APPLICATION FORM FOR ADMISSION TO M.A.

PROGRAMME

APPLICANT'S PERSONAL DETAILS

Form Serial No.:

69357

Application No.:

148334

Full Name:

Shambhavi Gosain

Nationality:

Indian

Date of Birth:

30/12/1993

Father's Name:

Sunil Gosain

Mother's Name:

Ritu Gosain

Father's Occupation:

Dt. Commandant BSF

Mother's Occupation:

Pay and Accounts Officer (Ministry of

Urban Development)

Father's Qualification:

Graduate

Mother's Qualification:

Graduate

Category:

General

Total Annual Family Income: More than 5 Lakh

Sex:

Female

Blood Group :

B+

Programme Preference :

1 - MA Sociology , 2 - MA Gender Studies

Mode of Payment :

Online Payment

Transaction Id :

336232481

Transaction Date :

20-06-2015

Transaction Amount :

880.0

CORRESPONDENCE ADDRESS
Address: 73-A DDA FLATS,Gulabi Bagh
Country: India
Phone: 9810770239

State: Delhi
Mobile: 9868724658

City: Delhi

Pin Code: 110007

E-mail: gshamvi@ymail.com

RESIDENTIAL ADDRESS
Address: 73-A DDA FLATS,Gulabi Bagh
Country: India
Phone: 9810770239

State: Delhi
Mobile: 9868724658

City: Delhi

Pin Code: 110007

E-mail: gshamvi@ymail.com

Bachelor's Exam Details

Enrollment Number : 12031230046

Applicable Category : NCT Delhi

University : University of Delhi

Degree : BA

Subject Area : Honor

Status of Result : Awaited

29, Jun 2015 02:42 PM

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APPLICATION FORM FOR ADMISSION TO M.A. PROGRAMME

Language Proficiency

Language

Read

write

Speak

English

Yes

Yes

Yes

Hindi

Yes

Yes

Yes

Applicant's Signature

29, Jun 2015 02:42 PM

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