Application Form For Registration

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  • 1. Admission desired :
    • a. Course of Study
    • b. Degree
    • c. Preferred Institution
      • (i)
      • (ii)
      • (iii)
    • d. Combination of Subjects preferred
  • 2. Name of the Applicant :
    (IN CAPITALS)
  • 3. Date of Birth :
  • 4. Name of Father/Guardian :
  • 5. Address for Communication :
    • Phone:
    • Fax:
    • Email:
  • 6. Nationality :
  • 7. Proficiency in English :
     Excellent Good Fair Examination Passed
  • 8. Qualifying examination passed (Enclose copies of Certificate/Mark Sheets translated in English) :
    Examination passed Examination Board/Agency Year of Passing Subjects studied Grades / Marks
  • 9. Declaration: I declare that all the particulars stated above are true and correct to the best of my knowledge and belief.

Enclosures:

Place:

Date:

Signature: