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.