Rgpv Inspection Form Page 2
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10Name of Institution :
No. -----------------------
Dated -------/-------/------
To,
The Registrar
Rajiv Gandhi Proudyogiki Vishwavidyalaya ,
Airport Bypass Road Gandhi Nagar,
Bhopal – 462036.
Sub: Application for affiliation of various courses of this Institution with RGPV for the
Academic session 20__ - 20__ As per the Statute No. 30 (College Code).
1.
Name & address of the Institution:
Name
: __________________________________________________________________
Address
: __________________________________________________________________
:__________________________________________________________________
:________________________________Pin code__________________________
Telephone No. ________________
Fax No. __________________________
Email address _____________________________________________________
2.
Name & address of the society (which is running the above institution):
Name
:__________________________________________________________________
Address
:__________________________________________________________________
:__________________________________________________________________
Pin-code_______________Telephone No.________________________
Email address_______________________________________________________
3.
If the above mentioned society is running Institution other than mentioned in para (1) above,
YES/NO, If yes, give no. of other institutions: _____________________________
4.
In case the answer of para (3) is YES please give name & addresses with the courses running in
all other Institutions run by same society :
(i)
:________________________________________________________________________
(ii)
:________________________________________________________________________
(iii)
:________________________________________________________________________
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D:\Vikrant Document\Format\Final Format\Affiliation & Inspection From Format\New Inspection Format_RGPV_Up dated.doc
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