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UNIVERSITY OF DELHI

Roll No. ..........................

DEPARTMENT OF COMMERCE
FACULTY OF COMMERCE & BUSINESS
DELHI SCHOOL OF ECONOMICS

Affix unattested
Passport Size
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APPLICATION FORM
MIB & MHROD 2012-14 Batch
Form No.
1.

Name (Mr./Ms.) _______________________________________________Nationality________________


(in Block Letters)

2.

Date of Birth _______________________________ Age (as on 1st Oct. 2012) _______________________

3.

Address for communication (in block letters) _________________________________________________


___________________________________________________________________________________
Contact No. : (Mob.) : __________________________ Email ID _________________________________

4.

Family :

(a)

Father's Name____________________________Occupation & Designation________________________


Organization ____________________________ Office Address : ________________________________
____________________________________________________________________________________
Contact No.(R)_________________________(Mob.) :______________ E mail ID : __________________

(b)

Mother's Name___________________________Occupation & Designation________________________


Organization ____________________________ Office Address : ________________________________
____________________________________________________________________________________
Contact No.(R)_________________________(Mob.) :______________ E mail ID : __________________

5.

6.

Category: General/SC/ST/OBC/CW/Physically Handicapped/Foreign Student


Mention your category in the Box
(A copy of the certificate from the competent authority is required to be attached for category other than
General. In case of OBC applicant, the certificate must clearly mention Non-creamy layer status of the
candidate and item number in the Central list of OBC. In case of Foreign students the subcategory (i), (ii) or
(iii) as mentioned in the prospectus should be clearly stated. In case of CW the subcategory (i), (ii), (iii), (iv)
or (v) as mentioned in the Prospectus should be clearly stated.)
Course applied for :
(Tick the appropriate alternative) :
MIB Only

(For office use)

Entrance Test fee remitted :

MHROD Only
Both MIB and MHROD

Vide Bank Draft No..................................................


Dated............................. Drawn On ........................

7.

Name of the College and University last attended : _____________________________________________

--2-8.

Give details about the examinations passed :

Examination

Course/Degree University/
Board

Year

Max.
Marks

Marks
% of
Obtained Marks

Subjects

Senior Secondary
Bachelor's degree
Post Graduate
Degree
Any Other
9.

Why do' you want to join this course ? Give two important reasons.
1. __________________________________________________________________________________________
__________________________________________________________________________________________
2. __________________________________________________________________________________________
__________________________________________________________________________________________

10.

Have you applied or registered for any other course of study in this University or else where in India or abroad ? (Give
details) _____________________________________________________________________________________
____________________________________________________________________________________________

11.

Are you preparing for any Public Service Commission Examination Such as the I.A.S.? (Give details)
____________________________________________________________________________________________

12.

Extra-Curricular interest _________________________________________________________________________

13.

Work Experience (if any) _________________________________________________________________________


Name of the Organization ________________________________________________________________________
Designation ________________________________ Duration :From ________________ To ___________________

14.

CAT Registration No. : __________________________________________________________________________

15.

I hereby undertake to submit the CAT Score & Percentile which is likely to be declared on January 11, 2012 latest by
January 27, 2012 failing which my application may not be considered.
Signature of the applicant
I agree to abide by the Rules and Regulations of the University and declare that I am applying for admission with the
consent of my parents/employer and the particulars given above are correct. If selected, I will not join any other course
or take up a job without written permission from the Department during the tenure of the course.
Signature of Father/Mother/
Guardian
Date __________________

Left Hand Thumb Impression

Signature of the applicant

INSTRUCTIONS
Please fill the application form carefully. Incomplete application or vague information are liable to be rejected.
Last Date for submission of Completed Application Form is January 27, 2012.
Application form can be submitted without CAT Score followed by submission of CAT score card latest by January 27,
2012 failing which their applications will not be considered.
4.
List of the shortisted candidates will be displayed on the website www.commercedu.com
Attachments
(i)
Attach a copy of the certificate regarding qualifying exam. only (i.e. Bachelor's degree). If appearing in the qualifying
examination then attach a certificate in that respect from the institute/university.
(ii) A copy of the certificate from the competent authority must be attached for category other than general. For OBC, the
certificate must clearly mention non-creamy layer status of the candidate. The OBC status is to be determined on the
basis of the Central list of OBCs notified by the Ministry of Social Justice & Empowerment on the recommendations of
the National Commission for Backward Classes available at the Website of the Commission
(http:/ncbc.nic.in/backwardclasses/index.html).
(iii) Attach one self addressed and duly stamped envelops (size 10" x 5").
1.
2.
3.

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