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Personal Details
Gender: Male
Category: Gen-EWS
Nationality : Indian
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Board/University Name : Others (Select only if Board/ University name is not in drop down) - Maharaja Agrasen Himaliyan Garhwal
University Pauri
Result Mode :
M.Phil Details
Specialization, if Any --
Ph.D. Details
Contact Details
Country India
District DEHRADUN
Permanent Address
Country India
District DEHRADUN
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2 Signature
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My Name Father Name Mother Name
Date of Birth Gender Category
Person with Disability (PwD) Examination Cities Educational Details
Applied for Subject Applied For Contact Details
Declaration
I hereby declare that I have filled up this Online Application Form after carefully reading the Information Bulletin and
fully understanding the provisions/ procedures mentioned therein. I further declare that all the particulars given by me
in this application form are true to the best of my knowledge and belief. I agree that if my Result is withheld / not
declared/ my candidature shall automatically stand cancelled. In case it is found at any point of time in future that false
information has been furnished in this application form my candidature shall automatically stand cancelled.
I also declare that I have submitted one Application Form. In case of more than one application Form is found, my
candidature of another application shall automatically stand cancelled.
I shall abide by these terms and conditions as well as those laid down in the Information Bulletin, Public Notices and
Advisories issued by NTA regarding this exam from time-to-time
I Agree