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PROFORMA

APSET-2016
ANDHRA UNIVERSITY, VISAKHAPATNAM
CERTIFICATE VERIFICATION FOR QUALIFIED CANDIDATES
PHOTO

Name (in Block Letters)

Fathers Name

Mothers Name

Address for Communication

5
6

Phone No.
Email ID

:
:

Date of Birth

P.G. Degree passed

Year of Passing

10
11

Name of the University/Institution


Percentage of Marks in P.G. Degree

:
:

12

For Office Use only


Certificates Verified: Put () in the box
1. SSC/Equivalent
2. P.G. Pass Certificate (PC/OD)
3. PG study certificate for Final year
candidates
4. PG Marks Statements
5. Caste Certificate
6. Physically handicapped certificate
(for PWD Candidates)

Signature of the
Teacher Associate

Signature of the
Candidate
Signature of the
Centre-in-charge

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