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ADMISSION FORM

Course Name of Applicant Father's Name Mobile
E-mail Date of Birth Mother's Name Telepone
Academic Information 10th 12th UG PG
Gender Physically Handicapped Address
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Declaration

I, hereby declare that all the particulars given above are true, complete and correct to the best of my knowledge and belief. I have never been convicted by any court of law or disqualified by any Board / University. My admission may be cancelled and appropriate action be taken against me at any stage, if any information furnished by me is found to be incorrect or misleading. I am aware of University approach toward ragging and the punishment to which I am liable and if found guilty of ragging. Disputes, if any, are subject to Azamgarh jurisdiction only.

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