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Sardar Patel University Vallabh Vidyanagar 388 120 Dist. Anand, Gujarat (India) Website: www.spuvvn.edu
NAAC Re-Accreditation CGPA 2.83 Grade B (16-9-2011 to 15-9-2016)
Vallabh Vidyanagar
Tushar Majmudar
Date: 18/05/2013
I/c. Registrar
PARTICULARS Application form will be available on University Website : http://www.spuvvn.edu/students_corner/admissions Form Fees Last Date for receipt of Application form of all subjects: External Section, 2nd Floor, Sardar Patel University The Qualifier list for admission to the P. G. & Diploma Course programmes to be declared on University website (http://www.spuvvn.edu/students_corner/admissions) with instructions from the respective Head of the Department. Date of Counseling (Admissions): 1. Humanities and Social Sciences: 2. Basic Sciences: Time of the Counseling: 1. Humanities and Social Sciences: 2. Basic Sciences: Place of the Counseling: 1. Humanities and Social Sciences: 2. Basic Sciences:
(4)
28/06/2013
(5)
(6)
(7)
Note :- Please read all the instructions in the Application form carefully.
(A) For M. Sc. (Bio-Informatics) Applications Only: In case you are not offered admission against normal seats in M. Sc. (Bio-Informatics) due to your place on the merit list would you be applying for industry sponsored seats? [if yes, please supply the following required documents: a. Sponsorship Certificate form and industry/institute working in an area related to BioInformatics. b. Document indicating employment in the sponsoring organization for the last two years.] (B) For MSW Application Only: Extra Curricular Activities: 1. Debates, Seminar etc.: 2. Sports/N.C.C./N.S.S.: 3. Leadership Role, if any: 4. Membership of Organizations if any: 5. Any other non-academic actives which you think are relevant to add to your application:
Vallabh Vidyanagar - 388120 Application Form for Postgraduate & Diploma Courses Admission
No: ..
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Instructions:1. Please read all the general instructions carefully before filling up the Application form. 2. Applications received after the last date will not be entertained / accepted. University will not be responsible for any postal delays/loss. 3. The Application Fee can be remitted through Cash (During office hours Only, Except on Second & Fourth Saturdays of the month, All Sundays & Holidays) or Demand Draft in favor of the Registrar, Sardar Patel University drawn in any Nationalized Bank payable at Vallabh Vidyanagar. Write your Name, Address, and Mobile/Telephone Number on the back of the Demand Draft. The Application form Fee will not refund.
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Please affix Recent Subject : ___________________ Passport Size Department : ___________________ Photograph -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Degree : ___________________
Full Name in Capitals as it appears on the Marksheet: Surname Name Fathers Name Address: ________________________________________ ________________________________________ ________________________________________ ________________________________________ Pin Code : Aggregate Marks/Percentage/CGPA Obtained Out of Percentage Grade (%)
Phone No. With STD Code: _________________________ Mobile: _______________________ Tick () the appropriate boxes (if applicable) and enclose certificate from Social Welfare Officer OPEN SC ST SEBC PH VH
(Note: SC and ST Students must attach Caste Certificate, and SEBC fresh Non Creamy Layer Certificate (Financial year 2013-14) with this Application form. Old certificates for SEBC will not be considered.) Date of Birth: Age: _______Years Male: Female:
Nationality: ___________
Have you applied for admission to any other Degree/Diploma/Certificate Course in the University? Yes No if Yes, give details: ______________________________________________
At Present I am studying in _________________ class in _____________________ University. Annual Income of the Parents/Guardian/Self : Rs. ____________ (Aprrox.)
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Grade obtained
Subject / Specialization
I hereby declare that the information given herein is correct and that misstatement, if any whenever found, will nullify the admission, if granted. I also undertake to observe the discipline and obey the authorities. I know that for becoming eligible for University examination the rules regarding at least 75% attendance of total teaching working days and minimum marks to be obtained at the internal test are required to be fulfilled. Notes : 1. In case there is gap between the last examination passed and the year of seeking admission, the student is required to submit bona fide statement to that effect. 2. Incomplete application will not be attended to. No correspondence will be entertained with respect to such incomplete applications, including non-payment of fees or matters covered by the instructions given above. Date: Signature of the Applicant
-------------------------------------------------For Office Use Only-----------------------------------------------Application form Fee Received Rs. Rs. 200/- Wherever applicable, with Receipt No.: ________________ Signature : ________________ Admitted / Not Admitted Office Remarks
Remarks of Head of Department Eligible/Not Eligible Admission Card issued on : _____________ Last date of payment of fees : ___________
Date:
Date
Office Superintendent
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