residential courses (rcat) - Dr. Ram Manohar Lohia Avadh University
residential courses (rcat) - Dr. Ram Manohar Lohia Avadh University
residential courses (rcat) - Dr. Ram Manohar Lohia Avadh University
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Details of the Demand <strong>Dr</strong>aft (Rs.450/-)<br />
Name of the Issuing Bank:<br />
Place:<br />
Amount:<br />
Course Code:<br />
Date:<br />
Demand <strong>Dr</strong>aft No:<br />
Course Applied:<br />
Roll No.<br />
(For office use only)<br />
vuqdzekWad<br />
¼dsoy dk;kZy; iz;ksx gsrq½<br />
DR. RAM MANOHAR LOHIA AVADH UNIVERSITY, FAIZABAD-224001 (U.P.)<br />
MkW0 jke euksgj yksfg;k vo/k fo’ofo|ky;] QStkckn&224001 ¼m0iz0½<br />
1. Name of the Course to which admission is sought……….....................................................Course Code <br />
(Refer Table 'I' of guidelines for Course Details)<br />
fo"k; dk uke ftlesa izos’k pkfg;s ¼fo"k; fooj.k gsrq funsZf'kdk dh lkj.kh *I* ns[ksa½<br />
2. Name (In Block Letters in English)………………….....................….............……(in Hindi)…………………………<br />
uke ¼vaxszth ds cM+s v{kjksa esa½<br />
¼fgUnh esa½<br />
3. Date of Birth………………………………...…………………………………………………………………...........................<br />
tUe frfFk<br />
4. Father’s/Husband’s Name…………………………………………………………………………………...........................<br />
firk@ifr dk uke<br />
5. Mother’s Name…………………………………………………………………………………………....................................<br />
ekrk dk uke<br />
6. Address for Correspondence ……………………….………………………………………………………………….........<br />
i=kpkj dk irk<br />
APPLICATION FORM FOR RESIDENTIAL COURSES (RCAT)<br />
SESSION - 2011-12<br />
vkoklh; ifjlj ikB;Øe gsrq vkosnu&i=<br />
l= % 2011&12<br />
Affix Coloured<br />
Passport Size<br />
Camera Facing<br />
Photograph<br />
ikliksVZ vkdkj dk<br />
dSejs dh rjQ eq[k<br />
djds [khapk x;k<br />
uohure jaxhu<br />
QksVksxzkQ fpidk;saA<br />
………………………….………………………………………………………........................<br />
………………………….………………………………………………………........................<br />
……………………….………………....Pin Code.………………………….......................<br />
¼fiu dksM½<br />
Phone No.(nwjHkk"k)………………......………….......E-mail …………………...........................<br />
7. Permanent Address ………………………….………………………………………………………........................<br />
LFkkbZ irk<br />
………………………….………………………………………………………........................<br />
…………………….…………………………………………………………………................<br />
……………………….………………....Pin Code.………………………….......................<br />
¼fiu dksM½<br />
8. Category (Please Tick for vertical reservation)<br />
Js.kh ¼lgh dk fu’kku yxk;s m/okZokj vkj{k.k gsrq½<br />
<br />
UR OBC SC ST<br />
9. Nationality……………………...................…………...……………Religion………………………………………………............<br />
jk"Vªh;rk<br />
/keZ<br />
10. Category for horizontal reservation: Physically Handicapped Freedom Fighter Ex Soldier Kargil Shaheed <br />
Js.kh {kSfrt vkj{k.k gsrq% 'kkjhfjd :i ls fodykax Lora=rk lsukuh HkwriwoZ lSfud dkjfxy 'kghn<br />
Kashmir Migrant <strong>University</strong>/College Permanent Teacher/Employee Ward (For RCAT Candidates Only) <br />
dk'ehj foLFkkfir<br />
fo’ofo|ky;@egkfo|ky; LFkk;h f’k{kd@deZpkjh vkfJr ¼dsoy vkoklh; ifjlj izos'k ijh{kk ds vH;fFkZ;ksa gsrq½<br />
11. Particulars of the last examination passed on the basis of which admission is sought.<br />
ftl ijh{kk ds vk/kkj ij izos’k pkfg;s ml ijh{kk dk fooj.k<br />
(a) Name of Examination………………………………… (b) Year of Passing/Appearing …………………………..….<br />
ijh{kk dk uke<br />
mRrh.kZ gksus dk o"kZ@lfEefyr<br />
(c) Roll Number…………………………………………… (d) <strong>University</strong>/Board …………………………………..……<br />
vuqdzekad<br />
fo'ofo|ky;@cksMZ<br />
(e) <strong>University</strong>/Institution Last Attended……………………<br />
fo'ofo|ky;@laLFkk tgkWa i
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