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Yoga Application

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SRI PADMAVATI MAHILA VISVAVIDYALAYAM: TIRUPATI

((Women’s University)
DEPARTMENT OF PHYSICAL EDUCATION

Application No: Enrol. No.


(For Office Use Only)

(Application should be clearly filled-in with CAPITAL LETTERS by the candidate's own handwriting in English. Please tick wherever necessary)

Name of the Course:

1. (a) Candidate Name in


ENGLISH
As per the SSC / HSC Record

2. Date of Birth:

3. Sex: F

4. Physical Measurements Height _________ Weight________


5. Name of the Father /
Guardian /Husband:

6. Community: SC ST BC OC

7. Religion: Hindu Christian Muslim

8. Nationality

9. Address for Communications: (CAPITAL LETTER’S only)

City: Pin code:

District: State:

Mobile: Phone No.

E-Mail:

10. Educational Qualifications:

Name of the Examinations Duration of Name of the Year of Percentage Class


Programme Institution/ University Passing of Marks Obtained
S.S.C
Intermediate (or) Equivalent
Graduate Degree
11. Particulars for Transaction / DD/ Details:

a) Name of the Bank : b) Transaction No :

c) Amount: d) Date:

12. Occupation:

13. State the pattern under which you


have passed the Degree Examination : 10 + 2 + 3 11 + 1 + 3 11 + 2 + 2

14. Are you presently undergoing any other Yes No If, Yes (Specify)
programme, in this institution?

15. Relevant Qualifications: (Which makes you eligible for the Programme)

Qualification
Main Subjects
Year of passing
Board

Enclosures: 1) Degree Certificate / Provisional Certificate 4) SSC Mark Statement

2) Intermediate Marks Statement 5) Demand Draft

3) Transfer / Migration Certificate 6) Additional 2 Passport Size Photograph’s

Declaration

I hereby declare that all the particulars given above are correct and I agree to abide by all the rules
and regulations of the University that are in force from time to time.

Signature of the Applicant

For Office Use Only

1) Document Verified: Degree Certificate (or) Provisional Certificate (or) SSC/HSC/PUC Mark List

2) Consolidated Mark List Migration Certificate Eligible Not Eligible

(Original Certificates Verified)

ADMISSION CONFIRMED HEAD

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