RASHTRIYA SANSKRIT SANSTHANAM

(DEEMED UNIVERSITY) M/o HUMAN RESOURCE DEVELOPMENT, GOVERNMENT OF INDIA

DEPARTMENT OF CORRESPONDENCE COURSE
SANSKRIT SUBODH COURSE - FIRST YEAR/SECOND YEAR

APPLICATION FORM
To, Affix Passport
Registrar, size Photograph
RASHTRIYA SANSKRIT SANSTHAN
here & send one
(DEEMED UNIVERSITY)
56-57, INSTITUTIONAL AREA, JANAKPURI, NEW DELHI-110058
Photograph along
with this form
Sir,
I want to seek admission to your Sanskrit Subodh course (First year/Second year) in Sanskrit.
I am sending Bank Draft for Rs. 500/- (Five Hundred only) US $ 50 (Fifty US Dollars).

PARTICULARS
1. Name.................................................................................................................4. Tel./Mob. ...............................................

2. Father's/Mother's/Husband's Name...............................................................5. Mail ID ...................................................

3. Post and Office Address........................................................................................................................................................

6. Permanent Address................................................................................................................................................................

..................................................................................................................................................................................................

7. Address of Correspondence..................................................................................................................................................

8. Roll No. of First Year....................................................... 9. Medium-Hindi/English..............................................

(for Office use only)

10. Date of Birth.................................................................... 11. Nationality...................................................................

12. Place of Birth..................................................................... 13. Last Examination Passed...........................................

14. Mother-Tongue.................................................................. 15. Knowledge of Languages...........................................

I hereby declare that the particulars given above are true to the best of my knowledge and belief.
Date................................ Signature............................................................................
Cash Receipt No./Bank Draft No. ....................................
Date ...................................................................................
Fee ................................. Name of the bank ..............................................................

[The Fee may be paid in Cash (by Physical Appearance) or Draft drawn in favour of Registrar, Rashtriya
Sanskrit Sansthan, New Delhi payable at State Bank of India, Delhi Cantt. (Code-0733) Delhi.]
RASHTRIYA SANSKRIT SANSTHAN
DEEMED UNIVERSITY
56-57, INSTITUTIONAL AREA, JANAKPURI, NEW DELHI-110058
E-PABX : 28521994, 28524993, 28524995 Extn. no. 237, 252 E-mail - rskscc@yahoo.com