Delhi Skill and Entrepreneurship University

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Delhi Skill and Entrepreneurship University


Government of NCT of Delhi

APPLICATION FORM
Application Id:
DSEU000780228100 Session 2021-2022
Payment ID.
order_HYqOG0WmhBaQYo

1. Personal Information:
Name: ROHAN Date of Birth: 17 M
Gender: Male Nationality : Indi
Course: Full Time/Part Time Courses Persons with disability: No
Category : GENERAL Region : Delh
Are you a Defence Person: No Are you a Kashmiri Migrant: No

2. Permanent Address:
Address Line 1: Jhuggi No 146, Nirman Camp Haider Pur, Delhi
PIN/ZIP code: 110088 State: Delhi
Landline No.: Alternate Mobile No: 9250219

3. Communication Address:
Address Line 1: Jhuggi No 146, Nirman Camp Haider Pur, Delhi
PIN/ZIP code: 110088 State: Delhi
Landline No.: Alternate Mobile No: 9250219
4. Registered Mobile No. 9871337520 5. Registered E-mail rg925021@gmai
6. Family Details:
Father's Name: Mahender Gupta Mother's Name: Poonam Devi

7. Educational Qualification:
Name of Examination Year Roll No School (Centre if Board/ University Marks
Open School)
Central Board of Secondary Education,
10th / Equivalent 2019 8681739 GBSS 250 / 500
Delhi
ITI (2 Years)
12th / Equivalent
8. Class X Subjects and Marks:
S.N. Subject Type Obtained Marks
1 English - Language and Literature Compulsory 33.00
2 Hindi Course-A Compulsory 47.00
3 Mathematics Compulsory 64.00
4 Science Compulsory 50.00
5 Social Science Compulsory 52.00
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 nothing h
I also undertake that if any of the above statements or information are found to be incorrect or false or any information or particulars have been
from, I am liable to be disqualified and my candidature/admission may be cancelled without any notice. I have read and understood the contents
2021-22 for the various Programmes offered by Delhi Skill & Entrepreneur University (DSEU). I acknowledge that filling of this form does not gua

Date: 14-07-2021

Printed on : 14-07-2021 08:13 PM


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