Registration for Ph. D

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Filename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdfFilename: Registration for Ph. D.pdf

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University of Pune : Registration for Ph. D. Entrance Examinationhttp://unipune.ac.in/phdexam/phdPrintFormCash.aspxApplication Form Number:11030003573Paste a latest Passport size photograph here with your signature across.Application Form for Ph.D Entrance Examination - 17 December 2011Do not staple.Personal Data: Surname: ZENDE Gender: First Name:ATULMiddle Name: PANDHARINATHMale 30 NARHARI NAGAR GULMOHOR ROAD AHMEDNAGAR , AHMEDNAGAR ,AHMEDNAGAR ,MaharashtraMobile: 9422500844Address for Correspondence: Phone: 02412424381Pin Code: Email ID:414003 atul.zende@gmail.comPhysically/Visually Handicapped : Not ApplicableCategory :OPENQUALIFICATION DETAILS: Applying without P.G. Degree : No Name of Master's Degree : M.B.A. Passing Year :2006 GPA/Marks obtained in P.G. Degree : 1837 / 2800 Grade : First Class Exempted from appearing for Paper I & II : Yes If Yes, Exam Given : UGC NET Percentage : 65.61 P.G Subject : MANAGEMENTApplication Fee Details: Cash1 of 314-11-2011 21:17University of Pune : Registration for Ph. D. Entrance Examinationhttp://unipune.ac.in/phdexam/phdPrintFormCash.aspxDeclaration:1. I, ATUL PANDHARINATH ZENDE, hereby declare that all statements made in this application are true, complete and correct tothe best of my knowledge and belief and in event of any of the information being found false or candidature is liable to be cancelled and appropriate action will be initiated against me.2. I have submitted only one application form/Separate application form for different Subjects for this test. 3. I further declare that I fulfill all conditions of eligibility regarding educational qualification prescribed for taking this Ph. D. EntranceExamination.I have enclosed the attested copies of certificate(s) of being SC, ST, OBC, SBC, DT/NT, PH/VH (Physically or Visually Handicapped).As well as the Qualifying Degree Certificate & statement of marks at P.G. Level.I have noted that if my application is found to be incomplete/ defective/ ineligible, it will be summarily rejected and no correspondence will be entertained in this regard.Place:Date:Please sign inside box2 of 314-11-2011 21:17University of Pune : Registration for Ph. D. Entrance Examinationhttp://unipune.ac.in/phdexam/phdPrintFormCash.aspxPh.D. Entrance Exam Challan : Bank Copy BANK OF MAHARASHTRAThis challan is to be accepted at any branch of BANK OF MAHARASHTRA for credit to University of Pune account No 60078206551 through Fee Collecon Menu ----> UOP fee collecon only in cash or by transfer cheque. University copy and applicants copy of challan is to be handed over to applicant aer embossing banks stamp.Application/Challan No:11030003573Name and Address of Applicant ATUL ZENDE 30 NARHARI NAGAR GULMOHOR ROAD AHMEDNAGAR , AHMEDNAGAR Mode of payment: CASH OnlyC/D C/C A/C No: 60078206551 Name of A/C Holder: Registrar University of Pune, Pune-7 Total Amount : Rs.800 Rs.(in Words): Eight Hundred OnlyRevd.ByDeposited ByPh.D. Entrance Exam Challan : University Copy- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cut here - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BANK OF MAHARASHTRAApplication/Challan No: 11030003573Name and Address of Applicant ATUL ZENDE 30 NARHARI NAGAR GULMOHOR ROAD AHMEDNAGAR, AHMEDNAGAR Total Amount : Rs.800 Rs.(in Words): Eight Hundred Only- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Cut here - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ph.D. Entrance Exam Challan : Applicant Copy BANK OF MAHARASHTRAApplication/Challan No: 11030003573Name and Address of Applicant ATUL ZENDE 30 NARHARI NAGAR GULMOHOR ROAD AHMEDNAGAR, AHMEDNAGAR Total Amount:Rs.800Rs.(in Words): Eight Hundred OnlyPrint This Form3 of 314-11-2011 21:17

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