SRI GURU GOBIND SINGH COLLEGE OF COMMERCE

(UNIVERSITY OF DELHI)

PITAM PURA, DELHI-110034

Form No.

ADMISSION FORM FOR

POST GRADUATE DIPLOMA IN
INTERNATIONAL MARKETING (PGDIM) 2011-12

Affix Photograph

READ THE PROSPECTUS CAREFULLY BEFORE FILLING UP THIS FORM

(To be filled by the office)
Course & Class ...........................................Roll No. ................................. Fee-receipt No. ......................... Date ................................

(TO BE FILLED IN BY THE CANDIDATE IN CAPITAL LETTERS)

1.
2.
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Applicant's Name ________________________________________________________________________________________

Father's Name ____________________________________________________Telephone No. __________________________
Mother's Name____________________________________________________Telephone No. __________________________
Date of Birth ________________________________Age as on 11.7.2011 ______________Religion _____________________
Local Address ___________________________________________________________________________________________
Email__________________________________________________________________________________________________
Pin Code____________________________________Telephone No. (R)________________Mobile ______________________
College Last Attended_____________________________________________________________________________________
(Full Postal Address)______________________________________________________________________________________
Last Examination Passed __________________________________________________________________________________
Roll No. ____________________________________Year of Passing_______________________________________________
University ______________________________________________________________________________________________
Medium of Instruction at Graduation Level ____________________________________________________________________
Do you belong to Scheduled Caste/Scheduled Tribe Category ? ____________________________________________________
Marks obtained in the Last Examination ______________________________________________________________________
Delhi University Enrolment Number (if already enrolled)_________________________________________________________
Father's/Guardian's Occupation/Business/Designation and Office Address____________________________________________
______________________________________________________________________________________________________
Bank Draft No._______________________________for Amount of________________________________________________
Dated ______________________________________Drawn on ___________________________________________________

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Form No.
1.
2.
3.
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5.

ADMISSION TICKET

Applicant's Name __________________________________________________________________

Father's Name _____________________________________________________________________
Mother's Name ____________________________________________________________________
Date of Birth ______________________________________________________________________
Local Address _____________________________________________________________________
Pin Code ____________________________________Telephone_____________________________

NOTE: 1.
2.

Affix Photograph

This slip is not to be separated by the applicants.

Form number itself will be the Roll No. of the candidate
concerned for appearing at the Entrance Examination.
Signature of the Receiving Assistant

DECLARATION BY CANDIDATE izkFkhZ }kjk ?kks"k.kk

I declare that:
(i)
I have read the Prospectus and I am aware of the requirements of the course being applied by me.
(ii)
I am neither employed, nor do I run my own business, nor shall I go in for one without the prior permission of the Principal.
(iii)
I submit myself to the disciplinary jurisdiction of the Principal of the college.
(iv)
I fully understand that the medium of instruction for all the courses in the college in English and that I shall have no claim to be taught through
any other medium.
(v)
I affirm that all the information furnished by me is correct.

eSa ?kksf"kr djrk@djrh gw fd%

1eSaus fo'ofo|ky; dh foojf.kdk i<+ yh gS vkSj eSa ftl dkslZ ds fy, vkosnu dj jgk@jgh gw mlls lac) lHkh izdkj dh vko';drkvksa ls ifjfpr gwA
2eSa u rks dgha ukSdjh dj jgk@jgh gw] u gh esjk viuk dksbZ O;olk; gS vkSj u gh eSa iz/kkukpk;Z dh iwoZ vuqefr ds fcuk dgha ukSdjh d:xk@d:xhA
3eSa dkyst ds iz/kkukpk;Z ds lEeq[k fdlh Hkh vuq'kklukRed dk;Zokgh ds fy, mifLFkr jgwxk@jgwxhA
4eSa tkurk@tkurh gw fd dkyst esa f'k{kk dk ek/;e lHkh fo"k;ksa ds fy, vaxzsth gS vkSj eSa fdlh vkSj Hkk"kk esa i<+kbZ ds fy, egkfo|ky; ls dksbZ nkok ugha d:xk@d:xhA
5eSa ?kks"k.kk djrk@djrh gw fd esjs }kjk nh x;h lHkh lwpuk;sa lgh gSaA

COUNTERSIGNED
Date......................................

....................................................................
Full Signature of Father/Guardian

.........................................................
Full Signature of Applicant

DECLARATION BY FATHER/GUARDIAN firk@laj{kd }kjk ?kks"k.kk

I certify that my ward ................................................................................................................is seeking admission to the Post Graduate Diploma
in International Marketing (PGDIM) with my consent. I undertake that throughout his/her stay in the college, my ward shall behave and submit
himself/herself to the discipline of the college. I further undertake that I will be responsible for the payment of his/her fees regulary on the date
notified for the purpose. My monthly income is Rs........................................................ (Rupees......................................
......................................................................................only)
eSa ?kks"k.kk djrk@djrh gw fd esjk iq=@iq=h --------------------------------------------------------------------------------------------------------------------esjh lgefr ls iksLV xzstq,V iksLV xzstq,V fMIyksek bu bUVjus'kuy ekfdZfVax
esa izos'k ds fy, vkosnu dj jgk@jgh gSA eSa opu nsrk@nsrh gw fd og dkWyst esa viuh mifLFkfr ds nkSjku fdlh Hkh vuq'kklukRed dk;Zokgh ds fy, mifLFkr jgsxk@jgsxhA eSa ;g Hkh
opu nsrk@nsrh gw eSa ;g Hkh opu nsrk@nsrh gw fd eSa mldh Qhl bR;kfn ds fy, ftEesokj jgwxkA esjs ekfld vk; #i;s---------------------------------------#i;s --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- dsoy gSA

Signature of Father/Guardian firk@laj{kd ds gLrk{kj

Date fnukad

ADMISSION ORDER
Admit (provisionally) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to Post Graduate Diploma in International Marketing (PGDIM)
on payment of the prescribed fees and subject to the university approval.

Recommended
Co-ordinator, PGDIM

Checked by
Admission Assistant

Principal

.....................................................................................................................................................................................................
NOTE: It is the applicant's responsibility to find out from the College Notice Board the schedule of Interview and group discussion
for admission.

Received a draft no. .............................................................dated..................................drawn on............................................................

for a sum of Rupees............................................................only for the Course Entrance Examination 2011