UNIVERSITY OF KASHMIR

Hazratbal, Srinagar - 190006

Form No: ADU-22504175

Form for admission to MTECHCS

for the session 2024 Enrollment No

1. Name JAMEEL UN NISA Affix Self Attested

Passport Size
Photograph
ABDUL REHMAN BHAT
2. Father's Name

3. Regd. No 2700-PGD-2022 4. (i) Date of Birth 17-April-1998 (dd/mm/yyyy)

(ii) Place of Birth 5. Nationality

6. Permanent home address NUNNER

7. Address for correspondence

8.(i) District (ii) Cell No (iii) Phone No

9. Whether a permanent resident of J&K State (Yes / No)

10. Occupation of Father/Guardian

11. Are you presently on the rolls of any Deptt. of this University. If yes, indicate the name of the Deptt

12. State the particular category if selected under any of the reversed categories
13. Academic Record

Name of the Year of Marks % age Division/ Regd.No College/Institution

Exam. Passing Obtained Distinction through which passed

Any other

Subjects Offered:

14. Do you want to reside in the hostel ( Yes / No )

I solemly declare/undertake that;
i) The particulars given above are correct.
ii) I will obey all the statutes /regulations related to admission and also the instructions that may be issued from time to
time by the University in this behalf. Any violation of the statutes and regulations of the University by me shall render
me liable to such punishment, disciplinary action, including cancellation of admissions, as the University authorities
may impose on me.
iii) I am not serving in any Govt/Semi-Govt/Private institution or concern nor shall I serve or join any appointment during
the tenure of the present program in the University.
iv) I am serving in the Department _________________________________________________ as a
_____________________________________________ and have obtained permission of my employer for joining

Date Signature of the applicant

Note:The Candidates must approach the concerned Department and obtain permission from HOD for depositing the fee in the
Bank.
Page 1 of 7
 Form No:
Declaration by Parent/Guardian

JAMEEL UN NISA
I am responsible for the conduct of my ward namely ____________________________________________
__________________________________________________________________ in the University and undertake to pay
his/her dues and bear his/her expenses on books, tours and excursions. I am liable to make good any loss or damage to
the University property which may be caused as a result of misconduct of my ward.

Date: Sig. of Parent/Guardian

Name:__________________________

Address:________________________

Enclosures:
1. Provisional certificate.

2. Year-wise marks certificates of the qualifying examinations.

3. Character certificate.

4. Certificate of permanent residence of J & K State.

6. Migration Certificate (if Qualifying Examination is not passed from University of Kashmir).

8. Category Certificate (if selected under any of the reserved categories).

9. No Objection Certificate from the employer(if employed)

Note:
1. The Candidates must approach the concerned Department and obtain permission from HOD for depositing the fee in the Bank.
2. The Computer Fee and Field Trip/Tour Fee (where ever applicable) has to be submitted in the Department

Page 2 of 7
 THE UNIVERSITY OF KASHMIR
Hazratbal Srinagar-190006 Form No:

To be sent to the Dean Students Welfare by the Department after the completion of admission process.

1. Name JAMEEL UN NISA

2. Father's Name ABDUL REHMAN BHAT

3. Department MTECHCS

4. Date of Admission

5. Class Roll No 6. Registration No 2700-PGD-2022

7. Permanent home address NUNNER

8. Address for correspondence

District GANDERBAL Contact No 9622084946

9. Date of Birth 17-April-1998

10. Academic Record

Name of the Year of Marks % age Division / Regd.No College/Institution

Exam. Passing Obtained Distinction through which passed

Dated

Signature of the applicant

Forwarded in original to the Dean, Students welfare with the report that the candidate in question has
completed admission formalities and has deposited all the dues in the University Chest.

