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My Pet Dog Essay in Hindi

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* Filled in application to be returned on / before :

GITAM UNIVERSITY
(Estd. u/s 3 of the UGC Act., 1956)

CENTRE FOR DISTANCE LEARNING
(Recognized by the Distance Education Council (DEC), New Delhi)

APPLICATION FORM

Application No:
Course Details : Programme Electives / Specialization Medium Second Language (for B.A. / B.Com. only) Personal Information : Full Name of the Candidate Name Surname Name of the Parent / Guardian Date of Birth (dd-mm-yyyy) Socio-Economic Details : Gender Nationality Marital Status Social Status Male Indian Married SC TELUGU Telugu

(For office use only)

ID No.

ENGLISH Hindi Sanskrit

Candidate’s Latest Photo

Female Others Un Married ST BC Rural PH Urban Others If any Specify :

Area which you are living comes under whether Are you employed Yes No

Please furnish Work Experience (if any) : Organisation Govt. Private Designation Managerial Clerical Self-Employed Salary (p/m) Total Service

Permanent Address :

Address for Communication :

Mobile No Tel No Email

Mobile No Tel No Email

Educational Background : Qualification X std. Intermediate Degree Post Graduation Entrance Examination Name of the Institution last studied Date of Admission Date of Leaving Year of Passing Reg No. % of Marks Obtained Class Obtained Board / University Electives

Identification Marks : 1. 2. Study Centre opted : Fee Paid : DD No. Date Amount Bank & Branch

Note: Enclose copies of the following certificates along with the application: a. Certificate of the qualifying examination passed. (One attested copy also to be enclosed along with original certificate). b. Four copies of recent photograph (passport size) of the candidate (One to be affixed to the application and the remaining to be enclosed). c. Demand draft for Rs.200/- in favour of CDL-GITAM University, payable at Visakhapatnam if the application is downloaded from www.gitam.edu d. Date of Birth extract. Declaration I hereby declare that all the...
Course Details :
Programme
Electives / Specialization
Medium TELUGU ENGLISH
Second Language Telugu Hindi Sanskrit
(for B.A. / B.Com. only)
Personal Information :
Full Name of the Candidate
Name
Surname
Name of the Parent / Guardian
Date of Birth (dd-mm-yyyy)
Socio-Economic Details :
Gender Male Female
Nationality Indian Others If any Specify :
Marital Status Married Un Married
Social Status SC ST BC PH Others
Area which you are living comes under whether Rural Urban
Are you employed Yes No
Please furnish Work Experience (if any) :
Organisation Designation Salary (p/m) Total Service
Govt. Private Managerial Clerical Self-Employed
Permanent Address : Address for Communication :
Mobile No Mobile No
Tel No Tel No
Email Email
Candidate’s
Latest Photo
APPLICATION FORM
GITAM UNIVERSITY
(Estd. u/s 3 of the UGC Act., 1956)
CENTRE FOR DISTANCE LEARNING
(Recognized by the Distance Education Council (DEC), New Delhi)
Application No:
* Filled in application to be returned on / before :
(For office use only)
ID No.