1. No category

ALAGAPPA UNIVERSITY, KARAIKUDI
(A State University Re-accredited with “A” Grade by NAAC)
APPLICATION FOR NON-ENTRANCE PROGRAMMES
Register No.
Appl. No.:
1. Applied Programme Name
: PG Diploma in Structural Pharmacogenomics
2. Name of Applicant
(In CAPITAL letters)
3. Father’s /Guardian’s Name
:
Office Use
Affix your
passport size
photograph
attested by a
Gazetted
Officer
:
4. Address for Communication :
DIST
PIN
Mobile No.
(✓) A. Male
5. Date of Birth (DD/MM/YYYY) :
6. Community (Please ✓)
:
OC
BC
BC
(Muslim)
(Attach Photocopy)
7. Special Quota (If any)
(Attach Photocopy)
:
9. Qualifying Degree Name
Major Subjects
:
SC
SC(A)
State Level
Blindness /
Low vision
Hearing
Impairment
District Level
ST
(Arunthathiyar)
Persons with Disabilities (PWD)
Ex-Servicemen
8. Sports Representation (If any):
(Attach Photocopy)
MBC/
DNC
B. Female
Locomotor
Disability
Repatriate/NRI/
Foreign
University Level
Branch
Maximum Marks
Marks Obtained
% Marks (or) GPA
(Attach attested photocopy of mark statements)
Eligibility: M.Sc., Life Sciences/ M.Sc., Agri/ Physics/ Chemistry/ M.Pharm., Pharmaceutical
Biotechnology/ M.Tech., Bioinformatics/ M.Tech., Biotechnology/ Bioinformatics or any
other course equivalent there to and must have obtained 60% marks at Post Graduation
level.
DECLARATION: I declare that the particulars given above are true and that I shall, if admitted abide by
the rules of the University.
Signature of Parent / Guardian
Signature of Applicant