DOCUMENT SUBMISSION FORM
(FOR ONLINE APPLIED CANDIDATES)
Name of Programme : _________________________________________________
Application Form No. :
Name : _______________________________________________________________
(In Block Letters)
Father’s Name : ________________________________________________________
Contact Nos.: _________________________________________________________
Tick ( ) the attached documents
Demand Draft Category Certificate
10th Certificate Experience Certificate
12th Certificate One Photograph (4.5 cm x
Graduation / Degree 3.5 cm)
Certificate Any ID Proof copy
UNDERTAKING
I hereby undertake that the Certificates/Degrees/Mark sheets with regard of educational
qualifications submitted by me are genuine. The Degree qualification submitted by me
is recognized as per UGC norms to the best of my knowledge. In case any of these
Certificates/Degrees/Mark sheets are not found to be genuine, my admission may be
cancelled. In that event, I shall have no claim whatsoever with respect to the duration
spent and the fee paid for the course undertaken by me.
Date : __________________ (Signature of the Student)
Place :__________________ Name ………………………………
Note : Please submit this form along with the required documents and photograph.
Candidates can also pay the academic fee online through Credit/Debit Card and
Netbanking.