UG College Admission Form 190049227 Generated On: 08-08-2019 20:13:23

190049227
Dr. Bhim Rao Ambedkar College
Application under NCWEB 5th Cut-Off

21070018/BRAC/70/84/NC B.Com (NCWEB)

PAYMENT Order ID : Transaction Number : Transaction Date : 2019-06-01 Transaction Amount :
DETAILS 1075606 19060150268743 12:13:09 100

Full Name : INDU Gender : Female DOB : 25 December 1999

Nationality : Indian Aadhar : 447463837483 State of Domicile : Delhi
Email [1] : indu61518@gmail.com Mobile Number [1] : 8130655621
Email [2] : Mobile Number [2] : 9540335805
Permanent Address : A-4/91
Correspondence Address : A-4/91 RAJVEER COLONY , GHAROLI RAJVEER COLONY , GHAROLI
EXTENTION, East Delhi, Delhi - 110096, India EXTENTION, East Delhi, Delhi -
110096, India
SC PwD Category : Not Applicable
Kashmiri Migrant Category : Not Apply under Ward Quota :
Minority : Not Applicable
CATEGORY DETAILS Applicable Not Applicable
OF THE APPLICANT Children/Widows of the eligible Prime Minister's Special
Sikkimese Students nominated by
Armed Forces Personnel Scholarship Scheme for J&K
the Govt. of Sikkim : Not Applicable
Category : Not Applicable Students : Not Applicable

Name : SUNITA Name : DULICHAND

Mobile Number : Mobile Number : 9990182814
Mother's Father's /
Details Occupation : Not Applicable Guardian's Details Occupation : Private Sector
Office Address : PLOT-277 KANKISH EXPORTS PVT LTD ,
Office Address :
PATPARGANJ INDUSTRIAL AREA , DELHI -110092

Board of Education : CENTRAL BOARD OF SECONDARY

Examination Board Roll Number : 9602952
EDUCATION(CBSE)
Details
Result Status : Passed Year of Passing : 2019
Name of School Last Attended : RAJKIYA SARVODAYA KANYA
Type of School : Government
Additional VIDYALAYA KONDLI DELHI
Academic Details Hindi Language Studied Upto :
School Location : NCT Delhi Medium of Study : Hindi
Upto Class XII

MARKS IN SENIOR SECONDARY BOARD EXAMINATION

Theory Marks Practical Marks Total Marks
Subject Percentage
Subject Name
After Proration*
Maximum Obtained Maximum Obtained Maximum Obtained
ENGLISH CORE 33.00 33.00 0.00 0.00 33.00 33.00 100.00
HINDI ELECTIVE 40.00 40.00 18.00 18.00 58.00 58.00 100.00
ECONOMICS 48.00 48.00 18.00 18.00 66.00 66.00 100.00
BUSINESS STUDIES 32.00 32.00 18.00 18.00 50.00 50.00 100.00
ACCOUNTANCY 33.00 33.00 17.00 17.00 50.00 50.00 100.00
PHYSICAL EDUCATION 38.00 38.00 27.00 27.00 65.00 65.00 100.00

Subject Studied (Yes/no) Class studied upto Marks

Bengali No
Punjabi No
Language Courses Sanskrit No
Urdu No
Arabic No
Persian No

University of Delhi 2019 Page 1 of 2 PnS,IIC,UDSC

UG College Admission Form 190049227 Generated On: 08-08-2019 20:13:23

UPLOADS BY APPLICANT
Date of Birth
Photograph: Yes Signature: Yes Class 12th Marksheet: Yes Category Certificate: Yes
Certificate: Yes
Prime Minister's Special
PwD Category Kashmiri Migrant CW Quota Sikkimese Students
Scholarship Scheme for
Certificate: Not Quota Certificate: Certificate: Not nominated by the Govt.
J&K Students: Not
Applicable Not Applicable Applicable of Sikkim: Not Applicable
Applicable

********************************************** For Office Use Only **********************************************

_______________________ _______________________ _______________________ _______________________

(Authorised Signatory) (Authorised Signatory) (Authorised Signatory) (Authorised Signatory)

The applicants shall be required to produce following documents in original (Check list for Applicant)
Class X Board Examination
1. 2. Class X Marks-Sheet
Certificate
Class XII Provisional Certificate / Original
3. Class XII Marks-Sheet 4.
Certificate
SC/ST/EWS/PwD/CW/KM Certificate (in the
5. Character Certificate (recent) 6. name of the candidate) issued by the
competent authority
OBC (Non-Creamy Layer)
Certificate (in the name of the At least two passport size self-attested
7. 8.
Candidate) issued by competent photographs.
authority
Transfer Certificate from school / college as well as Migration Certificate from Board / University are
9.
required from those students who have passed senior secondary exam from outside Delhi
Residence proof of NCT Delhi in original i.e. Adhaar Card / UID / License /Passport (in the name of student)
10.
Photocopy of the same will be required in the Board office.

11.
Applicant Admission Percentage : _________________________________________
The College/University will accept self-attested copies of documents / papers provided by the students. It is made clear
that if any false attestation / falsified records are detected, the student will be debarred from attending any course in
the University / or its Colleges for next five years and in addition, a criminal case under relevant sections of IPC (viz.
470,471,474 etc.) will be instituted against him/her.
Declaration by the Applicant
I declare that the certificates and testimonials submitted by me are authentic and that the above information is
correct to the best of my knowledge. I will be liable for cancellation of my admission if any of my document(s) is found
faked/ forged. I understand that I will be filling an on-line anti-ragging affidavit on confirmation of my admission.

_________________________________ _________________________________ _________________________________

(Date) (Signature of Parent/Guardian) (Signature of Applicant)

********************************************** For Office Use Only **********************************************

Paper I Business Organisation and Management

Paper II Financial Accounting
Paper III Business and Industrial Law
Paper IV Economics-I (Principals of Economics)
Paper V Humanities Group-One of the M.I.L. Hindi A/B or Punjabi A/B
State the subject offered i.e Modern Indian Language Paper i or any other subject offered in lieu thereof viz. History,
Philosopohy or Political Science
Paper I __________________________________________________________________________________________________________________________

(Optional, if any)________________________________________________________________________________________________________________

_______________________ _______________________ _______________________ _______________________

(Authorised Signatory) (Authorised Signatory) (Authorised Signatory) (Authorised Signatory)

University of Delhi 2019 Page 2 of 2 PnS,IIC,UDSC