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CENTRAL HINDI DIRECTORATE
DEPARTMENT OF HIGHER EDUCATION
MINISTRY OF HUMAN RESOURCE DEVELOPMENT
WEST BLOCK-VII, RAMAKRISHNA PURAM, NEW DELHI-110066
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Application form for Student Study Tour

1. Name (Full & clear)
(In Hindi)
....................................................................................
(In English) ....................................................................................
2. Complete Postal Address(with Phone/Mobile Number)
(In Hindi) (In English)

 

 

 

Pincode

 

 

 

Pincode

3. Mother tongue ....................................................................................
4. Birth date & birth place ....................................................................................
5. College & University ....................................................................................
6. Present class & Subject ....................................................................................
7. Educational detail (Intermediate onward)
Name of the exam ....................................................................................
Subject/s ....................................................................................
Marks obtained/class ....................................................................................
(Please enclose attested copy of the marks obtained)
8. Detail of other Exam passed in Hindi ....................................................................................
....................................................................................
9. Detail of Cultural & Literary work & Participation in Art, Music, Poem reciting/Drama etc. ....................................................................................
....................................................................................
10. Are you serving anywhere during study? (if yes, give detail) ....................................................................................
....................................................................................
11. Have you participated in this tour? (if yes, give detail) ....................................................................................
....................................................................................
....................................................................................
12. Are you ready to abide by all the rules during travel period? ....................................................................................
Place:
Date:
Signature of the applicant
Recommendation of H.O.D./Principal
 
This is to certify that the above applicant is a regular student of this Institute/College/University. Information given above is correct to the best of my knowledge.
Signature & Stamp of the Office
Full address of Institute/College/University with pin code in English
....................................................................................
....................................................................................
....................................................................................
....................................................................................
Note:- Application filled only in Hindi will be accepted.
 
     
 
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