You are on page 1of 3

orqfdq s[rgffi.

v@ ftrffir, qEqrt{r
sf,gs1 rrq{, q}qrd-+ 62004 ;

m-qo: //47 / ztq I aTrsfu / zn-s'er' / zozt -r)qrd, W;g/ t,t /zoz,t
Efr,
1. e6mhq,
E-qkr ffiilaq, qtuqisT r

2. qrqr{.
, sErm q-6[ffidq, ftqqetT I

frTq- cfr-q-dr{q {-sn{r rfu-fi 2021-22 d crf,.tc rft.\'d.S. Tgef sThftffi wq t ril$
sfuqr tg t+{qr I r

#- ftl qgqgApT ytr{lq s-@ frIsrT fuilrr qel-.4-q s-r 3nAqI oqrs. s++/gq/ffi/zozt/
3r.s-e-s, fu{io- 1s.o1.2021
/
(z) flqfc$q q-r mqfo. rao zt+ /ensRr/qt- s'a' zozt, fu{io. 30.0sz021 /
(3) otqfur$-q q-I m-Tt-6 tztz / zt+ /ensRrrzw- s'a' zozt, ft-{i6 08.10.2021 /
(+) orq{,a$-r trr{ s-qr6 ex / zt+ / eirsPrrzqr- s'a' / zozt, ft-qf.F 18.10.2021
(5) orqfd$-{ q+ mqio nss/zt+/ensPrrzsr-s'a' /zozt, fu{io. 0s.11.2021

-0--
fu ffia Gil-tql d am qa
sqqt.ffi fuqqr<rfd a-s t 2021_22 d ftrt qtqserT d
eTrfl-ft1'qZ3rgqr-q qlw Grpn-s+tqlffi GnTrfl-+tq q-uMt d sro-o delT rFil-flsitrr
oeler) t-g qleT fr'qq, qFM fudT-d, Gr-sT-(fuo. d-&-€{ si Gfrq-drfl q,Avt q-qq-qrinft G
orqf-orft"q q-ri d gr{r fr.w.s. Gftfuffi q{ur derr fi.gd.fr. trfiq, vo m.va.fi.gfiu
GThftffi qgor fr qtgl sfrqT tg fr{eT qffi ftd .rS t'- '

1. qft.\'d.Tft. z-gef GTfrtrfi qqq of sneT qfuqr 24 itmn t zg qtrcm 2021 ffiD
riqifu.d vFt r

2. ff{ia. 24:t1.2021 t zz.t 1.2021 n-o rfiq oTri*FI tg efq-dr{qitrft{E ve ffiqrqq


et gBqr efrddq *da rtrft r qq BrrcreT ,

3. Td e q-SEf, q rriqrfuf, errqreff G $.gn.S trftq t'q S.t'd.fr qfiq GTfrftn


qsT d 3trT Gfr-{ar{q q-fr-qf, gq rriqlfrd oil-a-{fi q-6lfuil8q ii E-{i BqRerfl
*mr fufR-d ftfDrq} if R-qf, tr d fug qra' ro'oo qd t rz'oo qG a-o €d-.E
ftgiRd 3ria-q-{ qrT o.t-} I Gn-A({ d qreT ot$ .t {ffffq €a.q r€f otJt I

4. f,ff#f d fr.gf,.{ft. agef erfufum T"I F otTt6 o1 yrsrT s@ R'niT fr'rilrT d


Tfi-{ ft{Pt w, \'q ft Gtrq-driq d epravesh.mponline.gov.in d qY&d q-{ c.qEfer
E).rT I gq-S qreT fi q-. -fi q-6rh=;raq HqT GTril{q q, oT qlsq sqtrer o-{lqr
gftR-q-d fuqr qrs'
i
5. q-ufr-qrdq qfrkq-s ercxr€ r,oo qs fu-€ t-qn tfu m +ds eld w qs tnti
der fr-fldr*{ 966 grr-fl-{ i-g ft-o. gfrft\,e $t} I

