Date : ________

The Co-ordinator,
GPAT Examination,
The M.S.University of Baroda,
Shri. G.H.Patel Pharmacy Building,
Opp. University Main Office,
Donors’ Plaza, Fatehganj,
Vadodara-390 002

          Subject : Request for GPAT 2010 Information Brochure cum Application form

Dear Sir,

          Please find enclosed herewith a Demand Draft for Rs._________ (No : ________ dated : __________) in favor of "GPAT" payable at Vadodara, TWO SELF-ADDRESSED SLIPS ( 4" X 2.5", written in capital letters) and an attested photocopy of SC/ST/PD certificate from the relevant authority (only for those candidates who wants to apply under the SC/ST/PD category) for sending the Information Brochure-cum-Application form on the address as given in the self-addressed slips.

Thanking you,

Yours faithfully


(                           )
Full Postal Address

List of Enclosures :

1. D.D. for Rs. 1000/- or Rs. 500/-(As applicable)
2. Two self-addressed slips
3. Copy of SC/ST/PD certificate (if applicable)