admission brochure - Teerthanker Mahaveer University
admission brochure - Teerthanker Mahaveer University
admission brochure - Teerthanker Mahaveer University
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Form No......................................<br />
TeerThanker <strong>Mahaveer</strong> UniversiTy<br />
Delhi Road, Moradabad (U.P.) - 244 001<br />
Application Form<br />
(Session 2012-2013)<br />
1. Program Applied for............................................................................................................................................................<br />
2. Preference for branch/specialization in case of B. Tech. / MBA/ M. Tech/M.Sc. Medical/<br />
M. Sc Home Sc./M. Pharm/M.Sc. Nursing/MDS/MD/Diploma in Engineering programs.<br />
1. 2. 3. 4.<br />
5. 6. 7. 8.<br />
please paste your<br />
recent coloured<br />
passport size<br />
photograph<br />
here<br />
3. Name of the candidate.....................................................................................................................................................<br />
(English) (Hindi)<br />
(in capital letters as per matriculation certificate)<br />
4. Date of Birth............................................................................................................5. Gender (M/F)...............................<br />
6. Father’s Name.......................................................................................................................................................................<br />
(English) (Hindi)<br />
Signature of the Candidate<br />
7. Mother’s Name......................................................................................................................................................................<br />
8. Category (General/OBC/ST/SC/Others).......................................................................................................................<br />
9. Residence Status..................................................................................................10. Blood Group...............................<br />
(Village/Town/City)<br />
11. Parents Occupation: Father............................................................................. Mother..................................................<br />
12. Parents Education: Father................................................................................ Mother...................................................<br />
13. Family Annual Income (Rs.)................................................................................................................................................<br />
14. State of Domicile.................................................................................................. 15. Mother Tongue...........................<br />
16. Religion....................................................................................................................17. Nationality.....................................<br />
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