No.

jk"Vªh; jkt/kkuh {ks=] fnYyh ljdkj Government of NCT of Delhi

yfyr dyk egkfo|ky; COLLEGE OF ART

fnYyh fo'ofo|ky; ls lEc) Affiliated to University of Delhi
20&22 fryd ekxZ] ubZ fnYyh 110001 20-22, Tilak Marg, New Delhi-110001
Applicant’s

izo's k izkFkZuk i= / APPLICATION FORM FOR ADMISSION passport size

photograph
to be affixed duly
yfyr dyk Lukrd ¼4 o"khZ; ikB~;Øe½ self attested

BACHELOR OF FINE ART (4 Years course)

fo'ks" kKrk% O;kogkfjd dyk dyk bfrgkl fp=dyk Nkik dyk ewfrZdyk n`'; laizs"k.k
Specialisation: APPLIED ART ART HISTORY PAINTING PRINT MAKING SCULPTURE VISUAL COMMUNICATION
dksbZ ,d gh dks fpfUg~r djsa ¼½
Mark only one ¼  ½

1 uke ¼Li"V v{kjksa esa ftl :i esa lhfu;j Ldwy izek.ki= esa gS½
Name (in block letters as in Senior School Certificate)

2 tUe frfFk 'kCnksa esa vadksa esa

Date of Birth In Words In Figures
1 vDrwcj dks vk;q o"kZ eghus fnu
3
Age as on 1 October Years Months Days

4 jk"Vªh;rk /keZ fyax ¼iq#"k@L=h@r`rh; fyax½

Nationality Religion Gender (Male/Female/Third)

firk dk uke
5 Father’s Name
ekrk dk uke
6 Mother’s Name
vfHkHkkod dk uke

ACADEMIC FORM
7 Guardian’s Name
LFkkuh; irk
8 Local Address
nwjHkk"k la[;k
Phone No.
LFkk;h irk
9
Permanent Address
nwjHkk"k la[;k
Phone No.

10 ekrk@firk dk O;olk; dqy okf"kZd vk;

Parent’s Occupation Total Annual Income
oxZ lkekU; v-fi- oxZ v- tkfr v- t- tkfr 'kkjhfjd fodykax lsuk deZpkjh fons'kh ewd ,oa cf/kj
Category General OBC SC ST PWD Armed Forces Foreign National Hearing and
Speech Impaired
11
fpg~fur djsa ()
Please Mark ()
Only One
vfUre fo|ky; dk uke o LFkku NksM+us dh frfFk
12 Name and Place of the School last attended Date of leaving
fnYyh fo'ofo|ky; ukekadu la[;k %
gky gh esa fnYyh fo'pfo|ky; ls tkjh fd;k x;k] ;fn vkosnd us gky gh esa fnYyh fo'ofo|ky; ls dksbZ Hkh ikB~;Øe ikl fd;k gks
Delhi University Enrolment No.
(Issued earlier by University of Delhi, if the candidate had earlier passed any course from Delhi University)

mÙkh.kZ ijh{kk cksMZ dk uke fy;s x;s fo"k; izkIrkad Js.kh rFkk vadksa dk izfr'kr o"kZ
13 Division & Percentage
Examination passed University or Board Subjects offered Marks obtained Year
of marks
'kS{kf.kdo`r
Academic record

izkfIr@izo's k i= ¼ewY;kadu&ekSf[kd½ RECEIPT/ADMISSION SLIP (ASSESSMENT-VIVA) No.

Jh@Jherh@dqekjh iq=@iq=h Jh@Jherh

ls izos'k izkFkZuk&i= fnukad dks izkIr fd;k Applicant’s
passport size
Received the Application Form for admission from Mr / Mrs / Miss
photograph
Son / Daughter / Wife of Mr / Mrs to be affixed duly
self attested
on (No Mobile/Electronic Gadget etc. allowed in College on Aptitude Test).

izkIrdrkZ fyfid / Receipt Clerk

 15 ikB~;ksrj xfrfof/k vkSj mRd"kZ iqjLdkjksa dk fjdkMZ
Record of any extra curricular activities and merit awards :

ckjgoha ;k led{k ijh{kk,a ikl djus ds ckn xfrfof/k dk fjdkMZ

16 Record of activities after passing (10+2/equivalent) examinatiions :-

eSa ?kksf"kr djrk gwa fd mijksDr fooj.k lgh gS vkSj eSa vius ekrk firk vfHkHkkod dh lgefr ls izos'k ds fy, vkosnu dj jgk gwaA eSa egkfo|ky; fooj.k if=dk
ds vfrfjDr fo'ofo|ky; dh fu/kkZfjr izos'k 'krs± i<+ pqdk gwa vkSj mlesa mfYyf[kr fu;eksa vkSj 'krks± dk ikyu djus ds fy;s lger gwaA blds vfrfjDr ?kks"k.kk
djrk gwa fd eSa egkfo|ky; ds iz/kkukpk;Z midqyifr vkSj fo'ofo|ky; ds mu vU; izkf/kdkfj;ksa ds vuq'kkfld vf/kdkj {ks= ds v/khu vius dks j[kwaxk ftUgsa
fo'ofo|ky; }kjk cuk, fu;eksa vkSj vf/kfu;e lfof/k v/;kns'kksa ds v/khu vuq'kklukRed 'kfDr;ka iznku dh xbZ gSaA
I declare that I am applying for admission with the consent of my parents/guardians and that the particulars given above are
correct. I have read the College prospectus as well as the admission requirements laid down by the University of Delhi. I agree
to abide by the rules and regulations given therein. I further declare that I shall submit myself to the desciplinary jurisdiction of
the Principal of the College, the Vice Chancellor and the other authorities of the University who may be vested with the powers
to exercise discipline under the Act, the Ordinance and the rules framed by the University of Delhi.

firk@ ekrk@ vfHkHkkod ds gLrk{kj

Signature of Father / Mother / Guardian
vkosnd ds gLrk{kj
frfFk Signature of the applicant
Date
LFkku
Place

S. No. List of attested copies of certificates attached to the application form Please Mark (   )

1. SSCE or equivalent (12 years Course) Examination Mark Sheet

2. Age Certificate/10th Pass Certificate

3. SC/ST/AF/PWD/H&SI/OBC Candidates, a certificate from the competent authority.

4. Two copies of photographs of self, duly attested, one pasted each on the Application Form &
the second on its Counter Foil.

5. Annual Family Income certificate from competent authority if employed or appropriate

documentary evidence if otherwise (only for SC/ST/OBC Candidates)

bl ykbZu ls uhps u fy[ksa / Do not write beyond this line