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Address
Babu lal sujiya maholiya khatima
Khatima us nagar
Uttarakhand
City Khatima State Uttarakhand Pincode 262308
Email Id1 abhisheksinghosho@gmail.com Mobile No1 7417736964
Email Id2 abhisheksinghosho@gmail.com Mobile No2 7351570768
Payment Details
Payment Instrument No 119237446-1556173227894
Payment Mode CREDIT CARD Date 25/04/2019 Amount 600
Declaration:
I understand that I can apply only once for each program/ group. In case I apply more than once, only one of my application will be
accepted and the application, entrance test fees remitted will not be refunded.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read
and understood all provisions of admissions and agree to abide by them. I also affirm that I fulfil the eligibility requirements for the
course/s applied.
In the event of submission of eligibility document from the unrecognized Board/ University, fraudulent, incorrect or untrue
information or suppression or distortion of any fact, like educational qualification, marks, nationality etc. I understand that my
admission is liable for cancellation.
NOTE :1. Please keep a copy of the filled in application for future reference (Don’t Send the Copy).
2. Application number must be quoted in all future correspondence.
Manipal Academy of Higher Education (MAHE) | Manipal – 576 104, Karnataka State, INDIA
Tel: +91 92437 77700/11/22/33/44 | email: admissions@manipal.edu | Web: www.manipal.edu