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Address : THANGMEIBAND NEAR JN DANCE ACADEMY

NAME OF THE APPLICANT*

FATHERS NAME IN FULL*

PERMANENT ADDRESS*

DATE OF BIRTH*

CATEGORY*

SEX*

NATIONALITY*

CONTACT NUMBER*

EMAIL ID*

PRESENT OCCUPATION (if govt.employed)*

DEPARTMENT IN WHICH PRE PHD IS SOUGHT*

AREAS OF PRE PHD RESEARCH*

DETAILS OF FELLOWSHIP,IF ANY

NUMBER OF PUBLICATIONS, IF ANY (BOOKS)

NUMBER OF PUBLICATIONS, IF ANY (PAPER)

PROVISIONAL ADMISSION FEE*

Note : I hereby declare that all information submitted in the provisional registration form are true and correct in all respects.

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