URDU ACADEMY,

DELHI (Govt. of Delhi)

APPLICATION FORM

URDU CERTIFICATE COURSE-2017-18

(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 / SHAM NATH MARG

LAXMI NAGAR

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

2017-18 at -----------------------------------------------------------------Centre

Secretary

Urdu Academy, Delhi

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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 /

Ludlow Castle School, Sham Nath Marg, 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)

NOTE: Interview will be held on __________________________________AT 10.00 A.M. in Office of Urdu

Academy, CPO Building, Kashmere Gate, Delhi - 110006.

(Detail overleaf)

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