Please follow the Instruction before filling up the application form.
APPLICATION FORM FOR MFC/MSW-2010, ORGANISED BY VISWASS
01. Application Number. (Application number will be provided when you submit the application form, Please Note down the Application Number.)
(Cost of the single form for MSW & MFC is Rs. 250 and BSW & BBA is Rs. 200)
*02. Bank Draft No: *03. Name of the Bank:
*04. Candidate Name
*05.Course Applied
*06. Father's Name
*07. Mother's Name
*08. Date of Birth *09. Caste
*10. Gender *11. Native State
*12. Centre Choice1 *13. Centre Choice2
*14. ACADEMIC DETAILS(Last Educational Qualification)
EDUCATIONAL QUALIFICATION
YEAR OF PASSING
BOARD / UNIVERSITY
*15. COMMUNICATION ADDRESS
Name :
C/o :
Qr/Plot No :
Village/Street:
    
At :
Po :
P.S :
Dist :
State :
PIN :
 
16. Phone Number:     *17. Mobile Number to receive SMS:
DECLARATION
I hereby declare that all the particulars stated in this application are true to the best of my knowledge and belief. I shall abide by the terms and conditions as applicable to me. In the event of suppression or distortion of any fact like suppressing like educational qualification or nationality etc. made in my application form, I understand that I will be denied the opportunity to appear in the Entrance Examination-2009 and if already admitted, my admission / degree acquired is liable to be rejected. I understand that the decision of VISWASS regarding my admission to degree courses is final and I shall abide by the decision. Further, if admitted, I promise to abide by the rules and norms of discipline of the Institute I join.
I Accept the Declaration
VISWASS Group of Institutions
237, Bapuji Nagar, Bhubaneswar-751009; Phone: 0674 2597333; Fax: 0674 2597510; E-mail: contact@viswass.org, info@viswass.org