3n.}el.fi cilNr€ r'oo q$ t EFt fuqq rr'oo qd ro t'qsr g@'6-r str=rdTtq grT-dm
o-q qi{r gfrRqil ott r

ftr<q....2,
/ /z/ /

7. Ttrffqffiq sfriRlFH t tern ft-dil r-6i trr cfiq-drt{ qffqr ffiffi g gerfRm
srsq fr BTrnfr qTw or srftuq qfr d srrEnr qr rilrr rqm 6Ti o1 o.rffi {"f
qrttr rmfio. qexq e{/rmrsotc-r serq t+w A ftN 24.11.2021 t zg.rr.zozr
rr.D' ?16 qfrqr y* at qrhfr |
Bq-t-fiEer( lgqq-frqr fr sTffi g'f fuqT qrqT
qElrq- 3Tt-.X-{q qISq I

( sqnq-+lq frqFr ERr srg+ka)


1sro etk
f{tq o,fiffier qffi
sa frmr'Hrtqr .Ttqrdil

I. mt*',rrU zr+/ensPr /w-ilel / zozt -n-il.{, fu-g? / tt /zoz,t


qfrhft-
1. ffiq sarqo, qT..T+q q* fr. s@ R'rET frqFT, {ardq, frqrd, q*qrtqT r

2. {dm. Gfifrrsr, rgrr ufoe, so frreil AuFT, qililq, -r)qTd, ,-rri" I

3. F-q q-arcro, 3Trgtffi, s@ RIHT €qrm-erq, sdgsT cffi{, frqrd, qtqqiql


"*
r

4. Hrr<r etftq GTfrfuffi iiqm.o., s@ fr'reil qtaqiaT I

5. gtqr4, rrrnfl *,*ft q-ETfr-flTeq, qtaster I '

6, frOq o-dq-{q oTmrrft, er{.8. ta, sa Prsr r{qrfl{rf,q, sflf.sr r1qq, q}q-d qfi
eri-{ fuil.ftq iq-qrii rR BTq-d€ frd uri ig r

..........o1 eN q++ef G enetqo sffi ig nfril I . N

**-uN",*
wt RIffir wrtqr +tqrd
,|
fr.\u.S.sThfuffi at'r tE
sil-nfr o-r sr5rT :2021-22
'i

q-ufr--qrd-q ol qrrl :
qfs :

qqq-oq ol" qlrl : l-Tf,cD ... lTlil'h-kR

ed-qfrZetl+kmT ol qlrl : ..................


,____.G-
lL.l rl l/ tl lcl cDl il+j : .........

+{rSd;rkt-{ :

\ilqRfq er*dr+Tft qfren or qldarc :

(Date of Birth) 1n o of Qualifoing Exam)


M ys sdrf Grlqlw ig me qRPTd
(Category of Class) (Admission % for Weighttage)
NE.iq-i st-{il Bg saTI-{T qfilcrf,
(Mobile Number) (Elective Percentage for Mail up to two
decimal)

dqqr . t dBd o-ror7o-cfr t 1o. ti sd 2021-2ozz t de-drfl qicr qfu.-fl d trn ftrS fi erq
q-rrh'sr-dq fr rrigr r-SI fuqr g 1 sq-t-m qT=If,rfr ci-s.q qrfr qri w n-ir t'4cr trwf, fuqT qrot t' d
sqrq{rft tfr lqq of *fr t

EfiIeN en'+eoTernfuor

q-d-H--ffiq at TlqT qfrfr aRI cI{r qrq


oilqd gRT u-*go svt-m osC d 3TTrrN sq {fr.qd$ srRft.m qqq t ftq ftq-<'ttfn qrdzriF-q \s
ft"tru*q{o7ftrs tg {fre GilsEd of qrfr t ,

qr.ds-oq qrT qIrI : frwo-sXa7ffi or fudi'r'


(Name of the Course) (S ubj ect-Combination/Subj ect)

Eq , ftqifud qqq-{ftq. t stw oilffi d 3rnefi of "qq={f,r tg s.ilfr qfuPTd" d'


oTTrT'rT w tke mqlo znr sd-e of t

qql.Br fu-qr qror t fu sil-tE-f, d ({flrffi or Gf.rdr{q scqlqr d g+r t I sTri{o o} gqr5_@q a
erqn q{ qacr tg clC'Admissions of fu-f, Effrt1-c of qrfr t t

EWIEI{ EfiITqN qS fid


$il-fr, ci{r qEfr sr4-{/qril-fr-fl-qr-d

You might also like