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Delhi Skill and Entrepreneurship University

Government of NCT of Delhi

APPLICATION FORM
Payment ID:
pay_JjlaIzWUMA8qoh Session 2022-2023
Order ID:
order_JjlWf8IpmsR5Sa
Order Date & Time:
2022-06-20 19:02:46
Amount: 600

1. Personal Information:
Name: JAI SHARMA Date of Birth: 10-0
Gender: Male Nationality : Indi
Program: Full Time/Part Time Persons with disability: No
Programs
Category : GENERAL
Are you a Defence Person: No Are you a Kashmiri Migrant: No
Blood Group: O+ Applicant’s Occupation: Stud
Family Income: 1.5 lakhs- 5 lakhs Father’s Occupation: Priv
Father’s Income: 1.5 lakhs- 5 lakhs Father’s Highest Qualification: Gra
Mother’s Occupation: Home-maker Mother’s Income: Is n
Mother’s Highest Qualification: Graduate Do you have a Letter of Recommendation: No
Are you a ward of DSEU Staff/ Faculty: No Do you have 2 years of work experience: No
Location of School/Institute Attended (For Delhi Location of School/Institute Attended (For Out
Class X) : Class XII):
Not Applicable Location of Not
Location of ITI/Institute Attended (For ITI): College/Polytechnic/University/Institute
Attended (For Diploma):
Location of College/University/Institute Delhi Appeared/Appearing for CUET? No
Attended (For Degree):
Yes Are you eligible for Tuition Fee Waiver in Yes
Is your guardian your parent?:
Private Polytechnics under BTE, Delhi?:
Are you eligible for Sikh Minority Quota at No
GTBPI under BTE, Delhi?:
Group Ranks: FTDP:38
2. Allocation/Admission Details:
S.N. Round/Date Course College Pref. Quota Admission Status Seat
1 Diploma Round [FTDP] - DSEU 1 UR / [Paid: 0.00] () / Verified Frozen [Paid:
2 (2022-10-06 Diploma in Dwarka Outside (2022-10-08
00:00:00) Pharmacy Campus 09:15:02) orde
2 Round 1 (2022- [FTDP] - DSEU 1 UR / [Paid: 7875.00] No Freeze
09-23) Diploma in Dwarka Delhi order_KNAUyoSCkJ6LfB (2022-09-
Pharmacy Campus 28 09:18:55) / Cancel & Correct
Region
 3. Permanent
CHANGE PASSWORD Address:
(HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/CHANGEPASSWORD?APP_ID=UELZMDAWMDA2MG==)
Address Line 1: Tara Nagar, Duggal Farm, Near Old Palam Road, Near Sec. 15 District Park, New Delhi
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PIN/ZIP code: 110078 State: Delhi
District: South West Delhi Emergency Mobile No: + 91 88102946

4. Communication Address:
Address Line 1: Tara Nagar, Duggal Farm, Near Old Palam Road, Near Sec. 15 District Park, New Delhi
PIN/ZIP code: 110078 State:
District: South West Delhi
5. Registered Mobile No. 91 9315219932 6. Registered E-mail jai881394@gm
7. Family Details:
Father's Name: Anil Sharma Mother's Name: Bimlesh Sharma

8. Educational Qualification:
Name of MONTH/Year Roll No School PINCODE TYPE RTE SCHOOL Board/ M
Examination (Centre if Quota FEE University
Open PAID
School)
Spring CBSE - Central
Meadows Board of 3
10th / Equivalent 06/2017 8214483 65578 Private No 0.00
Public Secondary /
School Education
ITI (2 Years)
Board of
Open Board of Open
Public or 4
12th / Equivalent 12/2021 20221000427 Schooling 0.00 Schooling &
Government
& Skill Skill Education
Education
Diploma
Graduation
9. Class X Subjects and Marks:
S.N. Subject Type Obtained Marks
1 English - Language and Literature Compulsory 66.50
2 Hindi Course-B Compulsory 76.00
3 Mathematics Compulsory 66.50
4 Science Compulsory 66.50
5 Social Science Compulsory 57.00
10. Class XII Subjects and Marks:
S.N. Subject Type Obtained Marks
1 English - Language and Literature Compulsory 73.00
2 Physics Compulsory 80.00
3 Chemistry Compulsory 76.00
4 Biology Compulsory 79.00
5 Hindi Elective Compulsory 70.00
6 Others - Preservation of Fruits and Vegetables Compulsory 67.00
11. Course Type Opted for:
S.N. Course Type
1 Full Time Diploma in Pharmacy
12. Choices/Course Preferences (Current Preferences):
Candidate is required to ensure that he/she meets the eligibility of the program selected. The allotment is Liable to be cance
not meet the eligibility condition.
S.N. Course Type Course Name College/Campus
1 Full Time Diploma in Pharmacy Diploma in Pharmacy DSEU Dwarka Campus
2 Full Time Diploma in Pharmacy Diploma in Pharmacy DTTE Baba Hari Dass College of Pharmacy
 S.N. Course Type Course Name College/Campus
CHANGE PASSWORD (HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/CHANGEPASSWORD?APP_ID=UELZMDAWMDA2MG==)
3 Full Time Diploma in Pharmacy Diploma in Pharmacy DTTE Subramaniam Barathi College of Science And Technol
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13. Choices/Course Preferences (Old Preferences):

S.N. Round Course Type Course Name College/Campus

DIPLOMA ROUND Full Time Diploma in Diploma in

1 DSEU Dwarka Campus
2 Pharmacy Pharmacy
DIPLOMA ROUND Full Time Diploma in Diploma in
2 DTTE Baba Hari Dass College of Pharmacy
2 Pharmacy Pharmacy
DIPLOMA ROUND Full Time Diploma in Diploma in DTTE Subramaniam Barathi College of Science A
3
2 Pharmacy Pharmacy Technology
DIPLOMA ROUND Full Time Diploma in Diploma in
4 DSEU Dwarka Campus
1 Pharmacy Pharmacy
DIPLOMA ROUND Full Time Diploma in Diploma in
5 DTTE Baba Hari Dass College of Pharmacy
1 Pharmacy Pharmacy
DIPLOMA ROUND Full Time Diploma in Diploma in DTTE Subramaniam Barathi College of Science A
6
1 Pharmacy Pharmacy Technology
14. Extra-Curricular Activities
S.N. Type of Activity Achievement Details

Declaration/ Undertaking by the Candidate:

1. All the information given by me in this application is true and correct to the best of my knowledge, and I believe that nothing has
2. I also undertake that if any of the above statements/information are found to be incorrect or false, or if any information or particu
suppressed or omitted in the form, I am liable to be disqualified and my candidature/admission may be cancelled without any no
3. I also undertake full responsibility for appearing for any tests/interviews/counselling sessions conducted as scheduled by the Un
various courses. Failure to do so, will result in disqualification of my candidature.
4. I acknowledge that I am aware that there may be specific eligibility requirements for each program filling this form and appearing
Examination does not guarantee my admission in DSEU
5. I hereby undertake that I will abide by all the rules and regulations of the University and maintain discipline.
6. I further undertake that I will complete all the requirements of the curriculum which includes on-the-job training.
7. I will also comply with the rules and regulations/policies of the organization where I will be placed for on-the-job training.
8. In case I am unable to abide by the above-mentioned requirements, I am liable to loose Program credits.

Date: 20-06-2022

Printed on : 19-12-2022 10:43 PM

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