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CDVL Application 2015
CDVL Application 2015
:
For office use only
UNIVERSITY OF HYDERABAD
APPLICATION FOR ADMISSION TO DISTANCE EDUCATION PROGRAMME 2015
Read the Prospectus and Instructions carefully before filling up the application form.
D.D. No.
Date
Amount
Paste here one recent
Passport size photograph
CATEGORY
SC
ST
OBC
GENDER
MINORITY
PH
Male
Female
1. Name of the Student (same as in the SSC / Matriculation certificate) in Capital letters
Mr./Ms./Mrs .........................................................................................................................................................................
2. (a)
(b)
3. (a)
Permanent Address:
3 (b)
...............................................................................
......................................................................................
...............................................................................
....................................................................................
..............................................................................
.....................................................................................
Email: ...................................................................
Email: ...........................................................................
4. a)
b)
5. In case you fail to secure admission to the programme you have applied for, indicate a second choice:
.............................................................................................................................................................................................
6. Study Material : Indicate your Choice :
Hard copy
(OR)
Soft copy
( If opted for only soft copy, the fee will be reduced by Rs. 2000/- from the total fee for all courses and
Rs. 3000/- for PGDBM course.)
7. Specimen Signature of the student (Sign within the box)
Pin Stamp
Size
Photography
Examination
University
/ College
Month &
Year of
Passing
Subjects
Studied and
Passed
Maximum
Marks
Marks
Obtained
Percentage
Division
Organization / Institution
Total No. of years worked
From
(month & year)
To
(month & year)