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General Instruction for Applicant
1. An applicant can modify its application form at any point of time before due submission date & time.
2. Only in case of modification in priority location/seat, the time of latest modification will be recorded and considerd as final
time of submission for all future refrences, which will also be used for allotment of seat on first come & first serve basis.
Cumulative Percentage
Declaration
I hereby declare that the above furnished details are true to the best of my knowledge. In case any of
the above information is found to be false or misleading, I may be held liable for it.
Signature
Course Year
Semester
University Roll Number
College Name
Degree Programme Type
Degree Programme
State
Pincode
Current Education Details
University Name
Address Detail's
Address Line 1
Address Line 2
District
Category
Mobile Number
Email Id
Father Name
Photo
Mother's Name
Guardians Name
Date of Birth
Gender
Last Seat Change Date
Seat Status
Personal Detail's
Candidate's Name
Area of Intrest
Organization
Application Submission Date
STATE URBAN DEVELOPMENT AGENCY,CHHATTISGARH
4th floor, D-Block, Indravati Bhawan, Naya Raipur (c.g.)Phone No 0771-2222404 / Fax No 0771-2222409 Email : [email protected]
Draft Application Form
Application Number