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UNIVERSITY COLLEGE OF SCIENCE

MOHANLAL SUKHADIA UNIVERSITY: UDAIPUR 313002 (Raj.)


APPLICATION FORM ADD-ON DIPLOMA/CERTIFICATE COURSES 2009
Name of Diploma/Certificate Name of the Candidate Category : Regular (please tick) Course: Class : Name of College: Student Identity Code As per Identity card Reservation Category (please tick) Date of Birth & Age Postal Address : .. Private Subjects: : Other

SC

ST

OBC

GENERAL

Telephone No.(If any)

: : : : :

Details Examination Passed Examination Board/University Sr.Higher Secondary Under Graduate Post Graduate

Subject

Marks Max. Percentage Obtained Marks

Are you student of any other diploma/Certificate course of this university. If yes give details: This is to certify that all the information given above are correct. Date : Place : (Signature of the candidate) Courses will be offered only if at least fifty percent of the students admitted deposits fee Candidates are advised to see Notice board University Computer Centre/Web site for schedule of entrance test/admission list details

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