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VIKRAMA SIMHAPURI UNIVERSITY PH.D ENTRANCE APPLICATION FORM 2012

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					                       VIKRAMA SIMHAPURI UNIVERSITY, NELLORE
                            VSURESET-2012-Application Form
                         (Filled in application with enclosures and DD should reach The Registrar,
                    Vikrama Simhapuri University, Dargamitta, Nellore-524 003 on or before 20-092012 )

                                              Application No(for office use only):

Name of the
Candidate
                                                                                                AFFIX RECENT
Surname                                                                                         PASSPORT SIZE
                                                                                                   PHOTO
Father’s
Name
                               (Use CAPITAL letters only)


 Gender         Male       Female                                                    DD         MM       YY
                                                   Date of Birth
 (Tick √)


                  OC          SC         ST        BCA         BCB       BCC         BCD        OTHERS
Category
(Tick √)

Subject of Research
(Ex: English)

Full-Time / Part-Time

DD No.                                   DD Date                              Bank
(DD for Rs. .500/- in favour of ‘The Registrar, Vikrama Simhapuri University, Nellore,’ drawn on any Nationalized
Bank should be enclosed to this application. The name of the candidate shall be written on the reverse of the DD)

   Qualifying Examination                                                                        Percentage
                                                             Subject
Passed (M.A.,/M.Sc., /MBA etc.)                                                                    Marks



Address for communication                                            Contact Phone ( with STD code):




                                                                     Mobile:


Enclosures to be sent along with the application: 1) DD with name of the candidate on the reverse, 2)
Xerox copy of the P.G. Marks card 3) Two Pass port size photos 4) Two self-addressed covers ( one of 9x4 size
with Rs. 10/- postal stamp and another of A4 size with Rs. 34/- postal stamp affixed to them.

				
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Description: VIKRAMA SIMHAPURI UNIVERSITY PH.D ENTRANCE APPLICATION FORM 2012