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Manipal University Jaipur 2013 Application Form: Checklist

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MANIPAL UNIVERSITY JAIPUR 2013 APPLICATION FORM

This application is not applicable for BTech Courses. Candidates applying for BTech programme should use Manipal University 2013 application form. Checklist Class XII marks card MAT/CAT/NATA scorecards if applicable Qualifying exam marks card Passport size photograph
Paste your most recent colour photograph (not older than three months) at appropriate place. Do not staple or pin.

NAME OF THE APPLICANT

DATE OF BIRTH

GENDER

Male

Female

SCHOOL CODE NATIONALITY NAME OF THE PARENT/GUARDIAN

PROGRAM CODE

ADDRESS FOR CORRESPONDENCE

CITY

PIN CODE

STD CODE

TELEPHONE NUMBER

MOBILE NUMBER

EMAIL ADDRESS

ALTERNATE EMAIL ADDRESS

39

DETAILS OF 10+2
Month & Year Subject Marks Maximum Marks Obtained % of Marks

School / College

Board / University

Total

IF APPLYING FOR POSTGRADUATE PROGRAMMES Qualifying School/ Board / Exam University University Subject Maximum Marks Marks Obtained % of Marks Month & Year

Total GATE/NATA/MANAGEMENT TEST SCORE Test Name Test Date Form No. Score Years Months

APPLICATION FEE DETAILS

Declaration by the candidate: I declare that, to the best of my knowledge and belief, the above particulars are true. I agree to conform to the rules and regulations at present in force or that may hereafter be made for the administration of the college and its hostels. I undertake that I will not do anything unworthy of a student of this college or anything that will interfere with the orderly functioning and discipline of this college. I am aware that the management has full authority to take action including expulsion, for disinterest in studies, misbehavior and frequent failure.

Signature of Parent / Guardian 40

Signature of Applicant

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