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Managed by DAV college Managing commiftee, New Delhi - ss
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Class ;'ffi
, I'RegistrationNo.
To be filled by Office
Admission No.
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U,l Name of the applicant
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Mother's Name t gEEE
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(See Locality Code
Overtaag
Present Address
3. SchoolAlumni 3 (5+51
fiick lhe appropriateJ
lf Yes, year of passing
5. Ed ucational Qualification Post Graduation Graduation Sr. Secondary Secondary School 5 (20)
fick highest qualification only] OR OR School Examination Examination
Professional Degree Equivalent (10+2) oR (1oth) oR
Equivalent Equivalent
(a) Father
(b) Mother
6. Gender
Girl 6 (5)
Designation
Organisation Name
Organisation Aid.
Mother
[For occupation code, see overleafJ
Occupation Code tick, if Govt. servant
Designation
Organisation Name
Organisation Add.
Single Parent
Fick one, only if applicable)
Father
I II Mor I
Morher
I I--l
8. Nationality Religion
General lnstructions
1.
2.
3.
4.
Use only black ball pen to fill the form
Do not enter registration number yourself
Do notfill anything in the lastcolumn ofthe form r..\, rr'rr .*.*
UFe appropriate tick mark as [/] in the relevant box given in the sections 2, 3, 4,5,6 and 7
l
5. Use the codes given below to fill in the section 1 (Locali$ Code) and section 7 (Occupation Code)
Occupation Gode
Code Occupation Code Occupatian Code AccuQafrori,':.
ADV Advocate DOC Doctor NWS Jour.nalisUAlR/
AWS Airways EDU Educationist Print Media
ARC Architect EMB Embassy EqpJoyee MER Merchant Navy
DEF ArmylNavylAir Force- FIN Financial Or$anhation' ' '' *' 3 OTH Others
Defence Services Employee PVT Private Sector Employee
BNK Bank Employee HTL Hotel PUB Public Sector Employee
BUS Business CIV Civil Services RWS Railway Employee
CAC Chartered Accountant INT nternational Organisation
I SCT Scientist*
Date : Date :
and is entitled to fee payable at the rate chargeable from the wards of company employees.
?lnrb Prinainal