For Students passed in Standard 12th Science
BHMS (Homoeopathy )
CURRICULUM VITAE
(1) Name of candidate: ___________________________________________
(2) Father's Name: ___________________________________________
(3) Date of Birth: ___________________________________________
(4) Age as on 31st Dec.2007: _______________________________________
(5) Present Address with Phone No:_________________________________
________________________________________
________________________________________
(6) Permanent Address with Phone No________________________________
_______________________________________
_______________________________________
(7) Caste: ________________________________________
(8) Marks in 12th in PCB _________________ out of___________________
English |
Physics |
Chemistry |
Biology |
Total PCB Theory |
Total PCB Th. & Pr. |
Total PCB with English |
Theory |
Practical |
Theory |
Practical |
Theory |
Practical |
|
|
|
|
|
|
|
|
|
|
(9) Marks in GUJCET _____________________out of ____________________
(10) Last attended Institution: ________________________________________
(11) Declaration
I, do hereby declared that the information which are furnished above is true & best of my knowledge
Date: Signature of Candidate
Enclosed: Attested copy of following documents
(1) Leaving Certificate
(2) H.S.C. Mark sheet
(3) Gujcet Mark sheet
(4) Attempt Certificate
(5) Caste Certificate
|
