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Subharti University: Application Form
Subharti University: Application Form
SUBHARTI UNIVERSITY
APPLICATION FORM
NOTE :
APPLICATION NUMBER
1. Read the prospectus carefully and General Instructions before filling up the Form.
2. Use only BLUE or BLACK pen to fill up the form.
3. Fill the form in English using CAPITAL / BLOCK LETTER only.
4. Do not fold, staple or clip the from.
1. NAME OF THE APPLICANT
2. DATE OF BIRTH
DATE
MONTH
YEAR
MALE
4. NATIONALITY
FEMALE
9.1 CITY
9.2 PINCODE
14. PHOTOGRAPH
PASSED
BOARD
SUBJECT
APPEARING
MARKS
MAXIMUM
MARKS
OBTAINED
PERCENTAGE
(%) OF MARKS
MONTH &
YEAR
1.
2.
3.
4.
5.
6.
7.
8.
TOTAL
18. DETAILS OF QUALIFYING EXAMINATION (Only for PG/Diploma)
QUALIFYING
EXAM
SCHOOL/
COLLEGE
BOARD/
UNIVERSITY
YEAR/
SEMESTER
MARKS
MAXIMUM
MARKS
OBTAINED
(%)
OF MARKS
MONTH &
YEAR
I YR/ I SEM
I YR/ II SEM
II YR/ III SEM
II YR/ IV SEM
III YR/ V SEM
III YR/ VI SEM
IV YR/ VII SEM
IV YR/ VIII SEM
TOTAL
DETAILS OF SCORE CARDS (GATE / MAT / GMAT / CAT / XMAT etc.)....................................................................................................
........................................................................................................................................................................................................................
19. DD NUMBER
DD DATE
DD AMOUNT
(Write Application Number and your Name with address on the reverse of the Demand Draft)
20. Details of Manufacturing/Service units (If any) owned by your Parents/guardians/known............................................................
........................................................................................................................................................................................................................
21. DECLARATION
I hereby declare that I have carefully read the instructions and all the particulars stated in this application form are true and correct to
the best of my knowledge and belief. If any of the information provided is false I shall abide by the actions and decisions taken by the
Swami Vivekanand Subharti University.
SIGNATURE OF APPLICANT
Date :
Date :
Place :
Place :