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Guj. RKU - UG Programs - Doc279

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Form Fees. : 350/- Form No.

:-

APPLICATION FORM (2020 - 2021)

Computer Science Programs Science Programs Management Programs

BCA - Regular BSc - Chemistry BBA - Regular

BSc - Microbiology BBA


App.Management

.
BSc - Physics B.Com.
BSc - Agriculture B.Voc

BSc – Mathematics

BSc – Medical Radiology & Imaging Technology


BCA – Bachelor of Computer
Applications BSc – Bachelor of Science
BBA – Bachelor of Business Administrations
B.Voc -- Bachelor of Vocation

1. Candidate’s name (as per 12th mark sheet): -


(Surname) (Name) (Father’s Name)

2. General Information
Date of Birth Nationality

Category State of Domicile


(General/SC/ST/OBC)
Religion Blood Group

Caste Aadhar Card No.

Gender Male Female Are you a person Yes No


with disability?
Candidate’s Mob. No. Parent’s Mob. No.

3. Other Information
Father’s Name Mother’s Name
Father’s Occupation Mother’s

Occupation Total Family Annual Income

4. Correspondence Address:

Town / City Pin Code

District State

Email ID

5. Educational Qualifications:
H.S.C. Details.
Board from which 12th Std (H.S.C.) passed Enter the code
Codes for GSEB (1), CBSE (2), ICSE (3), Others (4).
If Others Year of Passing

Name of School

Exam seat no. of 12th Std. Percentile / Grade

6. Do you need Hostel Accommodation? YesNo


7. Do you need Transportation? Yes No
8. Mention T-Shirt Size S M L XL XXL XXL

List of copy of the documents to be attached

Please ✓ in the box

1. H.S.C. (12th) Mark sheet of all attempts


2. School leaving Certificate (SLC)/ Transfer certificate (TC) and evidence of place of birth when it is
not mentioned in SLC/TC.
3. H.S.C. (12th) Attempt Certificate
4. Two Passport Size Photographs
5. Adhar Card
List of copy of the documents to be attached for NRI Students

Please ✓ in the box

1. H.S.C. (12th) Mark sheet of all attempts


2. School leaving Certificate (SLC)/ Transfer certificate (TC) and evidence of place of birth when it is
not mentioned in SLC/TC.
3. Two Passport Size Photographs
4. For the student who has passed qualifying examination from foreign has to submit his mark sheet
with equivalence certificate from association of Indian University / GHSB
5. A copy of Passport of NRI Sponsored
6. An affidavit of NRI Sponsored indicating relationship with students and taking responsibility for the
education of the student
7. Proof of fund transferred for tuition fee and other fees in India by NRI

Declaration of the Candidate


I do hereby declare that all the particulars stated in the application are true and correct to the best of

my knowledge and belief. In the event of suppression or distortion of any information provided in my

application form, I understand that admission granted by the Institute shall be liable for cancellation, I

also understand that the decision of the Institute regarding my admission shall be final and I shall be

abide by its decision. Further, if admitted, I promise to abide by the rules and regulations of the

institute as applicable during the course of law, I abide to pay the fees as determined by the Fee

Regulatory Committee.

Date:

Place: Signature of Parent/Guardian Signature of the Candidate

Instruction

1. Fill up the application form in capital letter


2. Please tick the appropriate box wherever provided.
3. Write your compete address for communication including Taluka, District and Pin code.
Give your Residence phone number with STD code, mobile phone number and email.
4. Declaration should be signed by candidate and parent / guardian with date and place.
5. Attached the required documents as per serial order specified.
6. This form should be filled & submitted personally within the last date to the college. Postal
or courier submission is not valid.

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