NH-47 Ariyanoor Salem Tamil Nadu
Recognized by U.G.C
Approved by Distance Education Council, IGNOU,
Admn.
Appln.
No
.
APPLICATION FORM FOR ADMISSION
(With in CAPITAL letters only)
Enrollment No. :
(For Office use only)
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Academic year
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Course and Specialty Applied for
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Year Applied
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Name of the Study Centre
: APARK INSTITUTE OF EMPLOYMENT
EDUCATION AND RESEARCH
1.
Name
of the Applicant as in the Birth Certificate of Marks card of Standards X Exam.
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2. Fathers
Name
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3. Sex : Male
Female --------------- 4.
Date of Birth & Age: ------------------------ Date: Month-------------------------------Year------------------------------
Age-----------------------------
5. a) Personal Marks of Identification : --------------------------------------------b) blood
Group : ---------------------------------------------------------------------------
6. Address
for Correspondence (do not repeat name)
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City State Pin Code: ---------------------------------
Country STD
Code Phone
7.
Permanent
Address (do not repeat name)
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