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 Reg.No. : 002714    Roll No. : 

Institute for Post Graduate Teaching & Research in Ayurveda

GUJARAT AYURVED UNIVERSITY, JAMNAGAR
 
 APPLICATION FOR JOINT PG ENTRANCE TEST AND ADMISSION TO AYURVEDA VACHASPATI / 
AYURVEDA DHANWANTARI (MD / MS (AYURVED)
For
ACADEMIC SESSION 2011-12
for I.P.G.T. & R.A., Jamnagar; NIA, Jaipur and Govt. Akhandananda Ayurveda College, Ahmedaba
Fees: Rs. 900 For SC and ST Candidate and Rs. 1250 For All Other Categories

Bank DD No. : 354696       Dated : 03-05-2011     Drawn on Bank : STATE BANK OF INDIA

For Office Use Only

Year of Passing BAMS :
Intership Completed/Likely to be Completed on :
Whether Eligible ? YES NO Affix Photograp
 
Here
Category : c
d
e
f
g Raj. Uni. g
c GAU
d
e
f c
d
e
f
g Other Uni.
c
d
e
f
g ST c
d
e
f
g OBC c
d
e
f
g General
c
d
e
f
g CGN c
d
e
f
g In-Service     g
c PH
d
e
f

1. Choise of Examination Centre : JAIPUR
2. Surname : Meena
2. Name : Sugriv
3. Father's/Husband's Name : Bharu lal Meena
4. Gender : Male Maried Status : Unmarried
5. Date of Birth : 20-05-1985              Nationality :  Indian
6. University from which Qualifying Exam Passed : Jiwaji University Gwalior
7. Details of Intership : Commencement Date : 11-05-2010
Completed/Likely tobe completed on Date : 17-05-2011

8. Category : c General
d
e
f
g    
  (For all the Below,certificates from Competent Authority are Mandatory)
  c Scheduled Caste
d
e
f
g c In-Service (Application Forwarded through Competent Authority)
d
e
f
g
  c Scheduled Tribe
d
e
f
g c Central Govt. Nominee (Application Forwarded through Competent Author
d
e
f
g
  b OBC (non creamy layer only)
c
d
e
f
g
  c SEBC (non creamy layer only) (For Gujarat Candidate Only)
d
e
f
g
  c Physically Handicapped
d
e
f
g
9. Phone : -    Mobile : 9826394898    E-mail : jitendragwal@rediffmail.com
10. Address : 02 saket nagar tansen road gwalior (M.P.)

11. Declairation : i, Meena Sugriv Bharu lal Meena    solemnly declare on oath that: 

1. I have read the Rules & Regulations of both Institutes as given in the Prospectus.
2. All the information given by me in the Form is correct to the best of my knowledge.

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Gujarat Ayurved University Page 2 of 3
3. If I do not satisfy the eligibility rules prescribed for Admission or if any information given by me is found to be false
am lible to be removed from the institute and my Admission be Cancelled and also the Degree, if any, given by the
Ayurved University, Jodhpur or Gujarat Ayurved University, Jamnagar be forfeited

 
 

  Signature of the Candidate

  to be taken in Exam Hall Signature of th

12. Details of Qualifying Examinations : ...........................................................................................

 

OBTAINED MARKS For Offic

Marks
Subject Attempts*** (Theory + Index Marks
(Theory +
Practical) ( Out of 10 )
Practical)

1. Ayu Darshan & Siddhanth (Ayurved ka Itihas+

Padarth Vigyan)
1 261 400  

2. Rachana Sharir 1 257 400  

3. Kriya Sharir 1 245 400  

4. Swastha Vritta 1 192 300  

5. Dravyaguna Vigyan 1 244 400  

6. Rasa Shastra & Bhaishajya Kalpana 1 272 400  

7. Agad Tantra Vyavhar Ayurved evam Vidhi

Vaidyak
1 148 200  

8. Rog Vigyan evam Vikriti Vigyan 1 196 300  

9. Prasutitantra evam Striroga 1 216 300  

10. Kaumarbhrittya 1 158 200  

11. Kayachikitsa 1 469 600  

12. Shalyatantra 1 206 300  

13. Shalakyatatra 1 196 300  

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Gujarat Ayurved University Page 3 of 3

14. Samhita (Ashtang Hridayam + Charak

Samhita (Purvardh & Uttrardh)
1 298 450  

15. BAMS FINAL YEAR 1 1360 1850  

*** Minimum Passing Marks will be considered in case of more than One attempt.

  Accepted Rejected

      

  Signature of Scrutinizer
Signature of th
 
Print Form Cancel

http://www.ayurveduniversity.edu.in/print_admission_form.php 5/3/2011