laLFkku dk iathd`r uEcj

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cSad [kkrk la[;k

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i=kO;ogkj gsrq irk

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bZesy

( )iathd`r izek.k&i=k dh izfrfyfi vo'; layXu djsa/Please Attached a copy of Ragistration Certificate

^osn Kku lIrkg* gsrq vkosnuApplication Form for the 'Veda Jnana Saptah'

Name of the Institute

Address for Correspondence

/ Ph.No.

/ Email

eks- /Mobile

:

:

:

:

:

Ragistration No. of the Institute:

( )ljdkjh laLFkkuksa gsrq vko';d ugha/ Not for Govt. Institutions

Bank Account No.

Bank Name & Branch

Bank IFSC Code No.

:

:

:

lEHkkfor frfFkTentative Date

:

uke] inuke] gLrk{kjName, Designation, Signature

/ NGO Darpan Uniq ID No.

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2018-2019

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Address for Correspondence

/ Ph.No.

/ Email

eks- /Mobile

:

:

:

:

uke] inuke] gLrk{kjName, Designation, Signature

lEcfU/r laLFkk ds dqyifr@jftLVªkj@lfpo@vè;{k dk fooj.kDetails of Vice-chancellor/Registrar/Secretary/Chairman of the Institution

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Name of V.C./Registrar/Secretary/Chairman

: