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GITAM University Admission Application 2015

1. The document appears to be an application form for admission to undergraduate and postgraduate science programs at GITAM University for the 2015-2016 academic year. It requests information such as the applicant's name, date of birth, reservation category, qualifying exam details, contact information, and payment details. 2. The second page is a duplicate hall ticket for the GSAT 2015 admission test. It contains fields for the applicant's name, signature, and an attached photograph, as well as test and center codes. 3. The third page is the original hall ticket, which serves the same purpose as the duplicate but instructs applicants to enclose it along with their application.

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Neepur Garg
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27 views2 pages

GITAM University Admission Application 2015

1. The document appears to be an application form for admission to undergraduate and postgraduate science programs at GITAM University for the 2015-2016 academic year. It requests information such as the applicant's name, date of birth, reservation category, qualifying exam details, contact information, and payment details. 2. The second page is a duplicate hall ticket for the GSAT 2015 admission test. It contains fields for the applicant's name, signature, and an attached photograph, as well as test and center codes. 3. The third page is the original hall ticket, which serves the same purpose as the duplicate but instructs applicants to enclose it along with their application.

Uploaded by

Neepur Garg
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

GITAM UNIVERSITY

(Established u/s 3 of UGC Act, 1956)

VISAKHAPATNAM-530045
Accredited by NAAC with A Grade

GSAT - 2015

APPLICATION FOR ADMISSION TO UG & PG SCIENCE PROGRAMMES


Note: Read the instructions carefully before filling this form. This sheet should not be mutilated or folded or stapled.

Apply separately for each test


(For office use only)
Registration Number

Application Number

1. Test Code :
3.

2 Centre Code :

Name of the Applicant (in capital letters)


Surname
Name

4.

Name of the Parent / Guardian

5.

Date of Birth
Day

Month

6. Sex

7.

Year

8. Reservation
Category (if any)

Nationality :
Male / Female

SC/ST/PH/Others

State :
9.

Particulars of Qualifying Examination


(a) Qualifying Examination :___________ (c) Group Subjects :

Subject 1 _________________________
Subject-2 _________________________

(b) Result Status :

Completed / Awaited

10. Particulars of fee paid :

Subject-3 _________________________

DD No.

Date :

Amount :

Bank :

11. Address for Communication (CAPITAL LETTERS only)


Name : ................................................................................

Affix Latest

Address : .............................................................................

Passport size
Photograph

.............................................................................................

................................................. Pin: ...................................


STD Code
Phone Number
Email ID :

Signature of the Applicant

Phone No.

Mobile No.

GITAM UNIVERSITY
(Estd. u/s 3 of UGC Act, 1956)

Gandhinagar Campus, Rushikonda, Visakhapatnam-530045, A.P., India


0891-2840450/452 / 2790101, Telefax: 0891 2790032, website: [Link]
Accredited by NAAC with A Grade

DUPLICATE

GSAT - 2015
GITAM Science Admission Test
UG & PG Programmes for the academic year 2015 - 16

HALL TICKET
Hall Ticket No (to be filled in by the office)

Test Code:
Centre code:

Name of the candidate


(in capital letters)

__________________________________________

Name of the Parent/Guardian

__________________________________________

Signature of the candidate

__________________________________________

Recent Passport
size Photograph
attested by
Gazetted Officer

GITAM UNIVERSITY
(Estd. u/s 3 of UGC Act, 1956)

Gandhinagar Campus, Rushikonda, Visakhapatnam-530045, A.P., India


0891-2840450/452 / 2790101, Telefax: 0891 2790032, website: [Link]
Accredited by NAAC with A Grade

ORIGINAL

GSAT - 2015
GITAM Science Admission Test
UG & PG Programmes for the academic year 2015 - 16

HALL TICKET
Hall Ticket No (to be filled in by the office)

Test Code:
Centre code:

__________________________________________

Name of the Parent/Guardian

__________________________________________

Signature of the candidate

__________________________________________

Name of the candidate


(in capital letters)

Note: Candidate must fill and enclose this page along with the application.

Recent Passport
size Photograph
attested by
Gazetted Officer

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