Details of District wise submission of filled up forms at S.J.S.V., Puri
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3 Details of District wise submission of filled up forms at S.J.S.V., Puri Date District 01/02/ (forenoon) Puri, Jagatsinghpur 02/02/ (forenoon) Balasore 03/02/ (forenoon) Kendrapara 05/02/ (forenoon) Jajpur 06/02/ (forenoon) Bhadrak 07/02/ (forenoon) Cuttack/ Khurda/ Mayurbhanj 08/02/ (forenoon) Nayagarh / Ganjam / Gajapati / Rayagada 09/02/ (forenoon) Keonjhar / Balangir / Bargarh / Deogarh / Kandhamal / Koraput / Sundargarh / Kalahandi / Nuapada / Angul / Nabarangpur & Institutions of other than the above districts. Controller of Examinations
4 IMPORTANT INSTRUCTIONS TO BE FOLLOWED WHILE FILLING UP OF FORMS 1. After downloading the Registration No. of the candidates from the SAMS website, please verify the (I) Name of the student (II) Father s name of the student and if any mistakes are found, correct them in the hard copy of the 3G Form available in the SAMS website and submit a Xerox copy of the same in the University at the time of deposit of forms. 2. For Shastri II Examination, 2018 only three batches of students are eligible, 2016 Admission batch (Regular) 2015 Admission batch (1 st back) 2014 Admission batch (2nd back) 3. Use separate sheets for each year while preparing the Alphabetical list. For example, there will be one alphabetical list for Regular students (2016 Admission Batch).There will be another alphabetical list for back students (2015 admission batch), There will be another alphabetical list for back students (2014 admission batch) 4. Please don t allow any other batch to fill up forms. 5. In case, any ineligible candidate is allowed to fill up forms, it will be summarily rejected without any correspondence. 6. While filling up the forms, utmost care be taken with regard to the Name of the candidate, his/her Registration No., subject, etc. 7. Please mention the full name and correct postal address of the College along with college code. 8. While preparing the Draft towards examination fees, Rs. 05/- per each candidate be collected towards examination form. The teachers verifying the Alphabetical list and the Principal / H.O.I certifying the same shall be held responsible if any discrepancy is detected afterwards and action deemed fit shall be initiated against them. In case of any doubt, please feel free to consult the examination section in the following Mobile No.: Controller of Examinations: aò.\â. - _Zâ MâjY Keû~òa ^ûjó ö Controller of Examinations
5 FEES FOR SHASTRI - II EXAMINATION, 2018 Appendix - A Sl. No. Item Regular SHASTRI SECOND YEAR Repeat / Back/Imp. 1 Examination Form Examination fee Provisional -cum-mark sheet Computer Processing Fee Centre Charge Cross Check List Enrolment Fee Supervision Fee Subsequent Regn. Fee Total fees First Late fine Second late fine Third late fine Controller of Examinations
6 SHRI JAGANNATH SANSKRIT VISHVAVIDYALAYA, SHRI VIHAR, PURI APPLICATION FOR ADMISSION INTO SHASTRI - IInd YEAR EXAMINATION, 2018 (REGULAR / EX-REGULAR) (TO BE FILLED IN BY THE CANDIDATE) College Code - 1. University Roll No. (To be assigned by the University) 2. University Registration No. / Year 3. Name of the candidate Space for Pass photo size photograph (In English) (In Devanagari) (As recorded in Madhyama or equivalent Examination) 4. Father s Name (In English) (In Devanagari) 5. Mother s Name (In English) SHASTRI 2 nd YEAR-Regular 2016 Registration SHASTRI 2 nd YEAR -1 st Back 2015 Registration SHASTRI 2 nd YEAR 2 nd Back 2014 Registration (In Devanagari) 6. Date of Birth (As recorded in Madhyama or equivalent Exam.) (a) In Figures (b) In words 7. (a) Caste : SC / ST / GENERAL (b) Nationality (c) Sex: Male / Female: (d) Mother Tongue 8. Name and address of the Institution
