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Application Form UG and PG

Application Form UG and PG - UNIVERSITY OF PUNE...

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UNIVERSITY OF PUNE INTERNATIONAL STUDENT’S CENTRE APPLICATION FORM FOR ELIGIBILITY / ADMISSION Application Form No : _________ The Registrar University of Pune, Pune 411 007 Fax : 0091-20-5691954 0091-20-5693899 Important Instructions 1. Form should be signed by the student 2. Incomplete form will not be accepted 3. No refund of Fees 4. This form is valid only for the year of application Sir, I hereby apply for grant of eligibility and admission as an International Student to _____________________ Degree course during the Academic year ___________ and request you to kindly grant me a certificate of eligibility and admission to the said course in your University. I submit my particulars as under. Name in Full : (In Capital Letters) ______________________________________________________________ ______________________________________________________________ Address : ______________________________________________________________ ______________________________________________________________ Nationality : __________________________ __________ Sex : Male _______ Female _______ (Tick One) Date of Birth : Day _____ Month _________ Year ___________
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Marital Status : Married ___________ Unmarried ____________ (Tick appropriate) Name of the course to which admission sought : ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Preferences : (College / University Department / Institute) 1. _____________________________________________ 2. _____________________________________________ 3. _____________________________________________ 4. _____________________________________________ 5. _____________________________________________ 6. _____________________________________________ Educational Qualifications 1. Name/ Title of the Last Examination Passed : _________________________________________________ _________________________________________________ 2. Name of the Examining Body : ____________________________________________________________
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