URDU ACADEMY, DELHI

(Govt. of Delhi) APPLICATION FORM

URDU CERTIFICATE COURSE 2018-19 (Recognised by University of Delhi)

1. Name (in block letters) : ------------------------------------------------------------------------------------------------

2. Father's / Husband's Name : ------------------------------------------------------------------------------------------------

3. Date of Birth : ------------------------------------------------------------------------------------------------

4. Qualification : -------------------------------------Profession & Official address ----------------------

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5. Postal Address (in block letters) : -----------------------------------------------------------------------------------------------

Mobile & Phone No.:----------------------------------------------------------------------------------

6. Centres ( Kindly tick the Centre of your choice)

JANAKPURI

KASHMERE GATE

LAXMI NAGAR

MAYUR VIHAR

NIZAMUDDIN

QIDWAI NAGAR

YAMUNA VIHAR

Certified that I have not studied Urdu at any stage. If this statement is found incorrect the admission can be revoked. Date:------------------- ( Signature of applicant ) Note : Please attach the Photocopy of the Certificate / Degree last obtained

( For office use only ) Mr./Mrs./Miss------------------------------------------------------------------------ is admitted in Urdu Certificate Course for the session 2018-19 at -----------------------------------------------------------------Centre Secretary Urdu Academy, Delhi ------------------------------------------------------------------------------------------------------------------------------------------------- Name of the Candidate __________________________________

CLASSES WILL BE HELD ON THE FOLLOWING CENTRES: 1. JANAKPURI CENTRE : Sumermal Jain Public School, B-2 Block, Janakpuri, New Delhi-110058. 2. KASHMERE GATE CENTRE : Urdu Academy, CPO Building, Kashmere Gate, Delhi / 3. LAXMI NAGAR CENTRE : Bharti Public School, Swasthaya Vihar, Opp. Coffee Home, Laxmi Nagar, Delhi. 4. NIZAMUDDIN CENTRE : Ghalib Academy, Basti Hazrat Nizamuddin, New Delhi -110013. 5. QUIDWAI NAGAR CENTRE: R.D.S.B.V. No.1, (G.B.S.S.School,No.1), Kidwai Nagar/INA Colony,

Near DDA Office, New Delhi 6. YAMUNA VIHAR CENTRE: G.B.Sr.Sec. School, B Block, Yamuna Vihar (Directorate of Edn., Distt. East) 7. MAYUR VIHAR CENTRE: Shaheed Rajguru Girls College, Vasundhra Enclave, Mayur Vihar Phase 3, Delhi NOTE: Interview will be held on __________________________________AT 10.00 A.M. in Office of Urdu Academy, CPO Building, Kashmere Gate, Delhi - 110006.

Passport size Photo

YOU ARE WELCOME TO JOIN THE CLASSES

FREE URDU CERTIFICATE COURSE (RECOGNISED BY UNIVERSITY OF DELHI)

NO D. T. C. PASS

DURATION OF THE COURSE : ONE YEAR MINIMUM QUALIFICATION : Sr. Secondary/ Inter Mediate TIMINGS OF THE CLASS : 6 P.M. TO 7 P.M. DAYS OF THE CLASS : MON., TUE., WED., THU. ORGANISED BY:-

URDU ACADEMY, DELHI, CPO Building, Kashmere Gate, Delhi-6. Ph. 23863858, 23863566, 23865436