Proforma for Application

To,

Director / Chairperson,

PGT-SFC-Cell,

I.P.G.T. & R. A.                                                                     

Gujarat Ayurved University

Jamnagar - 361 008. (Gujarat), India.

Sub.:     Application for admission in the Course …………………………………..….......................................       

1.        Name of the Applicant :

    (In capital letters)

2.        Father's Name :

3.        Permanent Home Address :

4.        Address for Communication:

     Ph. No: -                                                      Fax:                                              E-mail:

5.        Nationality :                                  

6.        Category  :

7.        Date of Birth:

8.        Sex                                  Male                Female

9.        Educational Qualifications :

10.     Other relevant information

11.     Details of Application Fee :

   For Foreign students only (column 12-16)

12.     Passport No. :                               Issued from   :

13.     Type of Visa  :                                               Valid up to    :

14.     Expected date of arrival in India :

15.     Date of arrival and address in India :

    (If you are in India)

16.     Whether self supporting or scholarship holder :

      (Please attach true copies testimonials/proof for 5, 6, 7, 9, 10, and 11)

I hereby declare that the information given above is true.  In case I am selected for the course, I shall abide by the rules and regulations of the University applicable to the course trainees/students and also the laws in force in the country binding on foreign nationals.

Date:

Place:                                                                                                                                     

                                                                                                                                                Signature of Applicant