PACIFIC ACADEMY OF HIGHER EDUCATION & RESEARCH UNIVERSITY
Course Information
Session
2020-21
Faculty
Commerce
Dental Sciences
Education
Engineering
Management
Pharmacy
Science
Course
Personal Information
Salutation
Mr.
Ms.
Mrs.
Name of Candidate
Father's/Husband's/Gaurdian's Name
Father's/Husband's/Gaurdian's Occupation
Mother's Name
Mother's Occupation
Date Of Birth
Marital Status
Single
Married
Convience Desired
(Tick if Yes)
Applying for Hostel
(Tick if Yes)
Gender
Male
Female
Category
General
OBC
SC
ST
SBC
Other
Region
Rajasthan
Other
Nationality
Contact Information
Address of Correspondance
Address Line 1
Address Line 2
City/Town/Village
District
Pin/Zip Code
State
Rajasthan
Mp
West bengal
Gujarat
Karnataka
Uttar pradesh
Kerala
Madhya pradesh
Meghalaya
Jharkhand
Haryana
Chhattisgarh
Maharashtra
Tamil nadu
Delhi
Himachal pradesh
Bihar
Assam
Uttarakhand
Punjab
Orissa
Andhra pradesh
Andra pradesh
Jammu & kashmir
Chhatisgarh
Tripura
Mizoram
Sikkim
Goa
Manipur
Nagaland
Chandigarh
Pondicherry
Arunachal pradesh
Uttar prasesh
Puducherry
Chhattisgrah
Kolkata
Dadra & nagar haveli
Diu
J & k
Lakshadweep
Port blair
Gujrat
Kerela
Up
Pudhucherry
Chattisgarh
Dadar & nagar haveli
Daman & diu
Andaman & nicobar
Mharashtra
Andaman & nikobar islands
Uttaranchal
Andaman and nicobar islands
Jammu and kashmir
Foreign schools
Tamilnadu
Country
E-mail
Confirm E-mail
Mobile
Alternate Contact
Landline Number with STD Code
Permanent Address
Tick Check Box for same as Address for Correspondance
Address Line 1
Address Line 2
City/Town/Village
District
Pin/Zip Code
State
Rajasthan
Mp
West bengal
Gujarat
Karnataka
Uttar pradesh
Kerala
Madhya pradesh
Meghalaya
Jharkhand
Haryana
Chhattisgarh
Maharashtra
Tamil nadu
Delhi
Himachal pradesh
Bihar
Assam
Uttarakhand
Punjab
Orissa
Andhra pradesh
Andra pradesh
Jammu & kashmir
Chhatisgarh
Tripura
Mizoram
Sikkim
Goa
Manipur
Nagaland
Chandigarh
Pondicherry
Arunachal pradesh
Uttar prasesh
Puducherry
Chhattisgrah
Kolkata
Dadra & nagar haveli
Diu
J & k
Lakshadweep
Port blair
Gujrat
Kerela
Up
Pudhucherry
Chattisgarh
Dadar & nagar haveli
Daman & diu
Andaman & nicobar
Mharashtra
Andaman & nikobar islands
Uttaranchal
Andaman and nicobar islands
Jammu and kashmir
Foreign schools
Tamilnadu
Country
E-mail
Confirm E-mail
Mobile
Alternate Contact
Landline Number with STD Code
Academic Information
Exam Passed
School/College Name
University/Board
Subject
Year of Passing
Max. Marks
Obt. Marks
Percent
X
th
XII
th
Under Graduate
Post Graduate
Other
Employment Information(If Employed)
Sr. No.
Organisation
Duration
Position Regular/Temporary
Nature of Duties
1
2
3
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Payment Details & Declaration
Application Form Fees : INR 750/-
I Declare that entries made by me in this Admission form and the document submitted by me with the admission form are true in all respected and in any case, any information is found to be false,this shall entail automatic cancellation of my admission beside rendering me lible to such action, as the University may deem proper.
I note that my admission to the University and my continuance on it rolls are subject to the provision/rules of the University, issued from time to time.I shall abide by the rules of discipline and proper conduct.I am fully aware of the law regarding as well as the punishment and that if found guilty on this account I am liable to be punished appropriately.
I Declare that I have read the prospectus carefully and understood that the dispute if any will be subject to jurisdiction, Udaipur, Rajasthan Only.
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