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AMBEDKAR CENTRE OF EXCELLENCE DACE ASSAM UNIVERSITY, SILCHAR Application Form for Admission into Coaching for Civil Service Examination Only for Schedule Caste 1 Name in full in
: 8 Are you a bonafide resident of Bihar If Yes, give full address and attach proof : 9 Date of Birth in figures According to Matriculation Certificate : 10 Date of Birth in words
APPLICATION FORM De Gruyter Saur / IFLA Research Paper Award 2011 Name and address details: Grace Costantino, Bianca Crowley, Rebecca Morin, Erin Thomas Institutional address:
10 Present employment status 11 Educational / Professional / Technical Qualifications starting with highest: Examination Passed Board / University / Institute Duration of Degree /
Name of the Department s where from the candidate whishes to study: ……… Period of study: One Semester Two Semester 2 year full time study Semester Selection: Even Semester:
degree should not be included Title of Research Project PI or Co- PI Funding agency Date of commencement of project Date of completion of project Period of Association in
