Foregin Students Admission Forms 2018 http://fsronline.du.ac.

in/Preview/Preview

Foreign Students
Admission 2018
Registration No : 180233

Send by post or by hand the print-out of filled application form along with documents at the
following address:
The Deputy Dean (Foreign Students)
Foreign Student Registry Office
Room No. 11, First Floor, Conference Center.
University of Delhi, Delhi- 110007 (India)
Website : http://www.du.ac.in/index.php?id=4
Email : dydean_fs@du.ac.in
fsr_du@yahoo.com

Personal Details

Full Name Gender Contact Number

RAHUL PANJIYAR Male 9779813746566

Date of Birth Email Marital Status

2 January 1992 panjirahul92@gmail.com UnMarried

Father's / Guardian's Name Father's / Guardian's Father's / Guardian's Office Father's / Guardian's Mobile
GANESH PANJIYAR Occupation Address Number
Retired PUTALISADAK, 9779841886931
KATHMANDU

Mother's Name Mother's Occupation Mother's Office Address Mother's Mobile Number
REKHA PANJIYAR None 9779843148285

Course Selection

Preference 1 Preference 2 Preference 3

Master of Business Administration Master of Business Administration Master of Business Administration
(MBA) (MBA) (MBA)
.

Topic of Research

Are you currently employed Complete name and address of Length of Service(In Year)
employer

Financial support: Sponsorship

Address Details

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Permanent Address Address in Delhi

BALHA KATHAL -06, DHANUSHA, NEPAL
29- GHATTEKULO, KATHMANDU (HOUSE NO.
134/38),NEPAL India
Nepal Delhi
Janakpur Delhi
Janakpur

Educational Qualification

Grade Marks

Examination/Course Year of Maximum Marks

Passed Board/University Passing Marks Obtained Subjects Studied

High School/Secondary School Leaving 2007 800 610 English, Mathmatics,

/10th* Certificate Science, Nepali, Social
Studies, Health
Population & Environment
Education

Intermediate/Senior Higher Secondary 2009 500 408 English, Nepali, Physics,

Secondary/12th * Education Board Chemistry, Mathematics

Under-Graduate Jawaharlal Nehru 2015 5200 4098 Civil Engineering Subjects

Technological
University Anantapur

Post-Graduate

Others Details

Total number of years of Schooling Completed (at the time of Have you applied for any course of study in India prior to
application) current academic year?
16 No

Name of the Course Board / University/ Institute Year of Admission Year of Completion
Not Applicable (N/A) Not Applicable (N/A)

Any Other Information Language (s) Known Proficiency in Spoken TOEFL Score
Not Applicable (N/A) English, Nepali, Hindi, English Not Applicable (N/A)
Maithali Good

IELTS Score ELPC Score Passport No. Date of Passport Issue

7 Not Applicable (N/A) 09921920 31 July 2016

Date of Passport Expiry Place of Passport Details of Visa (If presently Date of Issue Visa
30 July 2026 MOFA, Department of in India)
Passport, Kathmandu, Not Applicable (N/A)

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Nepal

Certified copies of the following in English must be submitted along with this application:
1. School & Degree Certificates (3 Copies)
2. Marks/ Grade Statements (3 Copies)
3. Date of Birth Certificate (3 Copies)
4. Syllabi of the last qualifying examination (1 Copies)
5. Passport/ Citizenship Card / Both as applicable (1 Copies)
6. PIO or OCI card, wherever applicable (1 Copies)
7. TOEFL/IELTS scores / English Language Proficiency Certificate (1 Copies)
8. Equivalence Certificate from Association of India Universities(AIU) if passed last
qualification from a board which is not included in the list of recognized boards by (1 Copies)
University of Delhi
9. Research Proposal/Synopsis (for Ph.D Course) (4 Copies)

Declaration by the Applicant

The information provided above is true and accurate.

I further affirm that I have not been involved in any malpractice/ use of unfair means (UFM) in any examination taken
by me and no judicial proceeding is pending against me.
I understand that in the event of my not fulfilling all requirements, the University of Delhi may not consider/ may
cancel my candidature.
I declare that I shall submit myself to the disciplinary jurisdiction of the authorities of the University which may be
vested with the powers to exercise discipline under the Act, the Statutes, the Ordinances and the Rules that may be
framed by the University/Board from time to time.
All documents attached with this Application Form are authentic.

Place:_______________________________

Date:________________________________

Signature of Applicant
CERTIFICATE TO BE FURNISHED BY THE INDIAN DIPLOMATIC REPRESENTATIVE OR A RESPONSIBLE OFFICIAL OF
THE MINISTRY OF EDUCATION OF APPLICANT'S COUNTRY OR AN OFFICIAL OF THE APPLICANT'S COUNTRY'S
EMBASSY/HIGH COMMISSION IN INDIA.

Certified that the entries in the application form particularly about examination passed, marks and division obtained,
subject studied etc. are correct.
Certified that the Board / University from which the applicant has passed the examination is legally constituted and duly
recognized.

OR

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Certified that the entries in the application form are correct.

Certified that the candidate has passed the examination from a recognized Indian Board/University.

Place:_______________________________

Date:________________________________

_________________________________
Signature Designation & Office Seal

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