> REVA ° UNIVERSITY PG APPLICATION FORM ACADEMIC YEAR 20 xysstc x/Puc Degree MBA Marke % Marke % Marks % Werte ADMISSION TYPE 0 YoU REQUIRE THE FOLLOWING? 1 Pacer quota 1 university quota Cl rransrort — C) HOSTEL. PGCETNO 11411 ADMISSIONORDERNO Lie RANK CLAIMED CATEGORY __1_1_ ALLOTTED CATEGORY _1_1_ C1 KAR C1 NON-KAR LJ HYD-KAR C] RURAL Ht FulNeme teeta nibecoratatean a poteorsith ff Affix Passport Size Natonalty Owe Creme Oe || photograph Religion Peer BloodGroup |, caste Ce sibcaste ee category CGM OSC OST ! COTHERS — syeciy yy oes Oves Ono MobleNo, ema [Panes eras rr Father's a ae Name Nine Father's Pel Meth a Seeupation Secapation ee eee ee PANN. a urent BOM Lert Permanent |p Address Lert MobileN, Lu Residence No. ut Email ID Fa ean bot Uneey se a “on sgn MobieNo, = LLL Residence, re =r & © PasspotNe Vea Deteoftswue sf fii Deteoftsue Vf fi vateofexpiry fe J vateot Expiry ff CS, ek opal Examination of passing Imotiutiontast yg gg ‘Studied state board aa Se MARKS SECURED IN UG EXAM ulthts | olitiniée | AGGREGATES understand that this admission is purely provisional and ie ' KI ‘Subject to eligibility and approval of University/Board. JERSE ‘eciare thatal the dette given by me are te tote best of my knowledge. ganoioaTe ore | SiNDIeaTE Joefoee PARENT/GUARDIAN, re fl Oe SIGNATURE © Conduct/Study Certificate FOR OFFICE USE ONLY Aw, SAAS ‘admitted to C] wren] won fg oto naee 1] recer C] va newt eee rae OTe Pas atog faneuekere Os PRODUCED. radon fo aronaed ‘Sonate