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Seeking Admission to* :
Name of Candidate* :
Gender : Male    Female
Date of Birth :
Father's Name* :
Mother's Name :
Permanent Address* :
Correspondence Address :
Contact Information :
E-mail ID *:
Landline No. with STD Code :
Mobile No.* :
Particulars of Qualifying & Entrance Examination :
Examination University/Board College/School %
       
I solemnly declare that I have filled the Application Form in my own handwriting & if the information given is found to be incorrect at any stage, my candidature shall be cancelled and I shall not claim any compensation. i also declare that I had never been convicted by any court of law or disqualified by any Board/University.
It has been explained to me and I understand that registration does not guarantee Admission. Seat will be allotted to me according to guidelines laid down by the affiliating University/Board.
I hereby agree to pay the fee as applicable from the session 2011-2012 in the light of revision of fee decided by the PTU/State Govt.
     
   
   
   

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Maqsudan Campus 0181- 5009595, 5009605, 5009591 | Shahpur Campus 0181- 5055127, 5055128, 2995967, E-mail : info@ctgroup.in

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