PALAMURU UNIVERSITY
MAHABUBNAGAR-509 001
Registration No.
(for office use)
Application for Post Graduate Course in M.A. ENGLISH/TELUGU at PG Centre Gadwal – 2013

Candidates applying through downloaded application form have to pay a registration fee of 250/- .
in the from of a demand draft drawn on any nationalized bank In the favour of "The Registrar, Palamuru University" and payable at SBH, Raichur Road Branch Mahabubnagar. Without Demand Draft, the application is liable for rejection. A separate D.D for ` 350/- towards counseling.
Note:- Hostel facility is not available for this academic year
Note-1: The candidate should go through the OU PGCET Information Brochure for Rules, Regulations & Instructions before filling this form and ICR Summary Sheet In English.
Note-2: Candidates should submit the filled in application form and ICR Summary sheet at the office of the Registrar, Palamuru University on or before the stipulated last dates mentioned in Information Brochure.
Particulars of the Fee paid: Name of the Bank : ..............................
( Please write your name and
application number on the Branch : .......................................
back side of the Demand Draft)
DD. No : ..........................Date : ......................... Amount......................
1. Name of the Candidate
(in capital letters as entered in the qualifying examination)
2. Name of the Father/ Mother
Affix recent
Passport size
Photograph &
Sign across it
(Do not pin / staple)
3. Sex (Put a mark) Male Female 4. Date of Birth
D D M M Y Y Y Y
(Attach xerox copy of S.S.C. Certificate)
5. Residential status (Put a  mark) Local Non-Local Other than A.P.
(See annexure - I in Brochure)
6. Category (Put a  mark) 7. Minority status (Put a  mark)
SC
ST
BC-A
BC-B
BC-C
BC-D
BC-E
Others
8. Special Category
(Put a  mark)
9. Name of the qualifying examination B.A. B.Sc. B.Com. Others*
passed (Put a  mark) * B.C.A., B.E., B.Tech., etc.
10. Subjects studied at B.A./B.Sc/B.Com. level:
First Language: Second Language:
Optionals: i) ii) iii)
11. Address for Communication :
(in Block Letters)
Pin Code
Phone/Mobile No.
12. Permanent Address
Pin Code _Phone/Mobile No._
13. Particulars of study during preceding seven (7) years ending with the qualifying examination:
Course/Class
Year of study
School/College/University
Place
Degree III Year
Degree II Year
Degree I Year
Inter II Year
Inter I Year
Class X
Class IX
I hereby solemnly affirm that the above information is correct and I am aware that my admission is liable to be cancelled at any time in case any information is found to be incorrect. I have gone through and understood the Rules, Regulations and Instructions of the Entrance Test and Admission procedure.
Date :
Signature of the
Candidate
CHECK LIST
Arrange the application and enclosures in the following order :
1.OUPGCET Rank card/ Admit card
2.Acknowledgement Card
3.Demand Draft with required fee amount
4.Application form
5.Xerox copy of S.S.C. Certificate (without this the application will not be accepted)
6.ICR Summary Sheet (not to be pinned or tagged to the application)
Submit the filled in application to
THE REGISTRAR
Palamuru University,
Administrative Office,
Bandameedipally, Raichur Road,
Mahabubnagar-509001 (A.P.), Phone:08542-200213
Application Number _
ACKNOWLEDGEMENT CARD
P.U. P.G. ADMISSIONS - 2013
PALAMURU UNIVERSITY
Your Registration Number is (Quote this number for any future correspondence)
for REGISTRAR
Palamuru University
Candidate’s Address
Affix
Rs. 6-00
Postage
Pin Code_
From:
The Registrar,
Palamuru University,
Administrative Office,
Opp. Police Head Quarters,
Mahabubnagar – 509001.