| Name of student (as in Passport)* |
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| Permanent Residence Address* |
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| Country* | |
| State* | |
| City* | |
| Passport No |
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| Course* |
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| Nationality* |
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| Branch* |
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| Emergency No* |
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| Mobile No.* |
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| Email ID* |
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| Passport Issuing Date* |
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| Passport Expiry Date* |
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| Date of Birth* |
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| Visa Number* |
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| Visa Date* |
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| Visa Expiry Date* |
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| Passport Front Page* |
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| Passport Back Page* |
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| Visa Page* |
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| Hostel Fees Receipt* |
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Airport Reception |
| Do you require Airport pickup* |
Yes
No |
| Departure Country* |
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| Arrival date at Ahmedabad city* |
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| Flight Number* |
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| Arrival time at Ahmedabad city (24Hr)* |
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| Airline* |
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| Will you be accompanied by anyone* |
Yes
No |
| If Yes, Who (write name & relation)* |
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| Name of Enrolled Course* |
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| Program Starting Date* |
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| Traveling ticket* |
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| Photo* |
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| Declaration: |
I have completed this form and understand that if this form is not received by Pandit Deendayal Energy University at least seven(7) working before my arrival, I am not guaranteed any arrival services. |
| Submission Date | |
| |
