RASHTRIYA SANSKRIT SANSTHAN

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

DEPARTMENT OF CORRESPONDENCE COURSE
INTRODUCTORY COURSE IN SANSKRIT - FIRST YEAR/SECOND YEAR

APPLICATION FORM
To, Affix Passport
Registrar, size Photograph
RASHTRIYA SANSKRIT SANSTHAN here & send one
(DEEMED UNIVERSITY) Photograph along
56-57, INSTITUTIONAL AREA, JANAKPURI, NEW DELHI-110058 with this form
Sir,
I want to seek admission to your introductory course (First year/Second year) in Sanskrit.
I am sending Bank Draft for Rs. 250/- (Two hundred fifty) US $ 50 (Fifty US Dollars).

PARTICULARS
1. Name........................................................................................................................................................................................

2. Mail ID.......................................................................................... .Tel. /Mob. .......................................................................

3. Father's/Mother's/Husband's Name....................................................................................................................................

4. Permanent Address................................................................................................................................................................

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

5. Address of Correspondence..................................................................................................................................................

6. Roll No. of First Year....................................................... 10. Medium-Hindi/English..............................................

7. Roll No. of Second Year................................................... 12. Nationality...................................................................

8. Date of Birth..................................................................... 12. Last Examination Passed...........................................

9. Place of Birth.................................................................... 13. 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 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 FAX : 011-28524993, 011-28524382 E-mail - rskscc@yahoo.com
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