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S.No. Name Relation<br />

with<br />

student<br />

Course<br />

Studied<br />

College/<br />

institution<br />

Year of<br />

Leaving<br />

Result<br />

11. Any relatives of the candidate is working/left, with/from Janardan Rai Nagar Rajasthan<br />

Vidyapeeth (University) please indicate:<br />

S.No. Name of employee<br />

Working/<br />

left<br />

Department<br />

Relation with<br />

the candidate<br />

Duration<br />

of<br />

Service<br />

Left on<br />

12. Details of your family members (only blood relatives i.e. Father, Mother, Wife, Husband,<br />

Brother, Sister, Son & Daughter).<br />

S.No. Name of the family<br />

members<br />

Age Relation<br />

with<br />

student<br />

Occupation<br />

(Study/Service)<br />

School /<br />

Colloge /<br />

Deptt.<br />

Designation<br />

13. PERMANENT ADDRESS: POSTAL ADDRESS (for correspondences)<br />

PIN CODE - PIN CODE -<br />

Phone No. - Phone No. -<br />

Mobile No. - Mobile No. -<br />

2

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