POORNA GANITHA -[ A MATHS NURTURE PROGRAMME ]
Poornaprajna PG Centre , Udupi
27 December to 30 December
APPLICATION FORM
NAME { In Block Letters }-----------------------------------------------------------
Name of Institution ------------------------------------------------------
Present Course of Study -------------------------------------------
Gender ----------------------
Address For Communication ----------------------------------------
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Phone No------------------------------ EMAIL ID ----------------------------------
Academic Records -
EXAMINATION COLLEGE Year of passing % Of Marks % in MATHS
First B. Sc -1st Sem
Second Sem
Second B. Sc- Third Sem
Fourth Sem
Have u participated in any Mathematics Program of this kind ? pls give details-
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Special Achievements ----------------------------------------------------------------------
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