6/25/2018 University of Delhi 351863/SGTBKC/26/2 Sri Guru Tegh Bahadur Khalsa College B.A (Hons) Political Science Application under 2nd Cut-Off (Merit Based) Form Number 180155198 Applicant's Name MOHAMMAD KASHIF Gender Male Transaction Id 18052223696952 Date of Birth 12 Febuary 2000 Nationality Indian Result Status Passed Contact wasihaider1287@gmail.com / 9654597601 Year of Passing 2018 Mother's Name RABAB FATIMA Father's / Guardian's Name SYED ASIF HUSSAIN Board Roll Number 2613453 Correspondence Address Permanent Address Education Board CENTRAL BOARD OF SECONDARY EDUCATION HOUSE NO 163, SHIV COLONY, Faridabad , Haryana -121005, India Hindi Language Studied Upto? upto Class X HOUSE NO 163, SHIV COLONY, , Haryana -121005, India Family Income Not Applicable Category Unreserved Minority Category: Not Applicable Ward Quota Not Applicable PwD Category Not Applicable CW Category Not Applicable Kashmiri Migrant Category Not Applicable Father's / Guardian's Occupation Business Father's / Guardian's Office Address BAWANA INDUSTRIAL AREA NEW DELHI Father's / Guardian's Mobile Number 9899453257 Mother's Occupation Home Maker Mother's Office Address Mother's Mobile Number Bank Details Name of Account Holder AHMAD RAZA Account Number 26438100000131 Name of the Bank BANK OF BARODA IFSC Code: BARBOCGOFAR Subjects taken in Board Examination Subject Name Maximum Marks Marks Obtained English Core 100 91 https://ugadmission.du.ac.in/ug2018/app/print/form?id=21da06e447b186f5225c2c39fd428b7df6156debf85c92bb13f26c8c2a271ddc351863 1/3 6/25/2018 University of Delhi History 100 88 Political Science 100 100 Economics 100 94 Informatics Practices 100 70 Uploads Photograph: Yes, Signature: Yes, Date of Birth Certificate: Yes, Class 12th Marksheet: Yes, Category Certificate: Not Applicable, Income Certificate: Not Applicable, Kashmiri Migrant Quota Certificate: Not Applicable CW Quota Certificate: Not Applicable ********************************************** For Office Use Only ********************************************** _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) The applicants shall be required to produce following documents in original (Check list for Applicant) 1. Class X Board Examination Certificate 2. Class X Marks-Sheet 3. Class XII Marks-Sheet 4. Class XII Provisional Certificate / Original Certificate 5. Character Certificate (recent) 6. SC/ST/PwD/CW/KM Certificate (in the name of the candidate) issued by the competent authority 7. OBC (Non-Creamy Layer) Certificate (in the name of the Candidate) issued by competent authority 8. At least two passport size self-attested photographs. 9. Transfer Certificate from school / college as well as Migration Certificate from Board / University are required from those students who have passed senior secondary exam from outside Delhi The College/University will accept self-attested copies of documents / papers provided by the students. It is made clear that if any false attestation / falsified records are detected, the student will be debarred from attending any course in the University / or its Colleges for next five years and in addition, a criminal case under relevant sections of IPC (viz. 470,471,474 etc.) will be instituted against him/her. Declaration by the Applicant I declare that the certificates and testimonials submitted by me are authentic and that the above information is correct to the best of my knowledge. I will be liable for cancellation of my admission if any of my document(s) is found faked/ forged. I understand that I will be filling an on-line anti-ragging affidavit on confirmation of my admission. _________________________________ (Date) _________________________________ (Signature of Parent/Guardian) _________________________________ (Signature of Applicant) ********************************************** For Office Use Only ********************************************** _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) _______________________ (Authorised Signatory) https://ugadmission.du.ac.in/ug2018/app/print/form?id=21da06e447b186f5225c2c39fd428b7df6156debf85c92bb13f26c8c2a271ddc351863 2/3 6/25/2018 University of Delhi https://ugadmission.du.ac.in/ug2018/app/print/form?id=21da06e447b186f5225c2c39fd428b7df6156debf85c92bb13f26c8c2a271ddc351863 3/3