Académique Documents
Professionnel Documents
Culture Documents
: 2017/290
Nationality :
Permanent Residence Address : 2-400, Brij Vihar, Nainital Road, Haldwani Haldwani Uttarakhand 263139
Exam Year of
University Marks Obtained Subjects Max Marks % of Marks
Passed Passing
University
Hons 2270 2015 Statistics 3000 76
of Delhi
University Operational
M. Sc. 1318 2017 2000 66
of Delhi Research
(a) Course and year of study to which the applicant is admitted at the University of Delhi :MPhil in Operational
Research 2017
(b) Subject of Study :MPhil Operational Research
(c) Duration of the course :18 months
(d) Date of joining : 01-09-2017
(e) Department / Faculty : Faculty of Mathematical Sciences Campus :North campus
Details of the Scholarship / Fellowship Awarded, if any to the applicant for the Above course :
Duration of previous stay in any other Hostel in Delhi University (including College Hostel) :
I, hereby, authenticate that the particulars given in this application by me are correct and no fact has been
suppressed to the best of my knowledge and belief.
____________________________________________________________________________________
I further declare that I am a full time student. If take up employment during the tenure of my residency in the
Hall, I undertake to inform the Hall Authorities about it immediately.
Name, designation, address and Name and Signature of the HOD or Dean of the Faculty
Signature of the Research Supervisor (with Department / Faculty stamp)
___________________________________________________________________________________________
NON-RESEARCH STUDENTS
His position in the Admission/Merit List No. and rank No. . with Sr. No.
Designation .............................................................................................................................
In addition to the above recommendations, foreign students are also required to produce a Medical Certificate
from the National Institute of Communicable Diseases, 22 Sham Nath Marg, Delhi 110 054 as per the terms of
letter No. F.14-6-86-ES II of 20th April 1987 from the Ministry of Human Resource Development, Department
of Education, Government of India, New Delhi.
_____________________________________________________________________________________________
I certify that the applicant is seeking admission with my consent and that I shall be responsible for his conduct
and financial liabilities to the Hall.
Residential Address..............................................................................
Official Address....................................................................................
___________________________________________________________________________________________
DECLARATION BY THE CANDIDATE
1. This application is being made in full knowledge of my parents and local guardian.
2. I vouch for the correctness of the particulars given by me in the application form. I understand that if the
particulars given by me are found to be incorrect, my admission will stand cancelled.
3. I declare that my parents do not reside in the NCT Delhi.
4. I declare that I have passed the examination of the last course attended.
5. I declare that I am not an ex-student.
6. I declare that I am neither employed nor am I doing any paid job anywhere, full time or part time. If I take up
employment, I shall inform the Hall authorities immediately.
7. I declare that in case I am absent myself from the Hall for more than one month without intimating the Hall
Authorities, the Hall authorities have the right to get my room vacated.
8. I understand that the Provost, Warden, Resident Tutor and Caretaker of the Hall have the authority to enter
my room and to make a surprise check of the room as and when considered necessary by them.
9. I understand that all Hall and Mess dues are payble in advance by the 10th day of each month without late fee
fine. I also understand that in case my outstanding Hall / Mess dues at any time exceed Rs. 5000/-, my room (if
single seated would be double-locked and in case of double seated room, my belongs would be taken into
custody by the Hall Authority till such time that the outstanding dues are cleared by me.
10.. I understand that I cannot change the room allotted to me in the Hall without written permission of the
Hallauthorities. I undertake to leave all the furniture items and fixtures intact in the room from which I shift and
also in the room in which I shall be staying at the time of my leaving the Hall. I understand that I am liable to be
charged for loss or breakage of any Hall furniture or fixtures as per decision of the Hall authorities.
11. I undertake that I will not keep any unauthorized guest in my room.
12. I undertake that I will vacate the room/seat after not more than seven days of the last annual examination.
13. I undertake to hand over the complete charge of the room before leaving the Hall at the end of the course.
14. I have read the rules and regulations of the Hall contained in the Handbook of Information 2017-2018
under the Clause Discipline (General Rules and Regulations) and elsewhere in the Handbook and undertake to
abide by them. I shall not plead ignorance of regulations that may be notified from time to time also.
15. I also undertake to submit myself to the disciplinary jurisdiction of the Vice-Chancellor, the Provost and
other authorities of the University and Hall, who may be vested with the authority to exercise discipline under
the Act, the Statutes, the Ordinances, including Ordinance XV (B) and XV (C) (as stated in the Handbook of
Information 2017-2018), and the Rules framed by the University and Hall from time to time.
Note:
1. The Applicants are advised to check the office Notice Board regarding their admission/interview etc. of the
2. All the entries must be filled in CAPITAL LETTERS. Incomplete Form will be rejected..