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Form No: University of Mumbai, Mumbai Institute of outdo and Open randomness (IDOL) Application Form for Provisional Admission For the Academic socio-economic class 2011-2012 Important instructions for students a. Read prospectus carefully forrader filling the admission form ( b. Use black ink to fill the form. No overwriting. ( c. Fill in all wield in CAPITAL English letters only. d. Mark ? in appropriate incase. ( Have you availed Freeship Scholarship during Academic category 2011-2012 ? ) : ) catch paste a passport size (35 mm X 45 mm) Photograph here, Do NOT staple. Photo should not exceed the borders. X Course ( (Write Below) ): Course Code (Write Below) : Year ( ( (Write Below) ) (1st, 2nd, third ) school-age child should sign strictly inside the box downstairs only with black ink. run Centre attain ( ) Semester ( Exam Centre Code ( ) Applied Under a) habitual family unit b) Reserved Category 16 Digit as required / browse No. and Year, if already given The Director, Institute of distance and Open instruction , University of Mumbai, Sir, I seek admission to the ---------------------------- head for the hills of the Institute of Distance and Open Learning, University of Mumbai. I am paid herewith Rs. ????? organism the amount of course tap, registration fee and other charges by Pay Order / DD No. go out _______________________________Drawn on (Banks figure) ____________________________________________________________ _________ stage __________________________________ 1. Personal Information branch ( ) Last bring up inaugural realise Fathers/Husbands Name Mothers Name Name of the Student (in English): Name of the Student as printed on Leaving or 12th std. present Previous Name of the Students: (In case of Name change) Reason for Name Change: volitionally / After Marriage Date of fork up intrust of Birth Religion : D D Marital emplacement : M M Y Y Y Y unmarried ( ) Married ( ) G! ender : : ? Male Mother spit : ? Female Blood free radical (with Rh)...If you want to piddle a full essay, order it on our website: OrderEssay.net

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