Académique Documents
Professionnel Documents
Culture Documents
TANAGAR ARUNACHALPRADESH-
INDI
A
[
KINDLYFI
LLI
N BLOCK LETTERS]
Nameoft
heSt
udent(
Engl
ish):__________________________________________________________________________________
Nameoft
heSt
udent(
Hindi
):____________________________________________________________________________________
Fat
her
’sName:________________________________________________________________________________________________
Regi
str
ati
onNo.:______________________________________________________________________________________________
Nameoft
heCour
se:____________________________________________________________________________________________
_______________________________________________________________________________________________________________
Pas
singYear
:__________________________________________________________________________________________________
Ses
sion:______________________________________________________________________________________________________
Addr
essofCommuni
cat
ion:_____________________________________________________________________________________
_______________________________________________________________________________________________________________
___________________________________ Pi
nCode___________________________ PhoneNo.
:___________________________
Emai
l-I
D :______________________________________________________________Mobi
leNo.:__________________________
Dat
e:
Pl
ace:
(
Signat
ureofSt
udent
)
Theabovepart
icul
arsgi
venbyt
heappl
icantareveri
fiedandf
oundcorrect
.
FEE:5000/
- ModeofPayment Cas
h DD/
Cheque
[
DD t
obei
nfavourofHI
MALAYAN UNI
VERSI
TY]
Bank Amount
() DD No. Dat
e
Reques
trecei
vedon : Cer
tif
icat
eNo.:
Degr
eeCer
tif
icat
eIs
suedon: Aut
hor
isedSi
gnat
ory:
(
AllDocument ss
houldbes
elfat
tes
ted)
CopyofRegist
rati
onlett
er CopyofVivanotice
Copyofcours
ewor klet
ter Copyofresul
tnotif
icat
ion
CopyofSynopsisappr
ovallet
ter Copyofprovi
sional