App/PEC/2019/2955 Faculty : B B A Sem - I Ist Sem 2019

GUJARAT UNIVERSITY
APPLICATION FOR CERTIFICATE OF ELIGIBILITY

Note : the application must be accompnished by the prescribed fee of Rs110/-(Hundred and Ten)
for Eligibility Certificate.

(to be filled in by the University Office)

Dispatch No. __________ Dispatch No. __________

Date : ________________ Date : ________________
P.E.C No. :____________ F.E.C No. :____________
Date : ________________ Date : ________________
With all Original Certificates

Shri ADITYA JAIN has Passed

12TH Examinatiion from RBSE University/Board/Institution.
He/She is eligible for admission to B B A Sem - I Ist Sem
Order may please be passed for Provisional/Final Eliibility Certificate.

Clerk-in-Charge I.O.S.

Order : The Provisional/Final Eligibility Certificate should be issued. for Register.

The prescribed fee of Rs. 110/- is paid Nationality Indian

by Cash/Demand Draft. Date of Birth 18-06-2001
Cheque is not acceptable (as entered in the college/Institute Register)
Fee receipt No. _______Date:________ Gender : Male

Note :

Educational Details

Exam Month Year Semester College University

Name
SSC June 2017 HAPPY HOME PUBLIC RBSE
SR SER SCH,AASPUR
HSC May 2019 SPRINGDALES SR SEC RBSE
SCH
Examination,if any,at which applicant appeared but failed Year :
in to case,with the name of university and year Course :
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College and class to which the applicant s seacking the

Class : B B A Sem - I Ist Sem
admission in Gujarat University.any change in this regard
after the issurance o Provisional Eligibility Certificate
should invariably be intimited to this office. College :
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Postal address for correspondence

To, To,
Shri, ADITYA JAIN Shri, ADITYA JAIN

JAIN MOHALLA MUKAM POST SPUR JAIN MOHALLA MUKAM POST SPUR
DUNGARPUR RAJASTHAN DUNGARPUR RAJASTHAN

Udaipur Rajasthan Udaipur Rajasthan

Pin Code No. : 314021 Pin Code No. : 314021

Mobile No 9828880425 Mobile No 9828880425

I assure that above information given by me is true and correct.

Date ______________ Signature of the Student ________________

*Struct out which is not applicable.

information must be filled up by FOREIGN STUDENTS :

(1) Name of the Country Nationality

(2) Type of Visa PassportNo & Date --

(3) Visa No & Date -- Religion

(4) Date of Birth 18-06-2001 Gender : Male