You are on page 1of 1

DUMMY APPLICATION FORM (USE ENGLISH ALPHABATES TO FILL THE ENTRIES)

(     | )

OTHER PERSONAL DETAILS ( 


)
GENDER () (MALE / FEMALE)
MARRIED (
) (YES / NO)
MOTHER'S NAME (AS PER HIGH SCHOOL
CERTIFICATE OR EQUIVALENT)
(  

" #% &  )
RELIGION (*)
(HINDU / MUSLIM / SIKH / CHRISTIAN / OTHER)
SUB-CATEGORY ( +)
(NOT APPLICABLE / PH / AF / FF)
PARENT'S ANNUAL INCOME (
* )
NATIONALITY (/01)
(INDIAN / OTHER)
OHTER DETAILS (
)
GRADUATION WITH SANSKRIT AS A SUBJECT
( 

) (YES / NO)
IS QUALIFYING EXAM UNIVERSITY IN UP (YES /
NO)
( * 1"
3
4 5 # & 8)
SELECT LANGUAGE FOR PAPER-I SECTION B
(HINDI / ENGLISH)
(#3 % - 1 : ()  & |)
WEIGHTAGE CLAIMED ( ) (YES / NO)
Details of Weightage Marks (
) (REFER INFORMATION BROCHURE)
A
B
C
D
E

Total Weightage ( )
ADDRESS FOR COMMUNICATION (% 
)
PARENT'S / GUARDIAN'S NAME
( -
/  )
ADDRESS ()

DISTRICT ()
STATE (B)
PINCODE (
)
TELEPHONE NUMBER WITH STD CODE
( 1 .1.. )
MOBILE NUMBER ( )
E-MAIL ID (- ..)
NOTE: THIS IS NOT ACTUAL APPLICATION FORM. THIS IS ONLY MEANT FOR THE
CONVENIENCE OF CANDIDATES FOR FILLING ONLINE APPLICATION FORM THROUGH
WEBSITE.
 ' ( +,' . 
 2 '

6 

You might also like