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UNIVERSITY OF DELHI SOUTH CAMPUS APPLICATION RECEIPT (MFC AND MBE )

Application No.: Name: Course Applied for: Payment Details Payment Type DD No. Date Bank Amount Status 201203354 Shiva Kumar Dunaboina Both MFC and MBE Demand Draft 008947 Dec 10, 2012 State Bank of Hyderabad 1800.00 Filled Application, Payment Pending

I, ______________________________ , certify that I satisfy the eligibility requirements for this programme and that all entries made in this application form, are true to the best of my knowledge and belief. I am willing to produce original certificate(s) in support thereof if asked to do so at any stage during the course. I agree to abide by decisions of Management Development Institute on all matters regarding this application.

Date:

__________________________ Signature of Candidate Take a print out of the Application Receipt and duly sign the Declaration

Please send (1) The print out of Online Application Receipt. (2) Demand Draft in favor of Director, University of Delhi, South Campus payable at New Delhi. (3) ONE Self-Addressed Slip, in a closed envelope, superscribing Online Application Form-MFC&MBE on top of the envelope to the following address: Admission Coordinator (MBE & MFC Joint Admission) Room No. 229, Art Faculty Building University of Delhi, South Campus Benito Juarez Road, New Delhi 110 021.
Address of the Applicant

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Mr. Shiva Kumar Dunaboina Flat No: 203A, Block-1, Phase-1, Janapriya Apartments, Miyapur Hyderabad (Andhra Pradesh) Pincode: 500049 Tel No. Mobile: 9032558576

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