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Admission Request Form 2013-2014

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ENTRANCE REGISTRATION FORM

Session: 2013 - 2014


1. Write the Name of the Course you are applying for : 2. Name of the Candidate (as given in mark-sheet of class X)
Affix a recent colored passport size photograph of the candidate

3. Fathers Name (as given in mark-sheet of class X)

4. Date of Birth (as in class X mark-sheet)

5. Category (SC / ST / OBC / General)

6. Address of the Candidate

7. Profession of Father

8. Contact Details of Father

9. Contact Details of Candidate

10. E-mail ID of Candidate

11. Educational Qualifications (attach photocopy of all mark-sheets and passing certificates along with this form) Class Year School / College Board/University X XII
Stream:______________

Percentage

GRADUATION
Stream:______________ 12. Entrance Test Fee Details (Rs.500/-) 13. Preferred Test Center and Date

DD No._____________ Dt._____________
(Attach a DD of Rs.500/- in favour of GLA UNIVERSITY
payable at VRINDAVAN)

Center_____________ Dt._____________
(There is no guarantee that candidate will be allotted the

preferred center and date.)

This form can be submitted either by post or by hand at university campus address. You will be informed about further course of action required within 7 working days of receiving this form.

Date:
To be filled by University (Not to be filled by candidate)

(Signature of Candidate) DD Received (by accounts office)


Data Entry & Response

On(Dt.): Checked: Name: Sign:

ID: HT Created:
Sign of creator:

PSWRD: HT Sent:

(Signature of Admission Coordinator)

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