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Delhi Skill and Entrepreneurship University: Application Form Session 2021-2022

This document contains an application form for admission to Delhi Skill and Entrepreneurship University. It requests personal details such as name, date of birth, gender, category, and contact information. It also asks for family details, educational qualifications, subjects and marks obtained at Class 10 and 12, preferred course, and extracurricular activities. The applicant declares that the information provided is true and acknowledges that admission is not guaranteed. Links are provided to change password, logout, and go back to the application.

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Shyam Dubey
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146 views3 pages

Delhi Skill and Entrepreneurship University: Application Form Session 2021-2022

This document contains an application form for admission to Delhi Skill and Entrepreneurship University. It requests personal details such as name, date of birth, gender, category, and contact information. It also asks for family details, educational qualifications, subjects and marks obtained at Class 10 and 12, preferred course, and extracurricular activities. The applicant declares that the information provided is true and acknowledges that admission is not guaranteed. Links are provided to change password, logout, and go back to the application.

Uploaded by

Shyam Dubey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHANGE PASSWORD (HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/CHANGEPASSWORD?

APP_ID=UELZMDAWMDA2MG==)
LOGOUT (HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/USER-LOGOUT?APP_ID=UELZMDAWMDA2MG==)

Delhi Skill and Entrepreneurship University


Government of NCT of Delhi

APPLICATION FORM
Application Id:
DSEU000796909100 Session 2021-2022
Payment ID.
order_HdAKJ16YkkmWOi

1. Personal Information:
Name: ATUL JHA Date of Birth:
Gender: Male Nationality :
Course: Full Time/Part Time Courses Persons with disability:
Category : OBC Region :
Are you a Defence Person: No Are you a Kashmiri Migrant:

2. Permanent Address:
Address Line 1: S- 133 Prem Nagar 2, Kirari North West, Delhi- 110086, North West Delhi, North West Dehi
PIN/ZIP code: 110086 State:
Landline No.: Alternate Mobile No:

3. Communication Address:
Address Line 1: S- 133 Prem Nagar 2, Kirari North West, Delhi- 110086, North West Delhi, North West Dehi
PIN/ZIP code: 110086 State:
Landline No.: Alternate Mobile No:
4. Registered Mobile No. 8383005700 5. Registered E-mail atul2872004@gma
6. Family Details:
Father's Name: Arvind Kumar Jha Mother's Name: Ragini Jha

7. Educational Qualification:
Name of Examination Year Roll No School (Centre if Board/ University Marks
Open School)
Central Board of Secondary
10th / Equivalent 2021 26257295 g co-ed sss
Education, Delhi
ITI (2 Years)
12th / Equivalent
8. Class X Subjects and Marks:
S.N. Subject Type Obtained Marks
1 English - Language and Literature Compulsory
2 Hindi Course-A Compulsory
3 Science Compulsory
4 Social Science Compulsory
5 Mathematics Compulsory
6 Sanskrit Optional
9. Class XII Subjects and Marks:
S.N.PASSWORD
CHANGE Subject (HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/CHANGEPASSWORD?APP_ID=UELZMDAWMDA2MG==)
Type Obtained Marks
10. Course
LOGOUT Type Opted for:
(HTTPS://DSEU.UCANAPPLY.COM/UNIVER/PUBLIC/USER-LOGOUT?APP_ID=UELZMDAWMDA2MG==)
S.N. Course Type
1 Full Time Diploma Courses (Except Pharmacy)

11. Extra-Curricular Activities


S.N. Type of Activity Achievement Details

Declaration/ Undertaking by the Candidate:


I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief and no
I also undertake that if any of the above statements or information are found to be incorrect or false or any information or particulars ha
omitted there from, I am liable to be disqualified and my candidature/admission may be cancelled without any notice. I have read and un
the Information Bulletin 2021-22 for the various Programmes offered by Delhi Skill & Entrepreneur University (DSEU). I acknowledge that
guarantee admission to DSEU.

Date: 25-07-2021

Printed on : 25-07-2021 06:10 PM


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