Professional Documents
Culture Documents
Registration No.
(to be filled by office)
New Delhi
Application form for Online program
ADMISSIONS 2015/16
1.
2.
3.
4.
5.
Do not send any attested copies of certificates with this form. Original and attested copies of
degree certificates/ marksheets will be needed later.
Incomplete application forms are likely to be rejected.
Candidates who are in the final year of their qualifying programme will be considered for
admission only if they have completed all requirements for award of the qualifying degree by
20 July 2015 and if their provisional degrees are available before 10 October 2015.
This form must be accompanied by a demand draft of Rs 1450/-.
Use capital letters wherever possible.
TYPE OR WRITE LEGIBLY IN ENGLISH
1.
(b)
City ___________________________________
City _______________________________
State _____________Pin
State ____________Pin
3.
4.
Mobile:
6.
5.
E-mail: _____________________________
D D
7.
2
GN/SC/ST/PH
8. Sex (M/F/TG)
M M
Y Y Y Y
11.
12.
13.
14.
Place: _______________
Date: _______________
Signature of Applicant
Details of Demand Draft drawn in favour of Registrar, TERI University, payable at New
Delhi, enclosed with this application
Demand Draft No. ________________________ Dated ______________ Amount Rs____________
Bank Name_____________________________________________________________________
Please indicate how you got to know about the TERI University and its programmes (you
may mark more than one):
Website
Newspaper/Magazine advertisement
Month of January
Month of February
Month of March
Month of April
Magazine articles
Facebook/Twitter/other
Television channels
Social media
Radio (FM or other channel)
Newspaper story