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Application Form | PDF | Government And Personhood
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Application Form

The document is an application form for admission, requiring personal information such as the applicant's name, date of birth, gender, nationality, and community. It also requests details about educational qualifications, including examination results and experience, along with a recent passport-sized photograph. The form must be completed and submitted with necessary attested copies of certificates.

Uploaded by

Munna Kumar Yadav
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109 views4 pages

Application Form

The document is an application form for admission, requiring personal information such as the applicant's name, date of birth, gender, nationality, and community. It also requests details about educational qualifications, including examination results and experience, along with a recent passport-sized photograph. The form must be completed and submitted with necessary attested copies of certificates.

Uploaded by

Munna Kumar Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For office use Application Form

AFFIX RECENT
Application no. PASSPORT SIZE
PHOTOGRAPH

Registration no.

1. Name of the Applicant (in English): ___


(In block letters as in 10th Mark Sheet)

Name of the Applicant (in Hindi): ______________________________

2. Name of the Parent / Guardian:

a) Father’s Name: __ b) Mother’s Name: __________________

3. Date of Birth (as in 10th Mark sheet):


(DD/MM/YEAR)

Age

4. Gender: Male / Female / Marital Status:

5. Nationality: __ ____ Domicile: _ __ Mother Tongue:

6. Community:
Choose appropriates SC ST DNC MBC BC BC(M) OBC OC
(Enclose attested copy of certificate) Community Certificate No.

7. Address:

Correspondence Permanent

District
State
Pin code
Mobile No. Email id:

8. Details of Examinations Passed:(Enclose attested copies of certificates)

SSLC Register No.: ……………… Year of Passing …………… Board …..…….……………….......


+2 (HSC) Register No.: ……………… Year of Passing …………… Board ……………………………..
9. U.G. Degree Qualification for Admission: (BA/B.Sc./B.Lit.)

Part-III & Part-IV Part-III & Part-IV Percentage of


Major Year of Passing
Marks Obtained Maximum Marks Marks (%)

U.G. Degree Qualification for Admission: (BE/B.Tech.)

CGPA
Percentage of
Major Year of Passing (Cumulative Grade
Marks (%)
Point Average)

P.G. Degree Qualification for Admission: (MBA or as per eligibility)

Minimum Percentage of
Major Year of Passing Maximum Marks
Marks Marks (%)

10. EXPERIENCE (IF ANY) ………………………………………………………………………………….

Place :
Date : Signature of the applicant

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