Application Form

MIND POWER UNIVERSITY

Bhimtal, Nainital, Uttrakhand (India)
Contact us : 8882822265, 9258957486, 9718467419, 7505338044
Web. : www.mindpoweruniversity.in Email : info@mindpoweruniversity.in

APPLICATION FORM 2024

Please fill in BLOCK CAPITAL LETTERS

This form requests a significant amount of personal information. This is required so that we can decide on your suitability for the course you are applying for. The information you provide will be used for this purpose. It will be treated in confidence and will only be seen by those whose job required them to do so.

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Course *

Course Type *

Session *

Name *

Middle Name

Last Name

Gender *

DOB *

Family details :

Father's Name *

Address

Occupation

Name of Company

Email id

Mother's Name *

Address

Occupation

Name of Company

Email id

Academic Qualification :

Level eg. x,xii, BA, Bsc, B.Com, M.Com *

Name of School/Institue *

Name of Board/University *

Passing out yr *

Result *

Academic Achievement (attach additional sheets, if necessary) :

1. Higher Secondary Level (Class 1st to 10th), O level

2. Senior Secondary Level (Class 10+2), A level

3. Graduate/P.G. Level

4. Any other

Extra Curricular Activities/Achievement (attach additional sheets, if necessary) :

1. Higher Secondary Level (Class 1st to 10th), O level

2. Senior Secondary Level (Class 10+2), A level

3. Graduate/P.G. Level

Employment and Work Experience

Please give details of work experience and employment in reverse chronological order.

Name of Organization	Designation	Full time or Part Time	From	To

Facilities Required: Please select the desired option

Hostel

Transport

UNDERTAKING

I *

S/D/W/o Shri *

* That contents of this affidavit / undertaking are true and correct. I undertake to abide by all the above terms and in case any information, documents, facts, statements submitted/given by me in this undertaking are found to be false, fake, fabricated, wrong or forged and in my violation of any term, the University will have all the rights to cancel/withdraw/withheld my Mark Sheets/Degrees/Diplomas issued by it and the University may take appropriate legal actions against me in this regard including cancellation of my admission and debarring my entry in the in the University Campus.