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{{ $university_name }} BEST INDIAN UNIVERSITY FOR INTERNATIONAL STUDENTS Approved by Government of {{ $state }} & Recognized by UGC India Tel: {{ $university_contact_number }} | Email: {{ $university_email }} |
PROVISIONAL ADMISSION APPLICATION FORM (REF NO: {{ $ref_number }})
Personal Details
| Full Name | {{ $student_name }} |
|---|---|
| Gender | {{ $gender }} |
| Date of Birth | {{ $dob }} |
| Nationality | {{ $country }} |
| Phone Number | {{ $phone }} |
| Email Address | {{ $email }} |
| Permanent Home Address | {{ $country }} |
Academic History
| High School Registration No | Year | Score |
|---|---|---|
| {{ $high }} | {{ $passing_year }} | {{ $cgpa }} |
| SSCE Subject and Grades | ||
| {{ $cgpa }} | ||
Guardian Details
| Full Name | {{ $parents_name }} |
|---|---|
| Gender | {{ $pgender }} |
| Mobile | {{ $p_phone }} |
| {{ $pemail }} | |
| Permanent Home Address | {{ $paddress }} |
Admission Application Details
| Admission Category | Fresh Admission |
|---|---|
| Scholarship | {{ $scholorship }} |
| Hostel Requirement | {{ $hostel_required }} |
| Application Status | Approved at {{ $date }} |
| Program Applied | {{ $course_name }} |
| Course Duration | {{ $course_duration }} |
| Intake Session | {{ $session_name }} |
| Academic Years | {{ $academic_year }} |
Indemnification & Verification
| I do hereby verify that my submitted application form is true to my knowledge and if I am offered an admission at this esteemed {{ $university_name }} then I shall abide to all the rules and regulations prescribed by the University. If at a later phase I am found to have submitted false information the University has rights to take action against me anytime. |
| Signature of Student | Signature of Guardian |