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    Final: Chaudhary Charan Singh University, Meerut

    Uploaded by

    deepak soam
    This document contains an undergraduate admission registration form for Tushar Rana to Chaudhary Charan Singh University for the 2022-2023 session. It includes personal details like name, date of birth, gender, caste, religion, address, contact information, academic qualifications from high school and intermediate exams, college preferences, and a declaration signed by the candidate and parent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Final: Chaudhary Charan Singh University, Meerut

    Uploaded by

    deepak soam
    33 views2 pages
    This document contains an undergraduate admission registration form for Tushar Rana to Chaudhary Charan Singh University for the 2022-2023 session. It includes personal details like name, date of birth, gender, caste, religion, address, contact information, academic qualifications from high school and intermediate exams, college preferences, and a declaration signed by the candidate and parent.

    Original Title

    22G0117823 (1) (1)

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    This document contains an undergraduate admission registration form for Tushar Rana to Chaudhary Charan Singh University for the 2022-2023 session. It includes personal details like name, date of birth, gender, caste, religion, address, contact information, academic qualifications from high school and intermediate exams, college preferences, and a declaration signed by the candidate and parent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views2 pages

    Final: Chaudhary Charan Singh University, Meerut

    Uploaded by

    deepak soam
    This document contains an undergraduate admission registration form for Tushar Rana to Chaudhary Charan Singh University for the 2022-2023 session. It includes personal details like name, date of birth, gender, caste, religion, address, contact information, academic qualifications from high school and intermediate exams, college preferences, and a declaration signed by the candidate and parent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

    Under-Graduate (UG) Admission Registration Form


    SESSION 2022 - 2023
    Registration # 22G0117823 Reg. Date : 24 August, 2022 09:03 PM

    1. Candidate Name : TUSHAR RANA


    2. Father's Name : SANDEEP KUMAR
    3. Mother's Name : MAMTA DEVI
    4. Date of Birth : 20-Dec-2006 5. Gender : MALE
    6. Caste/Category : Unreserved 7. Reservation : Not Applicable
    8. Caste Certificate #: 9. Income Grp : Less than 1 Lac per
    annum
    10. Domicile : Uttar Pradesh 11. Religion : Hindu
    12. Domicile Cert. #: 13. Is Minority : NO
    14. Nationality : INDIAN 15. Other Cat. : Not Applicable

    16. Sports Quota Opted: No 17. EWS Status : Belongs to EWS

    18. Address for Correspondance : 19. Permanent Address :

    L
    Balwakheri, muzaffarnagar, uttarpradesh Balwakheri, muzaffarnagar, uttarpradesh
    Muzaffarnagar Muzaffarnagar
    Uttar Pradesh Uttar Pradesh
    NA
    PIN Code : 247772 PIN Code : 247772

    20. Mobile : 9045064164 21. Email : deepaksoam400@gmail.com

    22. Weightages Claimed :


    Weightage Add %

    23. Academic Record :


    FI

    Examination Year Max Obt. Roll No. Stream Board %


    Highschool 2020 500 270 25176691 N/a Central Board of Secondary Edu. 2, Co... 54
    Subjects: Science,math, social science,hindi, english, in...

    Intermediate 2022 600 327 25663348 Commerce Central Board of Secondary Edu. 2, Co... 54.5
    Subjects: ENGLISH CORE,ECONOMICS,PHYSICAL E...

    24. College Application Details :


    Pref. College Degree Subject/Group
    1 [098] SANJAY GANDHI (P.G.) COLLEGE SARURPUR KH... B.Com. (NEP) Commerce Group
    2 [654] VINAYAK VIDYAPEETH, NH-58, PAWLIKHAS, MODI... B.Com. (NEP) Commerce Group
    3 [832] MAHAVEER INSTITUTE OF TECHNOLOGY, POHAL... B.Com. (NEP) Commerce Group

    Printed: Wednesday, August 24, 2022 09:45 PM Page: 1/2


    CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
    Under-Graduate (UG) Admission Registration Form
    SESSION 2022 - 2023
    Registration # 22G0117823 Reg. Date : 24 August, 2022 09:03 PM

    25. 10th Marksheet #: 1586963 26. 10th Roll No. : 25176691

    27. 12th T/c Number: 28. 10th Passing Year: 2020


    29. AADHAAR No.: 347277169667 30. AADHAAR Enroll # :
    31. Payment Details: Paid Rs.115.00 on 24/8/2022 PayU# 15730210756 Bank Ref: UPI - 223645669612
    32. Other Qualifications :

    L
    NA
    NOTE: Mark the number of documents ( Photocopy/Xerox) attached by the Candidate during form submission to the college

    Xth Marksheet Xth Certificate


    XIIth Marksheet Last Exam Passed Marksheet
    Recent Passport Sized Photograph Scanned Signature
    Domicile (for other state) Certificate for Kashmiri Resident
    FI

    Certificate for Horz./Reservation Category Certificate for Vert./Caste Category

    Declaration

    I declare that I have never been convicted for any criminal act and that there is no case pending against me in
    the court of law. I also declare that I have never been caught using Unfair Means or any Disciplinary action
    has been taken against me. If I was charged for using Unfair Means, the punitive duration is over and charges
    have been cleared.

    I have read carefully and have understood all rules as mentioned in the University Rules and Admission
    Brochure.

    Furthermore I also declare that if my application is found to contain incorrect/false information regarding my
    Name, Birth Date, Gender, Religion, Domicile, Weightage, Caste, Horizontal Reservation, Marks obtained or
    any other field, my application is liable to get cancelled, and I will have no objection in getting disqualified for
    admission to the concerned course/college.

    Signature of Parent/Guardian Signature of Candidate


    Date: Date:

    Printed: Wednesday, August 24, 2022 09:45 PM Page: 2/2

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