Signature of the Head of the

Dated Deptt.with official seal

Department:

Received Annual Student's Magazine and Identity Card bearing No

Page 3 of 7 Signature of the Students

 UNIVERSITY OF KASHMIR, SRINAGAR
FOR THE USE OF CHIEF PROCTOR 'S OFFICE
Form No: ADU-22504175
CARD INDEX NO: YEAR/SESSION:
Course Admitted to MTECHCS Faculty

1. Name of the student JAMEEL UN NISA 2. Father's Name ABDUL REHMAN BHAT

3. Father's Profession 4. Gender : Male / Female

5. Date of Birth 17-April-1998 6.Semester 7.Roll No

8. Contact No (a) Candidate's (b) Parent's

(c) Local Aquaintee's / other contact No

9. Examination passed before Joining the University
Exam / Class Year Marks Obt. %age Roll No Category School / College

12 th

Any Other
10. Examination passed after Joining the University
Session Class Year Roll No Marks Obt. %age Semester Aggregate Marks

11. Hostel Records

(a) Name of the Hostel Admitted to
(b) Date of Admission (c) Room No
(d) Permanent Home Address

I certify that every detail provided by me in this format is true to the best of my knowledge.

Signature of Students /Date

Signature of HOD / Date Signature of Chief Proctor / Date

Conduct Record of the Student (For Office Use Only)

S.No. Details of Episode Date / Year Final Report / Status Sign. of IO Sig. of CP

Details of Issuance of Conduct Certificate

Receipt No Date Sign. of Clerk Sign. of Sign. of Sign. of

/ SO Proctor DCP CP

Note:- This duly filled format is required to be submitted at the office of the Chief Proctor within fifteen days after
completing admission at the department.No form will be entertained thereafter.

Page 4 of 7
This fee slip is to be deposited at directorate of IT&SS

The Jammu and Kashmir Bank Limited

IT&SS Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage: ABDUL REHMAN BHAT
Address: NUNNER Mobile: 9622084946

Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200
iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

 The Jammu and Kashmir Bank Limited
Student's Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage:
ABDUL REHMAN BHAT
Address:
NUNNER Mobile: 9622084946

Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200

iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

The Jammu and Kashmir Bank Limited

Department's Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage: ABDUL REHMAN BHAT
Address:
NUNNER Mobile: 9622084946
Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200
iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

The Jammu and Kashmir Bank Limited

Bank's Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage:
ABDUL REHMAN BHAT
Address:
NUNNER Mobile: 9622084946
Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200

iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

Mr/Ms bearing EntranceTest Roll No selected for the program in the Dept. of________________________________________________ is
authorized to deposite the admission Fee. Signature of the Head of the
Page 6 of 7
Department with official seal
 The Jammu and Kashmir Bank Limited
Library Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage: ABDUL REHMAN BHAT
Address: NUNNER Mobile: 9622084946

Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200

iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

The Jammu and Kashmir Bank Limited

Proctor Office Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name :
JAMEEL UN NISA
Parentage: ABDUL REHMAN BHAT
Address:
NUNNER Mobile: 9622084946

Purpose: Account No: Amount (Rs)

Part A 0007040500001001 10000

Part B 0007040100013575 31250

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200

iv) DSW Fee 0007040100013798 75

Sign. of Depositer Bank Seal & Signature

The Jammu and Kashmir Bank Limited

DSW Office Copy
Dated: 03-Apr-2024 Form No ADU-22504175
Name : JAMEEL UN NISA Parentage:
ABDUL REHMAN BHAT
Address: NUNNER Mobile: 9622084946
Purpose: Account No: Amount (Rs)

Part A
10000
0007040500001001
0007040100013575 31250
Part B

Part C i) Library Fee 0007010100000268 800

ii) Chief Proctor 0007040100017274 200
iv) DSW Fee 75
0007040100013798

Sign. of Depositer Bank Seal & Signature

Mr/Ms bearing EntranceTest Roll No selected for the program in the Dept. of________________________________________________ is
authorized to deposite the admission Fee. Signature of the Head of the
Page 7 of 7
Department with official seal