or =— oe — HIMALAYAN UNIVERSITY - (ey Juana Nev Co jo anager Dit Papunpare 791111 Asada Pads ‘et hiatynersieom | Tat Free 910957970 ADMISSION FORM INSTRUCTIONS |. Please read the form carefully before flingit. Aix Use only Biue or Biack Pen to fillup the Formin English using CAPITAL/BLOCK LETTERS only. latest Passport size Please keep a photocopy of the Form, before submitting.as a ready reference. Color Boreph Incomplete Form will not be considered PutTick (7) markon applied course specialization COURSE / PROGRAMME DETAIL: Programme Type: Programme Name: Session /Year: PERSONAL INFORMATION owatock ertens) po MM w 1. Gender (tick) Male Female Transgender Date of Birth 5 . mentioned in Matculaton Cente) 2. Name of Applicant (As mentioned in Matriculation Certificate) 3. Father's Name 4, Mother'sName 5. Aadhar No. 6 Emailld 7. Marital Status e901 noni slim. ease of others 8. category se] st[] o8c[_] cen[_] minority []ousin Incase 9. Nationality Domice| _|Ausash=l[ J other Incase of others 10. Whether differently abled Yes No. If yes, specifyCONTACT DETAILS Permaner city State Pin co Permanent Mobile No. (On which allthe important information to be delivered) ParentiGuardian Name Parent Occupation ParentiGuardian Contact no Emall Address QUALIFYING EXAMINATION DETAILS* org cory Degree Sint Passi ed High School 10+2 oF Equivalent Graduation Post Graduation * seifatested copies of certifcates/marksheet should be attached. Payment detals (applicable for downloaded form ony) Mode of Payment Date ‘Amount ‘Campus / Name ofthe Bank DECLARATION BY CANDIDATE | nereby declare that | have carefully read the instructions and all the informations furnished by me are correct. Candidate's Signature Parent/Guardian Name Parent’s/Guardian Signature Place Date