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Form No:
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Applied Course:
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Entry Date:
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Online Paid:
Yes
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Transaction No.:
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Fees Amount:
₹ 100
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| Personal Detail [Form No: ] | |
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Surname (અટક):
Student Name(વિદ્યાર્થી નું નામ):
Father Name(પિતાનું નામ):
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Permanent Address(કાયમી સરનામું):
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Correspondence Address(પત્રવ્યવહારનું સરનામું):
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State(રાજ્ય):
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City/District(સીટી/ જિલ્લા):
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Pin Code(પીનકોડ):
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Gender(જાતિ):
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Mobile Number:
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Alternate Mobile No:
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Parent's Mobile No.:
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Email Id:
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Date of Birth(જન્મતારીખ):
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Aadhar Card Number (આધાર કાર્ડ નંબર):
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Category(કેટેગરી):
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Physically Challenged દિવ્યાંગ:
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Student Photo:
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| HSC Detail [Form No: ] | |
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HSC Stream:
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HSC Passing Month & Year:
/
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BOARD/University:
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HSC Attempts:
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HSC Total Marks:
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HSC Obtained Marks:
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List of Subject/s you have selected to apply.
| MAJOR SUBJECTS |
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Apply For:
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Admission Year:
-
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Form No:
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Name of Student:
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Fees Amount:
₹ 100
IN WORDS:
Rupees OneHundred and zero Paise Only
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Student Phone Number:
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This Copy Should remain With Student
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Payment Date:
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Received from Mr / Ms Online application form Number with the following self attested documents for verification
(Tick appropriate documents received and verified with original)
| 1. | Printout of online application form (Compulsory) | |
| 2. | Leaving cetificate (Compulsory) | |
| 3. | Attempt cetificate (Compulsory) | |
| 4. | Cast cetificate for SC / ST / SEBC / EWS (If applicable) | |
| 5. | Non-Creamy layer certificates for SEBC (If applicable) | |
| 6. | Armed force certificate (If applicable) | |
| 7. | Certificate for Physically Handicapped (PH)(above 40%) and Visually Handicapped (VH) (If applicable) | |
| 8. | Marksheet of 12th standard (Compulsory) | |
| 9. | Passport Size Photographs (2) (Compulsory) | |
| 10. | Adhar Card (Compulsory) | |
| 11. | Other (please specify) ____________ |
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Apply For:
|
Admission Year:
-
|
|
Form No:
|
Name of Student:
|
|
Fees Amount:
₹ 100
IN WORDS:
Rupees OneHundred and zero Paise Only
|
Student Phone Number:
|
|
This Copy Should remain With University
|
Payment Date:
|
Received from Mr / Ms Online application form Number with the following self attested documents for verification
(Tick appropriate documents received and verified with original)
| 1. | Printout of online application form (Compulsory) | |
| 2. | Leaving cetificate (Compulsory) | |
| 3. | Attempt cetificate (Compulsory) | |
| 4. | Cast cetificate for SC / ST / SEBC / EWS (If applicable) | |
| 5. | Non-Creamy layer certificates for SEBC (If applicable) | |
| 6. | Armed force certificate (If applicable) | |
| 7. | Certificate for Physically Handicapped (PH)(above 40%) and Visually Handicapped (VH) (If applicable) | |
| 8. | Marksheet of 12th standard (Compulsory) | |
| 9. | Passport Size Photographs (2) (Compulsory) | |
| 10. | Adhar Card (Compulsory) | |
| 11. | Other (please specify) ____________ |
I HAVE READ ALL THE INSTRUCTIOND AND RULES AND I HEREBY CERTIFY THAT I AM ELIGIBLE TO APPEAR IN THE AFORESAID ADMISSION AND THAT THE ABOVE INFORMATION IS TRUE & CORRECT. I WILL BE LIABLE IF THE SAME IS NOT FOUND TRUE.
ALL THE ABOVE INFORMATION IS CORRECT, ACCOURDNIG TO MY RECORDS. FURTHER, I ASSURE IF MY INFORMATION IS WRONG, I AM PERSONALLY FOR THE SAME. I ALSO KNOW THAT GIVING FALSE INFORMATION IS A CRIME.
IF I FAIL TO PROVIDE CORRECT DETAILS AND INFORMATION, MY APPLICATION FORM IS LAIBLE TO CANCELLED AND WILL ABIDE BY ME AND IF UNIVERSITY CANCELS MY APPLICATION FROM DUE TO CERTAIN GENUINE REASONS AND RULES LAID DONE BY UNIVERSITY WILL ABIDE ME.
I HEREBY PROMISE, IF ADMITTED, TO ABIDE BY ALL THE RULES AND REGULATIONS OF LOKBHARATI UNIVERSITY FOR RURAL INNOVATION, SANOSARA. I WILL NOT INITIATE OR BE PART OF ANY FORM OF RAGGING. I AM AWARE THAT RAGGING IS A SERIOUS OFFENSE PUNISHABLE AS PER SUPREME COURT DIRECTIVES. I HEREBY PROMISE NOT TO INDULGE IN ANY FORM OR MEANS OF RAGGING.
ENTRY IS NOT CONFIRMED BECAUSE OF THE NAME IN THE ENTRY LIST. THE ADMISSION WIL BE AVAILABLE ONLY WHEN THE VERIFICATION OF ALL THE DOCUMENTS HAVE BEEN DONE. OTHERWISE, THE NAME CAN BE CANCELED FROM THE ENTRY LIST.
I UNDERSTAND THAT THIS ADMISSION IS PROVISIONAL, IF AT THE TIME OF VARIFICATION OF ALL NECESSARY DOCUMENT ANY DISCREPANCY IS FOUND OR IF ANY NECESSARY DOCUMENT IS NOT SUBMITTED THEN MY ADMISSION MAY BE CANCELLED, ALL DECISION OF UNIVERSITY WILL BINDING ON ME.
FROM TIME TO TIME, I WILL BE ABLE TO ACCEPT CHANGES IN THE RULES OF UNIVERSITY ADMISSION.