Extension Centre of the University at
A 15, Paryavaran Complex, South of Saket, New Delhi-110030
Application Form

two years distance learning master's degree programmes
Tick only one

Master of science (Ecology and Environment)

Affix your passport size photograph and three extra photographs

Master of science (Disaster Mitigation)
Master of science (Sustainable Development)
Master of science (Total Quality Management)
Master of science (Eco-Tourism)
Master of science (Geo-Informatics)
Master of science (Pollution Control)
Master of science (Media Management)

Name of the Applicant

Address for Correspondence

 

Phone (Office) Phone (Residence)

Name of Father / Mother / Husband / Wife

Nationality

Date of Birth

Sex : Male / Female

Educational Qualification : Mention details of all qualifications from Graduation onwards.

 

Examination University / Board Institution Year Dvn. % of Marks

 

Details of Experience (If any)

 

Details of Amount Paid

 

Permanent Address of the Applicant :

 

Phone (Office) Phone (Residence)

 

Date Place

Signature of the Applicant

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