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Price: Rs. 200/- (For SC/ST/PD: Rs. 100/-) Bharat Ratna Dr B.R.

FORM NO.:

AMBEDKAR UNIVERSITY, DELHI


Kashmere Gate Campus Lothian Road, Kashmere Gate, Delhi110006, India Website: www.aud.ac.in Dwarka Campus Sector 9, Dwarka, New Delhi 110077, India

APPLICATION FORM FOR ADMISSION BA HONOURS PROGRAMMES 2011-12 Programme to which admission is sought
Programmes BA Honours with a Major in Economics* BA Honours with a Major in English BA Honours with a Major in History # BA Honours with a Major in Mathematics BA Honours with a Major in Psychology BA Honours with a Major in Sociology BA Honours with a Major in Social Sciences and Humanities
**

Please Tick**

Up to four choices can be made in one application form. *For Economics Honours, a student should have passed 10+2 with Mathematics. # For Mathematics Honours, a student should have passed 10+2 with Mathematics with at least 60% marks in Mathematics. (a) Before filling the form please read the enclosed INSTRUCTIONS carefully. (b) Completed application forms should be submitted at the Dwarka or Kashmere Gate office of AUD. Forms that are downloaded should be submitted along with an application fee of Rs. 200/-. For SC/ST/PH candidates these will have to be submitted with an application fee of Rs. 100/-. In case you are sending your application by post application fee is to be submitted through a bank draft made in favour of Ambedkar University, Delhi. The details of the draft should be provided on the reverse of the form.

1. 2. 3. 4. 5. 6.

Name(a) Sex: M/F....... Date of Birth (DD/MM/YY)........(a) Nationality........ Fathers Name... Mothers Name.. Category to which you belong: SC/ST/OBC/PD/CWAP/GEN... Name of Board ....(a) Year of Passing (10+2) ...

7. Stream of Examination passed: (Arts/Commerce/Science).. 8. Roll No. in Class XII Board Examinations........................................................ 9. School last attended (with address).. .

AMBEDKAR UNIVERSITY, DELHI


Received Admission Form from Mr/Ms....For admission to S.No. Date Authorised Signatory

10. Whether School last attended falls in NCT Delhi: Yes/ No 11. Performance in class XII Board Examinations:
MARKS SUBJECT (Do not include vocational courses. Please read Item No. 11 of Instructions carefully) Best Subjects Aggregate** Marks/Percentage Four # Mathematics and other Best Three Subjects (To be filled by applicants for Mathematics Honours or Economics Honours)

Max

Obtained

(To be filled by all applicants)

1.

2. 3. 4. 5. **Aggregate should be computed of the four best subjects, not including any vocational subject, on the basis of
which the Board has awarded a grade/division. # For admission to Mathematics Honours or Economics Honours, marks in Mathematics will be included in calculating the aggregate.

12. Medium of Instruction in 10+2 13. Address. StatePIN Code. 14. Phone: (R)(with STD code).Mobile:... 15. E- Mail
16. DETAILS OF BANK DRAFT (only for those who apply on downloaded Form through post)

Draft No. Date Amount. Name of the Bank I declare that the information provided in this form is correct. Date Signatures of Applicant

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