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No:
PONDICHERRY UNIVERSITY
(A Central University Accredited with A Grade by NAAC)
No..
Pin code
STD Code
Phone No.
Mobile No :
4. Students E-mail ID
:__________________________________________________________________
Month:
Year:
7. Place of Birth:
BA (Sanskrit) :
________________________________________Centre Code:
(Proof to be attached)
(Non-teaching employees (Gr. B, C & D) of Pondicherry University and their wards-01, Defence Personnel &
Paramilitary Forces-02, Physically Challenged -03, Widows-04, Deserted Women-05, Prisoners-06, Transgenders -07)
DD/Chalan No.
Date:
Amount (Rs.):
Bank Name
& Branch :
Name of
the
Subject
Year of
Passing
Class/Grade /
Percentage
10th /Equivalent
12th / Equivalent
Degree/
Equivalent
Post Graduation
Others(Specify)
Declaration
I declare that all the information furnished in this application form is correct and complete.
I acknowledge that the Pondicherry University reserves the right to reverse at a later date any decision
regarding admission made on the basis of incorrect or incomplete information provided by me.
I declare further that I had read & understood all contents of this application form &
Information Brochure and that I am bound by all their contents for all purposes.
Place:
Date :