jk"Vh; jkt/kkuh {ks=] fnYyh ljdkj

No.

Government of NCT of Delhi

yfyr dyk egkfo|ky;

COLLEGE OF ART

fnYyh fo'ofo|ky; ls lEc)

20&22 fryd ekxZ] ubZ fnYyh 110001

Affiliated to University of Delhi

20-22, Tilak Marg, New Delhi-110001
Applicants
passport size
photograph
to be affixed

izo's k izkFkZuk i= / APPLICATION FORM FOR ADMISSION

yfyr dyk Lukrd 4 o"khZ; ikB~;e
BACHELOR OF FINE ART (4 Years course)
fo'ks" kKrk%
Specialisation:

O;kogkfjd dyk

dyk bfrgkl

fp=dyk

Nkik dyk

APPLIED ART

ART HISTORY

PAINTING

PRINT MAKING

ewfrZdyk

n`'; laizs"k.k

SCULPTURE VISUAL COMMUNICATION

bfPNr dks fpg~fur djsa

Mark your choice

uke Li"V v{kjksa esa ftl :i esa lhfu;j Ldwy izek.ki= esa gS
Name (in block letters as in Senior School Certificate)

4
5
6
7
8

'kCnksa esa

vadksa esa

Date of Birth

W ords

Figures

1 vDrwcj dks vk;q

o"kZ

eghus

fnu

Age on 1 October

Years

Months

Days

jk"Vh;rk

/keZ

fyax

Nationality

Religion

Gender

firk dk uke
Fathers Name

ekrk dk uke
Mothers Name

vfHkHkkod dk uke
Guardians Name

LFkkuh; irk
Local Address

nwjHkk"k la[;k
Phone No.

LFkk;h irk
Permanent Address

nwjHkk"k la[;k
Phone No.

10

11
12

ekrk@firk dk O;olk;

dqy okf"kZd vk;

Parents Occupation

oxZ

lkekU;

Category

General

Total Annual Income

v-fi- oxZ v- tkfr v- t- tkfr

OBC

SC

ST

'kkjhfjd fodykax

lsuk deZpkjh

fons'kh

ewd ,oa cf/kj

Physically Handicapped

Armed Forces

Foreign National

Deaf & Dumb

fpg~fur djsa

()
Please Mark ()

vfUre fo|ky; dk uke

NksM+us dh frfFk

School last attended

Date of leaving

fo'ofo|ky; ukekadu la[;k %

13

gky gh esa fnYyh fo'pfo|ky; ls tkjh fd;k x;k] ;fn vkosnd us gky gh esa fnYyh fo'ofo|ky; ls dksbZ Hkh ikB~;e ikl fd;k gks

University Enrolment No.

(Issued earlier by University of Delhi, if the candidate had earlier passed any course from Delhi University)

mkh.kZ ijh{kk

cksMZ dk uke

fy;s x;s fo"k;

izkIrkad

Examination
passed

University or Board

Subjects offered

Marks
obtained

Js.kh rFkk vadksa

dk izfr'kr

o"kZ

Division & Percentage

of marks

Year

Academic record

'kS{kf.kdo`r

14

izkfIr@izos'k i= vfHk#fp ijh{kk RECEIPT/ADMISSION SLIP (APTITUDE TEST)

Jh@Jherh@dqekjh

iq=@iq=h Jh@Jherh
ls izos'k izkFkZuk&i= fnukad

Received the Application Form for admission from Mr / Mrs / Miss

Son / Daughter / Wife of Mr / Mrs
on

izkIrdrkZ fyfid / Receipt Clerk

dks izkIr fd;k

No.

Applicants
passport size
photograph
to be affixed

ACADEMIC YEAR 20 .. . - 20 .. .

tUe frfFk

15

16

ikB~;ksrj xfrfof/k vkSj mRd"kZ iqjLdkjksa dk fjdkMZ

Record of any extra curricular activities and merit awards :

ckjgoha ;k led{k ijh{kk,a ikl djus ds ckn xfrfof/k dk fjdkMZ

Record of activities after passing (10+2/equivalent) examinatiions :-

eSa ?kksf"kr djrk gwa fd mijksDr fooj.k lgh gS vkSj eSa vius ekrk firk vfHkHkkod dh lgefr ls izos'k ds fy, vkosnu dj jgk gwaA eSa egkfo|ky; fooj.k if=dk
ds vfrfjDr fo'ofo|ky; dh fu/kkZfjr izos'k 'krs i<+ pqdk gwa vkSj mlesa mfYyf[kr fu;eksa vkSj 'krks dk ikyu djus ds fy;s lger gwaA blds vfrfjDr ?kks"k.kk
djrk gwa fd eSa egkfo|ky; ds iz/kkukpk;Z midqyifr vkSj fo'ofo|ky; ds mu vU; izkf/kdkfj;ksa ds vuq'kkfld vf/kdkj {ks= ds v/khu vius dks j[kwaxk ftUgsa
fo'ofo|ky; }kjk cuk, fu;eksa vkSj vf/kfu;e lfof/k v/;kns'kksa ds v/khu vuq'kklukRed 'kfDr;ka iznku dh xbZ gSaA
I declare that I am applying for admission with the consent of my parents/guardians and that the particulars given above are
correct. I have read the College prospectus as well as the admission requirements laid down by the University. I agree to abide
by the rules and regulations given therein. I further declare that I shall submit myself to the desciplinary jurisdiction of the
Principal of the College, the Vice Chancellor and the other authorities of the University who may be vested with the powers to
exercise discipline under the Act, the Ordinance and the rules framed by the University.

firk@ ekrk@ vfHkHkkod ds gLrk{kj

Signature of Father / Mother / Guardian

vkosnd ds gLrk{kj

frfFk

Signature of the applicant

Date

S. No.

List of attested copies of certificates attached to the application form

1.

SSCE or equivalent (12 years Course) Examination Mark Sheet

2.

Age Certificate

3.

SC/ST/AF/PH/D&D/OBC Candidates, a certificate from the competent authority.

4.

Two copies of photographs of self, duly attested and pasted, one each on Application Form &
its Counter Foil.

5.

Annual Family Income certificate from competent authority if employed or appropriate

documentary evidence if otherwise (only for SC/ST Candidates)

bl ykbZu ls uhps u fy[ksa

/ Do not write beyond this line

Please Mark ( )