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Maharshi Patanjali
Gujarat Ayurved University
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Online Application       

Course*
:
Name of the applicant*
: Mr. Miss Mrs
Surname*
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Father's/Husband's Name*
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Permanent Home Address
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Location*
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City*
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Village
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District*
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State*
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Country*
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Pin / Zip Code
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Phone (STD + Phone Number)*
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E-mail*
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Passport size photo
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Date of birth (dd/mm/yy)*
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Sex*
: Male Female
Marital Status*
: Married Unmarried
Nationality*
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Category*
: Open obc sc st sebc
Educational Qualifications
Name of Examination
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Name of Board/University
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Year of passing
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Subjects appeared
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Maximum Marks
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Obtained Marks
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Percentage of marks
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Amount of application fee
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Rs. 250/- for indian students and US $ 100 for foreign students.
Name of Bank
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Bank draft no.
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Date of issue
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Scanned copy of DD
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Additional information to be given by foreign students only
Passport no.
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Place of issue
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Date of issue
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Valid up to
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Other information if any
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Filled marks with * are compulsory to fill up.
I hereby declare that the information given above is true. If I am admitted to the course, I shall pay the requisite fees immediately and shall abide by all the rules and regulations in force by time to time.
I accept terms and conditions.


M
aharshi Patanjali Institute for Yoga Naturopathy Education & Research
Gujarat Ayurved University