Admission Form

Online Application

FOR OFFICE USE ONLY

Use CAPITAL LETTERS Only while filling the form
 
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12.Other Contact Details
13. Permanent Address
Indiacte Your Program Preference ( Make 1 / 2 / 3 / 4/ 5 below):
If the amount is paid through a Demand Draft, please provide details below-
Payable At: Vadodara

17. Particulars of past academic record from Matriculation (10th Std. / SSC) onwards:

10th Std
12th Std
ITI

DECLARATION BY THE APPLICANT

I hereby declare that all the information furnished by me in this Application Form and in the documents I have submitted in support of my application are true, complete and correct. In case any information so provided with this Application Form is found to be false or incorrect at any time, this shall entail automatic cancellation of my admission, if granted, besides rendering me liable to such action as the University may deem fit. I have carefully studied the guidelines and the instructions as printed in the Prospectus, and I accept them, and I shall not raise any dispute in future over the same. In the event of any medical or other emergency, my parent(s) or guardian may be contacted at the address given at item no. 9 of this application form.
 
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DECLARATION BY THE FATHER / MOTHER / GUARDIAN OF THE APPLICANT

I hereby declare that all the information furnished by me in this Application Form and in the documents I have submitted in support of my application are true, complete and correct. In case any information so provided with this Application Form is found to be false or incorrect at any time, this shall entail automatic cancellation of my admission, if granted, besides rendering me liable to such action as the University may deem fit. I have carefully studied the guidelines and the instructions as printed in the Prospectus, and I accept them, and I shall not raise any dispute in future over the same. In the event of any medical or other emergency, my parent(s) or guardian may be contacted at the address given at item no. 9 of this application form.
 
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Note : Signatures of the Applicant and Parent(s) /Guardian in this Application Form will be considered as basis for all verification purposes in the University.

Enclosures : List of Self Attested Photocopies of the marksheets as per column 15 of Application Form :