MOTHER TERESA WOMEN’S UNIVERSITY 
                                                                                                  kODAIKANAL - 624 102.  
                                                                         md;id njurh kfsph; gy;fiyf;fofk; 
                                                                                            nfhilf;fhdy; - 624 102. 
                                                                                                                                                             
                                                                            
                                                 M.Ed. DEGREE  EXAMINATION – APPLICATION FORM 
                                                    KJfiyf; fy;tpapay; Njh;T - tpz;zg;gg; gbtk;     
                             (Fill the Application form Either in Tamil or in English Sl.No.2 should be filled in both Tamil and English) 
                             (tpz;zg;gg; gbtk; jkpo; my;yJ Mq;fpyj;jpy; G+h;j;jp nra;ag;gl Ntz;Lk;.) 
                             (thpir vz; 2 –y; Fwpg;gpl;Ls;s ngah; jkpo; kw;Wk; Mq;fpyj;jpy; G+h;j;jp nra;ag;gl Ntz;Lk) 
                              
                              
                                                                                 To be filled in by the office  Reg. No.                                       
                                 mYtyfj;jhuhy; G+h;j;jp nra;ag;gl Ntz;Lk; gjpT vz;. 
                              
                                                                                                 To be carefully filled in by the candidate 
                             Signature of the Candidate                                          tpz;zg;gj;jhuhy; epug;gg;gl Ntz;Lk;. 
                             khztuJ ifnahg;gk;                                                       
                                                                                                  Place of State Bank of India ................................................. 
                             Space for photograph                                                 Ghuj tq;fpf; fpisapd; ,lk; 
                             Gifg;glj;jpw;Fhpa ,lk;                 Amount of Rs......................................................................... 
                                                                                                 tq;fp tiuNthiyj; njhif &. 
                             Attesting Officer                                                   Date of Remittance   ............................................................        
                             rhd;nwhg;gk; toq;Fk; 
                                       mjpfhhp                                                   tq;fp tiuNthiy ngw;w ehs; 
                              
                             1. Examination Centre /  Njh;T ikak;                                                                                  : 
                              
                             2. Name /  ngah; 
                                  In English /  Mq;fpyj;jpy; 
                                  In Tamil/  jkpopy; 
                                (Attested copy of the UG Degree Certificate  
                                     Should be enclosed) 
                                (,sq;fiyg; gl;lk;Ngw;Wf;fhdr; rhd;nwhg;gk; 
                               efy; ,izf;fg;gl Ntz;Lk;) 
                              
                             3. Age, Date of Birth and Place of Birth                                                                            : 
                                taJ,gpwe;j Njjp kw;Wk; gpwe;j ,lk; 
                              
                             4. Name of the Course                                                                                               : 
                                  gl;lg;gbg;gpd; ngah; 
                              
                             5. Paper(s) for which the candidate is now appearing 
                                 ,g;NghJ khzth; vOjg; NghFk; ghlj;jhs;fspd; tpguk; 
                              
                              
                                           
                                                              Regular                                                 Supplementary 
                                   Kjy; Kiwahf vOJk; jhs;fs;                                    Kd;dNu vOjp Njh;r;rp ngwhJ ,g;NghJ 
                                                                                                kPz;Lk; vOJk; Fiw epiwTj; jhs;fs; 
                                                                                                 
                                    
                                    
                                    
                                    
                                    
                                    
                                    
                                    
                                    
                                    
                        
                       6. SC/ST/BC/OC/                                                               
                          jho;j;jg;gl;l tFg;gpdh;/ goq;Fbapdh;/  
                          Gpw;gl;l tFg;gpdh; /  gpw tFg;gpdh;                                       : 
                        
                       7. Name and Occupation of Father or Guardian                                 : 
                         je;ij my;yJ ghJfhtyuJ ngah; kw;Wk; gzp 
                        
                       8. Address to which all communication are to be sent                         : 
                          vy;yhj; jfty;fSk; mDg;Gtjw;Fhpa  
                         njhlh;G Kfthp 
                        
                           Phone No. 
                           njhiyNgrp vz;.                                                           : 
                        
                       9. Attested Xerox copy of the UG Degree Certificate                          : 
                             must be enclosed. 
                           ,sq;fiyg; gl;lg; Ngw;Wr; rhd;wpjopd; rhd;nwhg;gk; 
                         ,l;l efy; ,izf;fg;gl Ntz;Lk; 
                        
                           Year of passing the UG degree                                            : 
                           ,sq;fiyg; gl;lk; Njh;r;rp ngw;w Mz;L 
                        
                            Register Number 
                            gjpT vz;.                                                               : 
                        
                            Name of the University                                                  : 
                            gy;fiyf;fofj;jpd; ngah; 
                        
                       10. Name and designation of the project                                      : 
                              Supervisor of the candidate  
                             (To be filled only if applicable) 
                             tpz;zg;gjhuhpd; Ma;Tj; jpl;l newpahsuJ 
                             ngaUk; gzpAk;(Njitnad;why; kl;Lk; 
                          epug;gpdhy; NghJkhdJ) 
                        
                       11. Title of the project                                                     : 
                              Ma;Tjj; pl;l jiyg;G 
                                                                                                                                     Signature of the candidate 
                                                                                                                                                          khztuJ ifnahg;gk; 
        
        
        
        
        
       NOTE / Fwpg;G : 
        
           SBI Demand Draft should be drawn in favour of “ The Registrar, Mother Teresa Women’s 
          University” payable at Kodaikanal 
          ghuj khepy tq;fp tiuNthiy. “gjpthsh;> md;id njurh kfsph; gy;fiyf;fofk;” 
          vd;w ngahpy; nfhilf;fhdypy; khw;wj;jf;fjhf vLf;fg;gl Ntz;Lk;. 
           
            The Examination application should be submitted to “ The Controller of Examinations, Mother 
          Teresa Women’s University” Kodaikanal 
          Njh;T tpz;zg;ggbtk;> Njh;Tj;Jiw Mizah;> md;id njurh kfsph; gy;fiyf;fofk;> 
          nfhilf;fhdy; vd;w Kfthpapy; rkh;g;gpf;fg;gl Ntz;Lk;   
           
           Incomplete application will not be processed.  Enclosures are important.  
          KOikahfg; G+h;j;jp nra;ag;glhj tpz;zg;gg; gbtq;fs; ghprPypf;fg;gl khl;lh. 
          ,izg;Gfs; ,d;wpaikahjd. 
          
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
                              
                              
                              
                              
                              
                              
                              
                              
                                                                                           
                                                               MOTHER TERESA WOMEN’S UNIVERSITY 
                                                                                KODAIKANAL -624 101. 
                                                                                                                                  
                                                                                                                                                             
                                                                                                           HALL TICKET 
                                                                                                                      
                                                                                                                                                                                       
                             Name of the College          :                                                                                                                            
                                                                                                                                                                                            Affix Photo 
                             Name of the Candidate      : 
                              
                             Semester                             :                      Reg. No.                               
                              
                             Course:                                                     Major: 
                              
                             Code of papers now appearing:  
                              
                                                                                    Regular                                                              Supplementary 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                                                                                                                                 
                              
                              
                              
                             DATE:               SIGNATURE OF THE CANDIDATE                                                                      CONTROLLER OF EXAMINATIONS