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Dr. Bhimrao Ambedkar University, Udaipur

Application
I AJAY KUMAR Hereby be declared that the complete information given by me are in the application form is true and complete to the best of my knowledge. In case of detaction of any in complete or wrong information in the exam application form my application will be liable to be rejected. I have been resid ing in the territorial jurisdiction of Dr. Bhimrao Ambedkar University and not appearing in any other examination of this or any other university, either as a Regular student or Non-Collegiate.

02-01-2014 Date Signature of the Candidate

Certificate From Head of The Forwarding Institution

(For Regular/ Ex-Students) I certify that the candidate AJAY KUMAR has passed the qualifying examination for the purpose of admission, that he/she has been attending a regular course of study in this college for this examination and that there is nothing against his/ her character which ought to debar him/her appearing at the examination. I certify that the form has been checked and the candidate is eligible to appear at the examination applied for.

Signature of Head of the institution with Seal

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