7 9. Date of admission into Shastri- IInd Year Course (a) Subjects taken Compulsory Pass / Honours M.I.L. English Samanya Pali, Prakruta (Odia/Alt. Eng. Samskrutam : Vyakarana Sahityam Bhasha Vijnana /Hindi/Sa nskrit (PPBV) Paper IV Veda Karmakanda Dharmashastra Vyakarana Sahitya Sarvadarshan Nyaya A. Vedanta Phalita Jyotisha Purana Paper V Veda Karmakanda Dharmashastra Vyakarana Sahitya Sarvadarshan Nyaya A. Vedanta Phalita Jyotisha Purana Paper VI Veda Karmakanda Dharmashastra Vyakarana Sahitya Sarvadarshan Nyaya A. Vedanta Phalita Jyotisha Purana Put tick ( ) Marks against the subjects in which you want to appear the examination. Students appearing Shastri- IInd Year 1 st back or 2 nd back are required to submit copies of Mark sheet/admit cards of the last examination. Present Address: Permanent Address: 10. Amount of fees to be deposited a. Without late fee : Rs. Total Rs. b. Without 1 st late Fee (Rs. 50/-) RS. In words. c. Without 2 nd Late Fee (Rs. 100/) Rs. d. Without 3 rd Late Fee (Rs. 200/-) Rs. DECLARATION This is to certify that the particulars furnished above are correct as per records and I have not suppressed any fact (s) / information. I further declare that I shall abide by the rules and regulation prescribed by the Vishvavidyalaya. Date Full Signature of the Candidate CERTIFICATE Certified that (a) the particulars furnished above have been verified with the original records and are correct; (b) The candidate has studied diligently, has secured the requisite attendance and has been sent up; (c) nothing is known against his/her moral character; (d) he/she is not debarred from appearing at this examination on the ground of malpractice / misconduct ; (e) required information / fact(s) have not been supressed and the papers of repeat examination have been verified by me as per prescribed rules and I have thoroughly gone through the instructions and rules prescribed for examination. Signature of the Principal with seal
8 SHRI JAGANNATH SANSKRIT VISHVAVIDYALAYA, SHRI VIHAR, PURI QUESTION PAPER STATEMENT FOR SHASTRI IIND YEAR REGULAR / REPEAT / BACK EXAMINATION, 2018 (Use separate sheet) 1. Name of the Institution with Address Mob No College Code 3. Total No. of Pass Candidates... Hons. Candidates... Grand Total Compulsory / Elective Sub. code Subject No. of Candidates Total 2016 Registrati on 2015 Registrati on 2014 Registrati on No. of Candida tes Compulsory 4. M.I.L. (Odia/Alt. Eng. /Hindi/ Sanskrit ) Compulsory 5. English Compulsory 7. Samanya Samskrutam : Sahityam Compulsory 8. Pali, Prakruta Vyakarana Bhasha Vijnana (PPBV) 9. Sahitya 10 Vyakarana 11. Darshana 12. Veda Pass III/ Hons. IV 13. Karmakanda 14. Dharmashastra 15. Nyaya 16. Advaita Vedanta 17. Jyotisha 18. Purana
9 Compulsory / Elective Sub. code 19. Sahitya Subject No. of Candidates Total No. of Candida Registrati Registrati Registrati tes on on on 20. Vyakarana 21. Darshana 22. Veda 23. Karmakanda Pass IV/ Hons. V 24. Dharmashastra 25. Nyaya 26. Advaita Vedanta 27. Jyotisha 28. Purana 29. Sahitya 30. Vyakarana 31. Darshana 32. Veda Hons. VI 33. Karmakanda 34. Dharmashastra 35. Nyaya 36. Advaita Vedanta 37. Jyotisha 38. Purana Certified that the information is correct as per the alphabetical list. Signature of the Principal with seal
10 SHRI JAGANNATH SANSKRIT VISHVAVIDYALAYA, SHRI VIHAR, PURI CATEGORY WISE ANALYSIS STATEMENT FOR SHASTRI IIND YEAR REGULAR / REPEAT / BACK EXAMINATION, Name of the Institution with Address Mob No College Code 3. Total No. of Pass Candidates... Hons. Candidates... Grand Total Category Regular Total No. of candidates filled up forms General Scheduled Caste Scheduled Tribe OBC Male Female Male Female Male Female Male Female Repeat / Back / Imp. Total Certified that the statement is true as per Official records. Signature of the Principal with date and seal
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