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Application Acknowledgement Form – FMS 2012

CAT 2012 Registration Number FMS Registration Number Applied For Full Name Father's Name Mother's Name Gender Nationality Category Date of Birth Physically Handicapped CW Payment Details DD No. : 968319

SR8264937 FTP00738 MBA (Full-Time) Ms SONAM ANAND BRIJ NANDAN PRASAD PRIYANKA PRASAD FEMALE INDIAN OBC 21-Apr-1989 No No

Mobile No. Telephone No. Email Id. Mode of Payment Online Photo Upload Address Line 1 Address Line 2 Address Line 3 State PIN Code Current Organization Experience

7677357195 06572220776 sonam.anand0021@gmail.com offline Yes FLAT No. 104 SWARNAREKHA FLATS SAKCHI JHARKHAND 831001 ---

Bank Name : STATE BANK OF INDIA

Date : 26-09-2012

Amount : 1000.00

Photo of Candidate

Signature of Candidate

Thumb Impression of Candidate

Discuss your career goals ( stating in about 150 words) as to how being at Faculty of Management Studies can help you achieve your goals?(only for MBA Full Time and Ph.D.)

Undertaking: I declare that the particulars given are correct and nothing is being concealed. If any information supplied is found incorrect the candidature will stand rejected without any notice I agree to abide by the rules and regulations of Faculty of Management Studies, University of Delhi. I also declare that on admission, I shall submit myself to the disciplinary jurisdiction of the Vice Chancellor and other authorities of the University of Delhi, who are vested with the authority to take disciplinary action ‘under the Acts and statutes, and the Ordinances of the University’. I understand that the executive experience and other selection criteria are applied and determined by the competent interview board on the date of interview shall be considered final and binding.

Signature

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