BAGWAN\M S Bagwan DN: CN = BAGWAN\M S Bagwan

Digitally signed by BAGWAN\M S Bagwan Reason: I am the author of this document Date: 2011.02.23 12:09:49 +05'30'

BHARATI VIDYAPEETH DEEMED UNIVERSITY, PUNE

CET-2012 For Admission to MBA
Read Instructions given at the end of the second page carefully. Candidate Name : ANKUR FUGAAT

FORM NO

26026
EXAM CODE

24

Gender: Male

Date of Birth: 28-Oct-1986

Category: OPEN

Address of Communication:

Affix Passport size Photograph here, Do not stapple or Pin the Photograph

C-8/20,1ST FLOOR,YAMUNA VIHAR DELHI,DELHI,110053

Phone No: -9953123110 E-Mail : ankurf1986@gmail.com Mobile: 9013195040

Year of passing at Graduate Level

YEAR OF PASSING MARKS OBTAINED MARKS OUT OF

Sign Candidate Signature

2011

2759

5000

MARKS OBTAINED

NAME & ADDRESS OF PARENT/GUARDIAN Parent Name: KIRANPAL SINGH

CHOICE OF CENTER

Address:

New Delhi C-8/20,1ST FLOOR,YAMUNA VIHAR DELHI,UTTAR PRADESH,110053

Phone No:

9953123110

Mobile:

E-Mail

LAST SCHOOL/COLLEGE DETAILS

SCHOOL/COLLEGE:

KRISHNA ENGG. COLLEGE 95 MOHAN NAGAR

ADDRESS:

PHONE NO:

STREAM AT GRADUATION LEVEL B-TECH

CLICK LINK BELOW TO DOWNLOAD YOUR PAYMENT RECEIPT

http://www.bharatividyapeethuniversity.net/CetOnlinePgw/RCPT26026.pdf

Declaration - I A. I hereby declare that the information fill online in this form is true and Complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled. B. I have studied and understood the Rules Of Admission Procedure, and Fee Structure and agree to abide by these rules. C. I have read and understood all the provisions contained in the Prospectus and hereby agree to abide by these provisions. D. I am aware that any legal matters arising out of the total admission process through All India Common Entrance Test of Bharati Vidyapeeth University, CET-2012 Pune 30 will be subject to will beof Pune jurisdisction Maharashtra. i.e.CET2011 courts subject to courts of Pune jurisdiction Maharashtra.
P

Date:

Signature of the Candidate Name of the Candidate: ANKUR FUGAAT

2. Declaration II A. I, the parent / guardian of (applicant) hereby declare that I am aware of the financial obligations of admitting my child / ward to the colleges of Bharati Vidyapeeth University. I agree to pay the Tuition fee and Other Fees to the Institution as fixed from time to time as per the rules. I also endorse the declaration made above by my child/ward. I have read all the rules governing the process of Common Entrance Test, Counseling, Admission and Fee Structure . CET 2011 and agree to abide by the of rules.

Place: Date: Signature of the Parent / Guardian Parent /Guardians Name: KIRANPAL SINGH INSTRUCTIONS Please paste the photograph, Attest it(Attestation from head of the institute), Sign at appropriate places and bring this form at the Examinatin Center

This Page to be pasted on a 10 inch X 12 inch size envelop

CET-2012 Application Form For MBA To, CET-Online Registration Department, 2nd Floor, Bharati VidyaPeeth University L.B.S. Road, Navi Peth, Pune 411030

Form:

ANKUR FUGAAT (Form No:- 26026 )

C-8/20,1ST FLOOR,YAMUNA VIHAR

DELHI,DELHI,110053