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ENGLISH VISION ACADEMY [AN INSTITUTE OF ENGLISH LANGUAGE & EDUCATION]

ADMISSION FORM FOR J.N.U/E.F.L.U. ASPIRANTS – 2011 1. 2. 3. 4. 5.

Student Name Category Date of Birth Father’s name & Occupation Contact Number Parents personal 6. (i) % in X (ii) % in XII 7. Name of the School last attended 8. Permanent Address 9. Joining Date 10. Course Name

GEN

OBC

SC

ST

DECLARATION I swear that I have attended the regular classes at EVA for entrance exam of J.N.U./E.F.L.U. and the whole credit to my selection will go to EVA English Classes. If anybody except EVA English Classes claims for credit of my selection that will be subject to legal prosecution. Date : Signature of the Candidate

ENGLISH VISION ACADEMY ADD: V-D-21, HUDCO QTRS, MAIN ROAD,J.N.VYAS NAGAR,9413388280

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