APPLICATION FORM

Application Form For *ManagementDentistryLawDesign

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Personal Information

Name of Candidate :-

Father's / Husband's / Guardian's Name :-

Date of Birth :-

Gender :- FemaleMale

Whether belonging to:- GENOBCSCSTSEBCPHOTHER

Nationality :-

Marital Status :- MarriedUnmarried

Blood Group :-

Minority :-

PAN No :-

Adhar No :-

Religion :-

Caste :-

CONTACT DETAILS

Address :-

Phone No. (with STD code) :-

Mobile :-

Email ID :-

DETAILS OF IN-SERVICE CANDIDATES(For those working in Karnavati University)

a) Name of the Department :-

b) Name of the Constituent College :-

c) Date of Appointment :-

d) Present Designation :-

e) Period of Service :-

f) NOC Enclosed :- YesNo

ANY OTHER DETAILS

PAYMENT DETAILSApplication Fees: Payment Mode: Cash/DD

DDNumber :-

Date :-

Name of Bank :-

You can also pay online at Account Name: Karnavati University A unit of KMETCurrent account no:- 070994600000070Bank: YES BankBranch: BhuangdevIFSC CODE: YESB0000709

I hereby declare that all the details furnished above in this application are true, complete and correct to the best of my knowledge and belief. In the event of any of the information being found false or incorrect or any ineligibility being detected before or after the test / admission my candidature is liable to cancelled and action will be initiated against me. Further, I shall abide by all the Karnavati University Rules and regulations of PhD program that are applicable to Full time / Part time / In service candidates.

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