SABARMATI UNIVERSITY

(Formerly, Calorx Teachers' University)

(State Private University Established by State Legislature of Gujarat Act No. 8 of year 2009)
Near Greenwood Resort, Vaishnodevi Circle, Sardar Patel Ring Road, Ognaj, Post Office Chandlodia,
Ahmedabad, Gujarat 382481

M.Phil./Ph.D.Application for Entrance Test (Form No-I-A)

INSTRUCTIONS:
Registration No.
Please read the form carefully before Filling it
(To be given by the office)

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Form should be filled in Block Capital Letter in English

A
Attach the required documents as mentioned in educational

M
Qualification

R
Incomplete application will be rejected
R Affix your
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recent
SAB

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Course Applied Please Tick: M.Phil. Ph.D. Passport size

Arts Educa on Commerce Photograph

Management IT

Subject : __________________________
Signature of Candidate
Personal Details

Name (Mr/Ms):_

Father’s Name:
सा Occupat ion:
य
Mother’s Name: बर ल
Occupation:
ा
Date of Birth: म त_Age_
ी िव ि व(As in the cer ficate of 10th examina on)
Gender: _Na onality: Marital Status:
Category (Tick only): SC ST OBC SBC General Minority PH/Others
Contact Details:

Permanent Address:

PIN:
Phone No. Mobile No. (+91) Mail ID: _
Correspondence Address:
PIN:
Work Experience: Yes No If, Yes Total Experience Year: Months

Organization/Company Details:

Name of the Address Duration Designation Salary Drawn

Company

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Examination Name of the Year of Marks Maximum % of Marks
Passed
10th
M
School I College and Board /
University
R R
Passing Obtained Marks

th
12
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SAB

Graduation

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Post
Graduation
M.Phil

NET/GSET
Any Other
Quali cation

सा
Award and Achievements (if Any): य
बर ाल
Par cipa on in Extracurricular ac vi es:
म त ी िव िव
Payment Details (applicable For Downloaded Forms only):

Mode of Payment Date Amount Name & Address of Bank

Receipt No. Dated

 Documents Attached:

10th Mark Sheet Cer ficate

12th Mark Sheet Cer ficate

Graduation 1St 2nd 3rd
Post-Gradua on 1St 2nd

M.Phil Degree
M.Phil
NET Degree
GSET

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hhhjNET NET
Migra on Photo

MA
ID Proof

Declaration: R R
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SI
By Students:
SAB

I son / daughter of _have read & hereby

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cer fy that the informa on given in the Applica on is complete and accurate to the best of my Knowledge.
I understand all the rules and regula ons laid down by the University and agree that misrepresenta on or omission of
facts will jus fy the denial of admission, cancella on of admission or expulsion. The fees paid is non-refundable under
any circumstance. In case I am not in posi on to join/con nue the course even a er submission of fees, I will not claim
refund of fees. I am not en tle to pursue any course from any other Educa onal Group while enrolling with this
University.

Signature:
सा य
Date:____________________________
बर ाल
म त ी िव िव