University of Delhi UG Admissions-2015 Generated On: 30-05-2015 22:27:14

UIMS, University of Delhi Page 1 of 1 PnS,IIC,UDSC

University of Delhi 15083354

Application Form for Undergraduate Admission

Payment InformationAmount: ₹ 100 Transaction ID: 115053081217767 Date: 2015-05-30 22:27:00

Personal DetailsName Himanshu Bisht Category GeneralGender Male Parent/Guardian Name K S BishtDate of Birth 2 August 1997 AddressEmail himanshu999.bisht@gmail.com 2-D 151 B ,kamna,vaishali, Ghaziabad,

Uttar Pradesh-201010,IndiaMobile 9910430259

Educational DetailsSubject Name University Subject Code Maximum Marks Marks ObtainedPHYSICS 68 100 80CHEMISTRY 53 100 88MATHEMATICS 63 100 95ENGLISH CORE 3 100 89COMPUTER SCIENCE 55 100 74

Name of Exam. Board Year of Passing Status of Result Board Roll No.CBSE 2015 Passed 5856779

Course(s)

B.Sc(Hons) Chemistry B.Sc(Hons) ComputerScience B.Sc(Hons) Electronics B.Sc(Hons) Mathematics B.Sc(Hons) Physics

B.Sc(Hons) PolymerScienceAdditional DetailsFamily Income Schooling Location of your School Medium of StudyBelow 1 Lakh Public NCR English

DeclarationYes, I have read all the instructions. The information provided by me is correct to the best of my knowledge. I will beresponsible for submitting any incomplete / incorrect information in this form.

( Himanshu Bisht )