SOUTH DELHI POLYTECHNIC FOR WOMEN
FORMS FOR ADMISSIONS

FOR OFFICE USE ONLY

Course offered:

Registration No:_________________Date:_________________

Last date for Payment of Fees:___________________________

Fees Receipt No:________________ Date:_________________

Hostel Facilities Required: YES / NO

Index No :_____________


Please stick one
photograph here
(do not staple it)
Rest of the three
photographs
should be attached
along with form.

List the courses to which admissions are sought.(In order of Preference)

1……………………………………………………………………………………………………

2………………………………………………………………………………………………… _____________________________________________________________________________

The Director,
South Delhi Polytechnic for Women
New Delhi.-24

I, the undersigned hereby apply for admission to the Polytechnic subject to all the rules and regulations that may be applicable
from time to time.

1. Full Name (In block letters please)………………………………………………………………

2. Mother's Name…………………………………………………………………..............……...

3. Mother’s Profession ....................................................................................................................

4. Father’s Name………………………………………………………………...............…............

5. Father’s Profession ........................................................................................................................

6. Office Address & Tel. No …………………………………………………………….................

7. Permanent Address & Tel. No ……………………………………............……………………….

...........................................................................................................................................................

8. Local Address & Tel. No ……………………………………………………………….........…

.........................................................................................................................................................

9. E-mail : .........................................................................................................................................

10. Date of Birth ........................................................ 11. Nationality ...............................................


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