Application Form

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UNIVERSITY OF DELHI
Form No…………….
DEPARTMENT OF COMMERCE
DELHI SCHOOL OF ECONOMICS
Affix unattested
APPLICATION FORM
Passport Size
Photo
MIB & MHROD 2014 - 16 Batch
1. Name (Mr./Ms.)
________________________________ Nationality _______________
(in Block Letters)
2. Date of Birth _______________________________________________________________________
3. Address for communication (in block letters) _____________________________________________
____________________________________________________________________________________
Contact No.: (Mob.): __________________________Email ID _________________________________
4. Family:
(a) Father’s Name ________________________Occupation & Designation_______________________
Organization____________________ Office Address: _______________________________________
Contact No: ( R) _____________ (Mob.): _________________E mail ID: _______________________
____________________________________________________________________________________
(b) Mother’s Name ______________________ Occupation & Designation________________________
Organization____________________ Office Address: _______________________________________
____________________________________________________________________________________
Contact No: (R ) ____________(Mob.)__________________ E mail ID: ________________________
5. Category: General/SC/ST/OBC/CW/PWD/Foreign Student
____________________________
Mention your category in the Box
(A copy of the certificate from the competent authority is required to be attached for category other
than General. In case of OBC applicant, the certificate must clearly mention Non-creamy layer status
of the candidate and item number in the Central list of OBC. In case of Foreign students the
subcategory (i), (ii) or (iii) as mentioned in the prospectus should be clearly stated. In case of CW the
subcategory (i), (ii), (iii), (iv) or (v) as mentioned in the Prospectus should be clearly stated.)
6.(For office use)
Entrance Test fee remitted :………………………………………………………..
Vide Bank Draft No ………………………………………………………………………………
Dated…………………………….
Drawn on…………………………………………….
7. Name of the College and University last attended: ________________________________________
ACKNOWLEDGEMENT
Form No…………………………………
Name ………………………………………………………………………………………….
………………………………………………..
Date………………………………………….
Signature

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