Transcript
  • APPLICATION FORM FOR ADMISSION TO M.A. PROGRAMME

    APPLICANT'S PERSONAL DETAILS

    Form Serial No.: 69357

    Application No.: 148334

    Full Name: Shambhavi Gosain

    Nationality: Indian Date of Birth: 30/12/1993

    Father's Name: Sunil Gosain Mother's Name: Ritu Gosain

    Father's Occupation: Dt. Commandant BSF Mother's Occupation: Pay and Accounts Officer (Ministry of

    Urban Development)

    Father's Qualification: Graduate Mother's Qualification: Graduate

    Total Annual Family Income: More than 5 Lakh

    Sex: Female Category: General

    Blood Group : B+

    Programme Preference : 1 - MA Sociology , 2 - MA Gender Studies

    Mode of Payment : Online Payment Transaction Id : 336232481

    Transaction Date : 20-06-2015 Transaction Amount : 880.0

    CORRESPONDENCE ADDRESS

    Address: 73-A DDA FLATS,Gulabi Bagh

    Country: India State: Delhi City: Delhi Pin Code: 110007

    Phone: 9810770239 Mobile: 9868724658 E-mail: [email protected]

    RESIDENTIAL ADDRESS

    Address: 73-A DDA FLATS,Gulabi Bagh

    Country: India State: Delhi City: Delhi Pin Code: 110007

    Phone: 9810770239 Mobile: 9868724658 E-mail: [email protected]

    Bachelor's Exam Details

    Enrollment Number : 12031230046 Applicable Category : NCT Delhi

    University : University of Delhi Degree : BA

    Subject Area : Honor Status of Result : Awaited

    Page 1 of 229, Jun 2015 02:42 PM 2

  • APPLICATION FORM FOR ADMISSION TO M.A. PROGRAMME

    Language Proficiency

    Language Read write Speak

    English Yes Yes Yes

    Hindi Yes Yes Yes

    Applicant's Signature

    Page 2 of 229, Jun 2015 02:42 PM 2


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