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5/19/12

Application for Dual/Transfer

Name: MAURYA PANKAJKUMAR HOUSLAPRASAD ID. NO.: 2011B5PS563P Application For Dual/ Transfer at Pilani Campus Dual Degree (First Priority) Preferences: A1 pref: 5; A2 pref: 7; A3 pref: 2; A4 pref: 3; A5 pref: 8; A7 pref: 1; A8 pref: 4; AB pref: 6; Dual Degree (Other Priority) Preferences: Not Applied. Transfer (within same tier) Preferences: Not Applied. Transfer from First Degree to Higher degree/Ph.D.: Not Applied. Transfer from Higher degree to Ph.D.: Not Applied. Candidate's Signature and Date:______________________ Take a print out of this page and send to "Admissions Officer, BITS, Pilani-333031" so as to reach him before 2nd June 2012. This application should be accompanied by a write up (not more than one page) describing the reasons for seeking the dual degree/Transfers. If you are applying only for dual degree under first priority, you need not attach any write up. ********(178)*******
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