Form Fee: € 100/- CALORX CALORX TEACHERS' UNIVERSITY (State Private University Established by State Legislature of Gujarat Act No. 8 of year 2009) APPLICATION FORM ISSUE OF APPLICATION FORM PLEASE PASTE DOES NOT ENSURE ADMISSION RECENT PASSPORT SIZE "APPLICATION FEE ‘COLOUR NON-REFUNDABLE PHOTOGRAPH COURSE APPLIED FOR: Candidate's Name: (Block Letters) FIRST NAME MIDDLE NAME SURNAME Residential dross: Pin Contact No. Mobile Wo. Email id Date of Birth : Sex: Male CI Female Nationality Category : General CI ST Cl SC C1 OBC C. others (Please Speci, Educational Qualifications (Please start from latest qualiication and also altach photocopies) Degree University? Year Specialized (Overall Percentage/ Institution subjects Grade/OGPA Work Experience (Please star! from present assignment) ‘Organization Designation & Department No.of Years From To‘Area of Interest in Research (For M.Phil/Ph.D. candidates only) Publication details Tile Name ofthe Journal/book ISSN NoJISBNNo [Date & Year Please write your objectives for joining this programme Have you attached the research proposal? Yes: No: C1 (For M.Phil/Ph.D. candidates only) Details of Scholarship received, if any. Note: The Application Form can also be downloaded from aur website www.ctu.calorx.org. The Application fees can be pald by CastvCheque/DD. The CCheque/DD should ve prepared in favour of*Cafore Teachers’ Univesity" payable at Ahmedabad. CE |, the undersigned, bind myself o abide by the University's rales and regulations in ll respect. In all matters of dispute the decision of the University will be {inal and binding on me. Date: ‘Signature ofthe Cancidate FOR OFFICE USE ONLY Name: . . _Course: . . . Application Form No Fee Receipt No: Application Form Received on Fees paid by: Cash] Cheque) DDC) Cheque or DD No Date: Branch Admitted/Not Admited Remark Registrar/Principal/Head of the Department