UTTARAKHAND OPEN UNIVERSITY
HALDWANI, NAINITAL
Website: http://uou.ac.in
Email Id: info [at] uou [dot] ac [dot] in
Contact No.: 18001804025
Admission Form for Semester Programs Only

1. Enrollment Number
2. Session
3. Study Centre Name
Study Centre Code
4. Program Applied For
Program Code
Year/ Semester
5. Demand Draft Details
Issuing Bank

DD No.
Date
fnukad
Amount
/
6. Student’s Name
7. Father’s/ Husband’s Name
8. Mother’s Name ekrk dk uke
9. Mobile Number Ekksckby u0
10. Complete Address for Correspondence
Pin Code

Paste your
Latest Passport
Size (4×5cm)
Photograph
Duly Attested by
Yourself
11. Particulars of the Present Programme applied for (Semester-Which ever
applicable)
S.No
Course Code
Course Title
Semester
12. Course in Which Candidate Appeared in Previous Exam
S.No
Course Title
Year/ Semester
13. Details of Counseling in Previous Semester
S.No
Course Title
No. of Counseling Attended
Date:
Place:
Signature of the Applicant
For Study Centre Use
I hereby certify that Mr. /Ms/Mrs. /Dr. ________________________________
son/daughter/wife of ________________________________ enrolled for this study
centre .He/she has been found eligible to be admitted in the…………. Semester of
……………………………. ………………Program.
Signature
Study Centre Coordinator