CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY, KANPUR

Online Application Form for Entrance Test-2011

Course:M.Sc.(Others)-Bio-Technology - [ Serial No. : 282 ]
Print Date & Time

22/05/2011

7:18 pm

TSN No. : 3010669

Submitted On :

22/05/2011 7:16:04PM

PERSONAL DETAILS
Name

: BASHUKI NATH MISHRA

Father's Name

: VISHWNATH MISHRA

Mother's Name

: ASHA MSHRA

Correspondence Address

: BASHUKI NATH MISHRA S/O VISHWNATH MISHRA C/O SURESH BOOK DEPO JALKAL
ROAD DEORIA PIN CODE- 274001

Permanent Address

: BASHUKI NATH MISHRA S/O VISHWNATH MISHRA C/O SURESH BOOK DEPO JALKAL
ROAD DEORIA PIN CODE- 274001

District

: DEORIA

Entrance Fees Paid

: 600.00

Pincode

: 274001

Date of Birth

: 01/05/1990

Contact No.

: 09005254425, 08447055515,

Gender

: Male

Domicile of UP

: Yes

Handicapped

: No

Christian Community

: No

Category

: General

University Employee Ward

: No

Percentage of Marks in Qualifying Exam :

0.00

EDUCATIONAL DETAILS
Year of Qualifying Exam

: 2011-Appearing

Roll No. of Qualifying Exam

: 10801249

University of Graduation

: Other State

Course of Qualifying Exam

: B.Sc.

Subjects of Qualifying Exam

: Biotechnology
Declaration ()

1. / , /
2. / - / /

Enclosures:

4Photocopy of Marksheet of Qualifying Exam

: Online Online Submission
28/5/2011 /

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Candidate's Signature