Application Form for the Entrance Test of MMC

Krishna Kanta Handiqui State Open University
Housefed Complex, Last Gate, Dispur, Guwahati - 781006, Assam, India
Phone: 0361
0361-2234964 / 0361-2235971 / 88110 16666 / 8811016906. Fax: 0361- 2235398.
Email: [email protected]. Website: http://www.kkhsou.in
Application Form for the Entrance Test of MMC/MBA/MSW
Please read carefully the instructions as given below before filling up the form
1. Name of the Applicant (BLOCK LETTER)
:
2. Tick [
: 1. MMC
] the programme seeking admission
3. Programme No.
:
4. Name of the Degree Programme completed
(BA, B.Com. etc)
:
5. Name of the Study Centre
(where the form is submitted)
:
6. Code No. of the Study Centre with Code No.
:
7. Name of the District
(where the Study Centre is situated)
:
Date:
Place:
2. MBA
3. MSW
Signature of the Centre in-Charge/Co
Charge/Co-ordinator
with seal
Instruction for the Applicant
i) Name of the Study Centres with District offering the said programmes along with programme
code, centre code etc. may be obtained from the following table to fill-up the form:-
SI.
No.
1)
2)
3)
4)
5)
6)
7)
8)
District
BONGAIGAON
CACHAR
CHIRRANG
DARRANG
GOLAGHAT
DIBRUGARH
JORHAT
KAMRUP
Code
No
Name of the Study Centre
0301
Birjhora Mahavidyalaya
MSW(M09)
0401
Cachar College, Silchar
MMC(M01),MSW(M09)
0501
Bijni College
MMC(M01)
0601
Brilliant Academy, Mangaldoi
MSW(M09)
1101
Sarupathar College
MSW(M09)
1111
0901
Devraj Roy College
D.H.S.K Commerce
Dibrugarh
1301
Kakojan College
MSW(M09)
1302
J.B College, Jorhat
1304
Cinnamara College
MMC(M01), MSW(M09)
MMC (M01) ), MSW
(M09)
1405
Dakshin Kamrup College, Mirza
MSW(M09)
1500
KKHSOU City Study Centre
Cotton College, Guwahati
MBA(M02)
MSW(M09)
College,
1501
9)
KAMRUP(Metro)
1505
1511
11)
KARIMGANJ
NAGAON
12)
SIVASAGAR
MMC (M01)
MMC(M01), MSW(M09)
Assam
Institute
of
Mass
Communication And Media
MMC(M01)
MSW(M09)
1549
Dispur College
Karmashree Hiteswar Saikia
College
Bhabendra Nath Saikia Institute,
Beltola
1701
Ramkrishna Nagar College
MSW(M09)
2102
Nagaon Girls' College
MSW(M09)
2112
Ajmal Foundation, Hojai
MSW(M09)
2403
Gargaon College
MBA(M02)
2404
Sibsagar College
MSW(M09)
2406
Moran College
MSW(M09)
1521
10)
Master's Programmes
Offered (Programme
Code)
MSW(M09)
MMC(M01)
Contact No
97063-50717
88110-16680
99540-73194
88110-16677
98644-03762
88110-16671
98548-92917
88110-16473
94351-67801
88110-16630
94355-26875
88110-16622
(0373)2321653
94354-76452
94350-96864
88110-16618
99544-05323
88110-16617
98548-11736
88110-16616
95451-99139
88110-16604
98540-45032
88110-16414
94351-13576
88110-16597
99542-22950
88110-16593
94355-47386
88110-16588
98641-20678
88110-16580
(0361)2231022
95082-75103
94357-31130
88110-16561
94351-60980
88110-16539
99546-38124
88110-16531
94013-62203
88110-16513
94351-55543
88110-16512
94351-32720
88110-16510
13)
14)
SONITPUR
TINSUKIA
2408
Sonari College
MBA(M02)
2411
Amguri College
MSW(M09)
2501
Tezpur College
MMC(M01)
2601
Tinsukia College
MSW(M09)
2602
Tinsukia Commerce College
MBA(M02)
94353-58553
88110-16508
94011-88436
88110-16505
94354-90308
88110-16501
99544-56991
88110-16491
99544-47193
88110-16490
ii) No document is required to be submitted along with the filled up application form except the
Entrance Test Fee of Rs. 200/- in the form of SBI Bank Challan to be provided by the Study
Centre where the application is received or may be downloaded from the University website.
iii) Last date of the submission of filled up Application Form at the Study Centres is 17.08.2014
iv) Name of the Examination Centres along with list of candidates for written test will be
declared in the University website: www.kkhsou.in on 22nd August, 2014. No other
communication will be made to the candidates.
v) Entrance examination will be held on the 24th August, 2014 from 11.00 am.
Instruction for the Study Centre
i) Kindly submit the list of the candidates against the name of the programmes to the Registrar,
KKHSOU on or before 19th August, 2014 in the University e-mail- [email protected]
N.B. Selection of the Study Centre as Examination Centre will depend on the
number of applicants at the Centre.
Date: 03/07/2014
Sd/Registrar
KKHSOU COPY
Candidate’s Copy
Bank Copy
STATE BANK OF INDIA
Fee Payment Challan in favour of KKHSOU STUDY CENTRE
SBI Power JyotiA/C NO. : 32430068257
STATE BANK OF INDIA
Fee Payment Challan in favour of KKHSOU STUDY CENTRE
SBI Power JyotiA/C NO. : 32430068257
STATE BANK OF INDIA
Fee Payment Challan in favour of KKHSOU STUDY CENTRE
SBI Power JyotiA/C NO. : 32430068257
Study Centre :
Study Centre :
Study Centre :
Programme :
Programme :
Programme :
Name of the Candidate:
Name of the Candidate:
Name of the Candidate:
Application Form No. :
Application Form No. :
Application Form No. :
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
A/C NO.
32430068257
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
A/C NO.
32430068257
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
Total
Total
Total
Amount in Words :
Amount in Words :
Amount in Words :
A/C NO.
32430068257
To be attached with
the Application Form.
Signature of the Candidate
FOR BANK USE ONLY
JOURNAL NO.
Date:
FOR BANK USE ONLY
JOURNAL NO.
Authorised Signatory
Signature of the Candidate
Signature of the Candidate
Date:
FOR BANK USE ONLY
JOURNAL NO.
Authorised Signatory
Date:
Authorised Signatory

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