3/27/2015

https://upseeuptu2015.in/Confirmations.aspx

CONFIRMATIONPAGE:UPSEE2015
(APPLICATIONFORMFORADMISSIONTOFIRSTYEARINB.TECH/B.PHARM./B.ARCH/BHMCT/BFAD/BFA/MAM/
MBA/M.C.A.LATERALENTRY(SECONDYEAR)INB.TECH.ANDB.PHARMA)
RegistrationNo./ApplicationID
30285982
YouhavesuccessfullysubmittedApplicationOnline.Kindlytaketheprintoutofthispage.Pasteyouronepassportsizephotographand
putyoursignatureandthumbimpressioninthespecifiedbox.
ModeofapplicationFormFilling

Online

DateofBirth

11/02/1993

Candidate'sName

SANDEEPRAO

Category

UPSC

Father'sName

RAMCHANDRARAO

SubCategory

NOT
APPLICABLE

Nationality

INDIAN

RuralWeightage

NA

Parent'sDomicile

U.P.

YearofPassing

2014

Gender

Male

QualifyingExam

GRADUATION

SeekingAdmissionFor

MBA

QualifyingExamPassedFrom

U.P.

Subjectin10+2
Paper(s)toAppear

Paper9

ChoiceofExamCentres

Lucknow|Bahraich|Faizabad

DECLARATION
IcertifythattheparticularsgivenbymeinthisApplicationFormarecorrecttothebestofmyknowledgeandbeliefandanymastake/
misinformationdetectedatthetimeofcounsellingoratanystagewillresultinthecancellationofadmissionIhavecarefullyreadthe
InformationBrochureofUPSEE2015andagreetoabidebythetermsandconditionslaiddowntherein.Further,itisentirelymy
responsibilitytoprovetheeligibilityforadmissiontothe1styearofB.Tech./B.Arch./B.Tech.(AgricultureEngg.)/B.Tecch.(BioTech)/
B.Pharma./B.HMCT/BFAD/BFA/2ndyearofB.Tech./B.Pharmacourse(s)inrespectofqualificationandentitlementforadmission
againstreservedcategory,ifclaimed,tothesatisfactionoftheUPSEE2015.Further,IundertakethatIwillbevisitingthewebsite
(http://upseeuptu2015.in)regularlyforanyinformationandIdeclarethatalltheinformationregardingUPSEE2015providedonthese
websitewillbetreatedasserved.

Name:

SANDEEPRAO

Address:

Sufipura,nearforestoffice,
Bahraich

State:

U.P.

PinCode:

271801

EmailID:

Sandeeprao9044@gmail.com

MobileNo.

9044325116

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confirmationform
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SignatureoftheCandidate(Notin
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capitalletters)
SendthisformalongwithcopyofBankChallan(iffeepaidbyBankChallan)to"REGISTRAR,UPSEE2015,UTTAR
PRADESHTECHNICALUNIVERSITY,I.E.T.CAMPUS,SITAPURROAD,LUCKNOW226021,(U.P.)"soastoreachlatestby
5PM,09042015.
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3/27/2015

https://upseeuptu2015.in/Confirmations.aspx

DetailsofFeeTransaction.For
ApplicationID30285982
TransactionID. ModeofPayment Amount: TransactionDate
DU14151595 SBIiCollect
400.00 25/03/2015
Note:Pleaseensurethatalltheentriesarefilledupandtransactiondetailsofbankareavailableontheconfirmationpage,failingwhich
yourapplicationisliabletoberejected.

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