My Pet Dog Essay in Hindi

Topics: Visakhapatnam, Employment, Marriage Pages: 2 (417 words) Published: August 17, 2010
* Filled in application to be returned on / before :

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

(Recognized by the Distance Education Council (DEC), New Delhi)


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 d. Date of Birth extract. Declaration I hereby declare that all the...
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