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Form No……………
Roll No ……….
to be filled by office
APPLICATION FORM
FOR M.P.T. CANDIDATE
FOR APPEARING AT THE ENTRANCE TEST 2011 FOR ADMISSION TO
M.P.T. COURSES IN J.R. NAGAR RAJASTHAN VIDYAPEETH UNIVERSITY,
UDAIPUR.
To,
The controller of Examinations
J.R. Nagar Rajasthan Vidyapeeth University
Pratapnagar , UDAIPUR-313001 (Rajasthan)
All candidates
must affix their
latest passport
size photograph.
The candidate
should write
his/her name
on the photograph
Sir,
I have gone through the rules for admission to Institution of Faculty of Medicine as well as Syllabus
and nature of examination prescribed for the Entrance Test. I request permission to present myself
for the same, if eligible.
Place: .......................................
Date: .......................................
Yours faithfully
NAME IN BLOCK LETIERS : ...................................... ….
……………………………
(Signature of the Candidate )
Signature of the candidate in full to be taken in the examination hall & counter signed by the
invigilator.
Full signature in the Examination Hall
.............................
Candidate
.............................
Invigilator
Invigilators should verify the photograph on this form and the admission card and should ascertain
that the same candidate is giving the examination.
………………………………………………..
(Signature of the Centre Superintendent)
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