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    Delhi Skill and Entrepreneurship University

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    ganesh711458

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    © All Rights Reserved
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    Delhi Skill and Entrepreneurship University

    Uploaded by

    ganesh711458
    1 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    1 views1 page

    Delhi Skill and Entrepreneurship University

    Uploaded by

    ganesh711458

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    5/28/23, 8:31 PM Delhi Skill and Entrepreneurship University

    Delhi Skill and Entrepreneurship University


    Government of NCT of Delhi

    APPLICATION FORM
    Payment ID:
    pay_Lv7lCH8tB0qVEv Session 2023-2024
    Order ID: Application ID:
    order_Lv7iLiPGKDANiP FTD23003462755100

    Order Date & Time:


    2023-05-28 20:30:27
    Amount: 900
    1. Personal Information:
    Name : GANESH KUMAR Date of Birth : 09-12-2005
    Gender : Male Nationality : Indian
    Program : Full Time Diploma Programs
    Person with disability : No Category : GENERAL
    Are you a Defence Person : No Are you a Kashmiri Migrant : No
    Blood Group : B+ Is your guardian your parent? : Yes
    Have you passed class 10th? : Yes Location of School/Institute Attended (For Delhi
    Class X) :
    2. Permanent Address:
    Address Line 1: E-1/148 Ekta Vihar, Jaitpur Extension,, Bardarpur, New Delhi-110044, Jaitpur
    PIN/ZIP code: 110044 State: Delhi
    District: South East Emergency Mobile No: +In 9818220234
    3. Communication Address:
    Address Line 1: E-1/148 Ekta Vihar, Jaitpur Extension,, Bardarpur, New Delhi-110044, New Delhi
    PIN/ZIP code: 110044 State: Delhi
    District: South East
    4. Registered Mobile No. 91 9999761517 5. Registered E- [email protected]
    mail
    6. Family Details:
    Father's Name: Bhuwan Ram Mother's Name: Munni Devi
    7. Test Centre Preferences:
    Preference No. Test Centre
    1 Delhi NCR
    2 Patna
    3 Lucknow
    8. Bank Account Details (In case of refund):
    Account Holder Name : Ganesh Kumar Bank Name : Central Bank of India
    Branch Name & Address Green Valley Public School, Hari Nagar, Jaitpur, Badarpur, New Delhi Account Number : 3887857442
    : 110044
    IFSC Code : CBIN0283618
    Declaration/ Undertaking by the Candidate:
    1. All the information given by me in this application is true and correct to the best of my knowledge, and I believe that nothing has been concealed.
    2. I also undertake that if any of the above statements/information are found to be incorrect or false, or if any information or particulars are found to be
    suppressed or omitted in the form, I am liable to be disqualified and my candidature/admission may be cancelled without any notice
    3. I also undertake full responsibility for appearing for any tests/interviews/counselling sessions conducted as scheduled by the University for admission to
    various courses. Failure to do so, will result in disqualification of my candidature.
    4. I acknowledge that I am aware that there may be specific eligibility requirements for each program filling this form and appearing in the Entrance
    Examination does not guarantee my admission in DSEU
    5. I hereby undertake that I will abide by all the rules and regulations of the University and maintain discipline.
    6. I further undertake that I will complete all the requirements of the curriculum which includes on-the-job training.
    7. I will also comply with the rules and regulations/policies of the organization where I will be placed for on-the-job training.
    8. In case I am unable to abide by the above-mentioned requirements, I am liable to loose Program credits.

    Date: 28-05-2023

    Printed on : 28-05-2023 08:30 PM


    (Signature of the candidate)

    https://dseu.ucanapply.com/univer/public/preview_and_confirm?app_id=UElZMDAwMDA2Mg==&sub_id=MTAxMDA= 1/1

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