UG College Admission Form 190223986 Generated On: 08-08-2019 12:51:41

190223986
Daulat Ram College (W)
Application under UNDER ARMED FORCES CATEGORY : Armed Forces Priority VIII

21058715/DRC/738/CW/20 B.A Programme (History + Political Science)

PAYMENT Order ID : Transaction Number : Transaction Date : Transaction Amount :
DETAILS 1341865 19061351192783 2019-06-13 17:16:46 1000.00

Full Name : NEHA KUMARI Gender : Female DOB : 16 January 2002

Nationality : Indian Aadhar : 627992250206 State of Domicile : Maharashtra
Email [1] : neharoy9049550675@gmail.com Mobile Number [1] : 7796599406
Email [2] : Mobile Number [2] : 8605041675
Permanent Address : SMQ No.
Correspondence Address : SMQ No. 114/01 , DOMESTIC CAMP ,11 114/01 , DOMESTIC CAMP ,11 BRD,
BRD, AIR FORCE STATION OJHAR NASHIK, Nashik, Maharashtra - AIR FORCE STATION OJHAR
422221, India NASHIK, Nashik, Maharashtra -
422221, India
OBC Non Creamy
• State : Bihar
PwD Category : Not Applicable
• Community : Kurmi, Kurmi (Mahto) (in Chhotanagpur Division only)
• Annual Family Income only for OBC (2018-19) : Up to 8,00,000
CATEGORY DETAILS
Kashmiri Migrant Category : Not Apply under Ward Quota : Not
OF THE APPLICANT Minority : Not Applicable
Applicable Applicable
Children/Widows of the eligible Prime Minister's Special Sikkimese Students nominated
Armed Forces Personnel Category Scholarship Scheme for J&K by the Govt. of Sikkim : Not
: Armed Forces Priority VIII Students : Not Applicable Applicable

Name : NEELAM KUMARI Name : VIDYANAND ROY

Mobile Number : Mobile Number :
Mother's Details Father's / Guardian's Details
Occupation : Not Applicable Occupation : Government Service
Office Address : Office Address :

Board of Education : CENTRAL BOARD OF SECONDARY

Board Roll Number : 4667033
Examination EDUCATION(CBSE)
Details Result Status : Passed
Year of Passing : 2019
Applied for re-evaluation: No
Name of School Last Attended : KENDRIYA VIDYALAYA A F S
Type of School : Government
Additional OJHAR NASIK MR
Academic Details Hindi Language Studied Upto
School Location : Other Medium of Study : English
: Upto Class XII

MARKS IN SENIOR SECONDARY BOARD EXAMINATION

Theory Marks Practical Marks Total Marks
Subject Name Subject Percentage After Proration*
Maximum Obtained Maximum Obtained Maximum Obtained
ENGLISH CORE 100.00 87.00 0.00 0.00 100.00 87.00 87.00
HINDI CORE 80.00 66.00 20.00 20.00 100.00 86.00 86.00
PHYSICS 70.00 42.00 30.00 29.00 100.00 71.00 71.00
CHEMISTRY 70.00 33.00 30.00 29.00 100.00 62.00 62.00
BIOLOGY 70.00 48.00 30.00 30.00 100.00 78.00 78.00

University of Delhi 2019 Page 1 of 2 PnS,IIC,UDSC

UG College Admission Form 190223986 Generated On: 08-08-2019 12:51:41

Subject Studied (Yes/no) Class studied upto Marks

Bengali No
Punjabi No
Language Courses Sanskrit No
Urdu No
Arabic No
Persian No

UPLOADS BY APPLICANT
Date of Birth
Photograph: Yes Signature: Yes Class 12th Marksheet: Yes Category Certificate: Yes
Certificate: Yes
Prime Minister's Special
PwD Category Kashmiri Migrant Sikkimese Students
CW Quota Scholarship Scheme for
Certificate: Not Quota Certificate: nominated by the Govt. of
Certificate: Yes J&K Students: Not
Applicable Not Applicable Sikkim: Not Applicable
Applicable

********************************************** For Office Use Only **********************************************

_______________________ _______________________ _______________________ _______________________

(Authorised Signatory) (Authorised Signatory) (Authorised Signatory) (Authorised Signatory)

The applicants shall be required to produce following documents in original (Check list for Applicant)
Class X Board Examination
1. 2. Class X Marks-Sheet
Certificate
Class XII Provisional Certificate / Original
3. Class XII Marks-Sheet 4.
Certificate
SC/ST/EWS/PwD/CW/KM Certificate (in the
5. Character Certificate (recent) 6. name of the candidate) issued by the
competent authority
OBC (Non-Creamy Layer)
Certificate (in the name of the At least two passport size self-attested
7. 8.
Candidate) issued by competent photographs.
authority
Transfer Certificate from school / college as well as Migration Certificate from Board / University are
9.
required from those students who have passed senior secondary exam from outside Delhi

10.
Applicant Admission Percentage : _________________________________________
The College/University will accept self-attested copies of documents / papers provided by the students. It is made clear
that if any false attestation / falsified records are detected, the student will be debarred from attending any course in
the University / or its Colleges for next five years and in addition, a criminal case under relevant sections of IPC (viz.
470,471,474 etc.) will be instituted against him/her.
Declaration by the Applicant
I declare that the certificates and testimonials submitted by me are authentic and that the above information is correct
to the best of my knowledge. I will be liable for cancellation of my admission if any of my document(s) is found faked/
forged. I understand that I will be filling an on-line anti-ragging affidavit on confirmation of my admission.

_________________________________ _________________________________ _________________________________

(Date) (Signature of Parent/Guardian) (Signature of Applicant)

********************************************** For Office Use Only **********************************************

_______________________ _______________________ _______________________ _______________________

(Authorised Signatory) (Authorised Signatory) (Authorised Signatory) (Authorised Signatory)

University of Delhi 2019 Page 2 of 2 PnS,IIC,UDSC