Examination Admission Form For

University/College ____________________________.Application for: B.A (Hon) / B.Sc (Hon) / F.A / F.Sc (Tick any one)Group: (i.e. Pre-Eng, Pre-Med. etc)_______________________Session______________Name (In Block letter) : ____________________________________________________Father Name_____________________________________________________________

D.O.B ________________________ Age on 01-08-2015 __________________________

Domicile ____________________________Distt:________________________________Permanent Address:_______________________________________________________

_______________________________________________________

_______________________________________________________

Landline No.________________________ Cell No.____________________________E-mail: __________________________________Mailing Address: _______________________________________________________

_______________________________________________________

_______________________________________________________Track Record:- (Start from last Exam passed)Name of ExamRoll NoA/SYearObtained MarksTotal Marks% age

Intermediate

Matric

Dated: __________________ ____________________

Signature of Candidate

APPLICATION FORM FOR B.A (HON) / B.SC (HON) / F.A / F.SC (Tick any one)

Group: (i.e. Pre-Eng, Pre-Med. etc)___________________________Session__________

Name of Institution:- ______________________________________________________

Name (In Block letter) : ____________________________________________________

Father Name_____________________________________________________________

D.O.B ________________________ Age on 01-08-2014 __________________________

Domicile ____________________________Distt:________________________________

Permanent Address:_______________________________________________________

_______________________________________________________

____________________________Contact No._________________

Mailing Address: _______________________________________________________

_______________________________________________________

____________________________Contact No._________________

Track Record: - (Start from last Exam passed)Name of ExamRoll NoA/SYearObtained MarksTotal Marks% age

Intermediate

Matric

Dated: __________________ ____________________

Signature of Candidate

Staple attested Photograph

(04 Nos)

Staple attested Photograph

(03 Nos)