GNA University

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Personal Details

  1. Name *
  2. Father's Name *
  3. DOB(DD/MM/YYYY) *
  4. Gender *     Male     Female
  5. Address *
  6. Email ID*
  7. Mobile Number *
  8. Hostel Required *     Yes     No
  9. Tick the Nature of Program Interested in:

  10. Program Nature*     Doctorate     Post Graduate     Graduate     Diploma     Certificate    
  11. Program Intrested in *
  12. Source of Awareness of GNA University *
  13. Previous Qualification

  14. Class Steam Board/university Percentage Year of passing
    10th*
    12th*
    Graduation *
    Post Graduation *
  15. Student’s Signature
  16. Date of Enquiry
  17. Name & Remarks of Councillor
  18. Enquiry Number
  19. Payment Options
    Amount
  20. Reset

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