ReadWriteData ApplicationDetails 20221034373

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UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2022


(Undergraduate Programmes)
REGISTRATION ID : 20221034373
PERSONAL DETAILS
Name of Programme : B.A. (NEP)
Name of Student : MANYA AGARWAL
Father's Name : GAURAV AGARWAL

Mother's Name : NEELU AGARWAL


Date of Birth : 16/09/2004
Mobile Number : 8299718855
E-Mail ID : manyaagarwal1615@gmail.com
Gender : Female
Domicile : Uttar Pradesh Religion : Hinduism

Category : General Caste Certificate Number : -


Annual Income of
: Between 300000 and 600000 Nationality : Indian
Family (in Rs.)
Sub Category : -
Weightage : - Income Certificate No. :-
Zero Fees Required : No
Is Father's Income below Rs. 2,00,000 Per Annum ? : No Blood Group : AB-
ID Proof : Aadhaar Card ID Number : 785457492968
Do you claim Reservation for Economically Weaker Section (EWS) ? : NO EWS Certificate No. :

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS


Address : C3 SHYAM KRIPA APPARTMENT SIDHGIRIBAGH Address C3 SHYAM KRIPA APPARTMENT
:
,CID GALI VARANASI SIDHGIRIBAGH ,CID GALI VARANASI
Varanasi Varanasi
Uttar Pradesh, India, Pin Code - 221010 Uttar Pradesh, India, Pin Code - 221010
Mobile Number : 8299718855 Alternate Mobile Number : 9889199605 Mobile Number : 8299718855 Alternate Mobile Number : 9889199605
Landline With STD Code : - Landline With STD Code : -

BANK DETAILS
Account Holder Name : NEELU AGARWAL Bank Name : HDFC
Account No. : 50100266206037 IFSC Code : HDFC0000220

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION
Roll Number : 23126443 Passing Year : 2020 Percentage : 92.60% Maximum Marks : 500
Marks Obtained : 463 Examination Body of the High School or equivalent Education : C.B.S.E. Board
INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION
Passing Status : Appearing Roll Number : Appearing/Passing Year : 2022

Maximum Marks : Appearing Marks Obtained : Appearing


Examination Body of the Intermediate or equivalent Education : C.B.S.E. Board
SUBJECT-WISE MARKS OBTAINED IN INTERMEDIATE

PAYMENT DETAILS
Amount (Rs.) : 800.00 Transaction No. : ADM220000340055 Transaction Date : 05/06/2022

DECLARATION : All the Information entered by me in the Application Form are true to the best of my knowledge . If at any stage of the admission
process any information is found to be wrong I will be fully responsible for this and my application or candidature may be rejected.

Signature of Student

NOTE : Kindly keep the printout of the Application form with you. You have to bring the printout of the Application Form only at the
time of Counselling. Do not send any printout to the University of Lucknow by post or by hand.

Print Date : 05/06/2022 Page 1 of 1

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