My Pet Dog Essay in Hindi
* 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 information
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 information