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M Phil Applicatin-Form Ugb 2015 Web
M Phil Applicatin-Form Ugb 2015 Web
Serial No: ..
Affix Passport
size photograph
(Self Attested)
2.
Name of Parents :
a) Fathers name with citizenship:
4.
5.
PIN
6.
7.
ST
Page 2 of 4
PWD
BC
Unmarried
9.
Session:
Serial No.: ..
Cost of Form Rs. 500/(Rs. 300/- for SC/ST/BC/PWD)
Affix Passport
size photograph
(Self Attested)
.
Signature of the receiving
assistant with seal
Page 3 of 4
14.
15.
Academic records must be specifically mentioned. Self attested copies of mark sheet and certificate
of all examinations should be enclosed.
Marks with
Any other
Exams. passed
Year
University / College / School
percentage / class /
information
Div.
Secondary or
Equivalent
Higher Secondary or
Equivalent (10+2)
Graduation or
Equivalent
Post-Graduation or
Equivalent
Any other qualification
16.
17.
18.
19.
Subject
Year of Passing
Date
Amount
Page 4 of 4
as
in/of
at
.. since .
The Institution has no objection if he/she carries out 2 Years M. Phil. Programme as regular candidate.
Date:
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