------------------------)

9. Fees Details: (The Fees Should be Paid by Digital Mode Only.)

Amount Paid ( ): Online Payment Reference No.:
Bank / UPI / Gateway Name :
Bank Branch Name :
Date :

10. Rules & Regulations:

1. The fees paid are non-refundable and non-transferable under any circumstances. Failure to pay fees by due date
shall result in imposition of fine.

2. The University reserves the right to make any changes / amendments in terms and condition of admission at
any time.
3. Student is required to inform the University about any change in his/her contact details including permanent /
correspondence/ PG address, email id at any point of time.

4. University reserves the right to cancel admission / Withhold result, if student fails to submit relevant document(s)
or otherwise if fails to fulfil any condition.

5. The University may make mandatory the submission of any certificate or documents before or at the time of the
admission or afterwards, for the purpose of admission or otherwise, as decided by the University.

6. University will charge the fee for various facilities like re-appear/backlog etc. as decided from time to time.

7. Student should keep himself/herself well versed with the updates in the University through our notice boards/
website. University is not responsible for any individual intimation of information.

8. In the event of any disputes between the parties shall be referred to dispute settlement panel constituted by
University
11. UNDERTAKING BY STUDENT

Respected Sir/Madam,
I………………………………………………………………………….aged aboutyear , S/o / D/o of......................
……………is a regular student of Arunodaya University vide Enrollment No.:..................................................
Roll No….........................................................................under the...................................................................
course, I hereby tender the following undertaking with regard to my eligibility document/ conduct as a
statutory requirement for admission/ award of Mark Cards/ Degree, in the aforesaid course.
a) That I have passed my matriculation/ 10th / High School Examination in the session of……………………
………… bearing roll no.from the School/ Institute…...............................................……………Affiliated to.....
………………………….board and attached is the true copy of the same.
b) That I have passed my 12th /Sr. Secondary Examination in the sessionof......................... bearing roll no.
from the School/Institute..........................................................Affiliated to.......................................................
Board and attached is the true copy of the same.
c) That I have passed my Bachelors/ Masters Examination in the session of......................... bearing roll no.
from the College/Institute........................................................Affiliated to.......................................................
University annexure and attached is the true copy of the same.
d) That I will/have regularly attend(ed) the classes and appear/ed examination in University campus and will
maintain /have maintained at least 75% attendance in my classes.
e) That the eligibility documents submitted by me are true & genuine to the best of my knowledge and belief.
f) That during the course of study I will not take up fulltime employment and undertake to concentrate fully
on study.
g) That during the course of the study I will not / was not doing any other regular course from any other
university/Board/ Institute.
h) That I will not / was not indulged in any sort of legal cases, Whether Criminal / Civil during the course of
study.
i) That I will not get / was not involved in any malpractice, misconduct, fraud in any manner during my tenure
of study in the University.
j) That my above statements are true & correct and in case any document, information & statement given
by me in this undertaking are found false, fake, duplicate, and wrong and forged, the University will have
every right to cancel / withdraw my Mark Card/Degree issued by the University and University may take
appropriatelegal action in this regard against me.
k) I have gone through the rules, regulations and Education programs offered by Arunodaya University and
on being fully satisfied, I have applied for admission on my own. Hence I am aware that the programs
offered by the said University are approved by the UGC / HRD. However if I am unable to get advantage
out of said programs after its completion, in securing job, job promotion and / or for further advance studies
on any account and for any other reason, the said university will not be held responsible in any manner and
I also undertake not to claim any damages for the same.

Witnessed By Student Name Student Sign

Name: Date :
 CHECK LIST
For Office use only

Candidate Name: _____________________________________________________

C V Course Applied: _____________________________________________________

Candidate Name (as per 10th Certificate/Marksheet)

Aadhar Card

Course Title and Semester (as per Eligibility norms)

Date of Birth Proof (as per 10th Certificate, Passport Copy)

Proof of Educational Qualification [attested photocopy]

10th Certificate & Marklist 12th Certificate & Marklist

Diploma Certificate & all sem Marklist Graduation/Degree Certificate &

Marklists

Masters Certificate & Marklist Provisional Degree

Original Leaving certificate OR Original Migration Certificate

Proof of Job(Experience Certificate/Pay slip) Affidavit

Six Passport size latest colour photos

Remarks
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………………………………………………………………………………………………………………………………………………………………………………..

Checked By Verified by Confirmed by

Name …………………………………………. Name ………………………………………….

Designation ……………………………….. Designation ………………………………..

Sign. ……………………………………………. Sign. ……………………………………………. Sign ………………………

Date ………………………………………….. Date …………………………………………..

Stamp……………………………………….. Stamp……………………………………….. Stamp ……………….....