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VARDHMANMAHAVEEROPENUNIVERSITY,KOTA

ENTRANCEFORM

ControlNo.

RAWATBHATAROAD,KOTA(RAJ.)324010
APPLICATIONFORMFORMET0116EntranceExam
SESSION:January2016
1. RollNo.
2.
3.

Programme
RegionalCentre

E1523128

(ForOceUseOnly)

:MET0116
:BIKANER

4. DateofBirth

:06021976

5. FeeDetails
BankChallanNo.
ChallanDate
IssuingBank

:221205548
:22042016
:ICICIPAYSEAL

Amount

:Rs.1000/

6. NameofApplicant
7. Father'sName
8. Mother'sName

:AAKASHBHATNAGAR
:ASHOKKUMARBHATNAGAR
:VANDANABHATNAGAR

9. AddressforCorrespondence
10. Tehsil
12. State
14. MobileNo.

:A7NEARSBBJATM,MUKTAPRASADNAGARBIKANER
:BIKANER
11.District
:RAJASTHAN
13.PinCode
:8107856666

:BIKANER
:334004

15. Gender
17. CategoryDomicile
19. Religion
21. EmploymentStatus
23. DomicileofRajasthan
24. NET/JRF/SET/GATE/TRF
25. Disability

:Male
:General
:Hindu
:Private
:Yes
:No
:NO

:Married
:NotApplicable
:INDIAN
:Urban

26. EducaonalQualicaon

Examinaon
SL.NO.
Year
Passed
1

B.Com.

16.MaritalStatus
18.SpecialCategory
20.Naonality
22.Area

DisabilityType

Nameofthe
Board/University

1997 CCSUNIVERSITY,MEERUT

Percentageof
Marks

Subject
ACCOUNTING,
MANAGEMENT,LAW

27. TotalTeaching/ProfessionalExperience
Year
Months
0
0

48

Division
SECOND

Days
0

UNDERTAKING
IhavegonethroughtherulesofadmissionpertainingtoManagement/B.Ed.ProgrammeaswellasgeneralguidelinesprescribedforMET/B.Ed.
Entrancetest.IhaveunderstoodalltherulesofMET/B.Ed.EntrancetestandIwillabidebytheserules.
Ifurtherdeclarethattheparcularssuppliedbymearetruethebestofmyknowledge&beliefandtheywillbesupportedbyrelevantdocuments.
Intheeventanyinformaonbeingfoundincorrectormisleading,mycandidatureshallliabletocancellaonbytheUniversityatanyme.

MET/B.Ed.

/
|

Date:2204201613:18:53
Place:61.0.92.161

FullSignatureoftheApplicant

Note:IncasethefeehasbeenpaidonlineorviaEMitrastudentisnotrequiredtosendanyhardcopies.

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