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Application Form

JNU E E 2012-13

Jawaharlal Nehru Universit , New Delhi

GENERAL DETAILS A C F G D G N C I B IS PH: I L P D D C P A : P : S : P L F N ' /H ' N B : : : N .: : ' / : 553985 PRAVIR KARNA RAMESH SINGH 15 N M I OBC (O : N N N N : M.A/M.S ./MCA M A N/A 10+2 . / Q T M N .: S : N .: 9555879591 B Contact Details F E N .: ID: . @ . 2012 C (MCAM)-224 PH C A M K : : N/A N N C L ) Signature 1990 Photo

Chioce of Field of Stud in order of preference F T Y P P S P N/A

E C D Q

R B

Mailing Address Details S D : A P C : :

Permanent Address Details B 143, 2ND FLOOR , SAVITRI NAGAR A , NEW DELHI 110017 P : C : A - KUMARPUR PO - KATAHARA DIST - BHAGALPUR BIHA 813213

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Academ ic Record Y P A D /10 C 2009 G 2012 61.00 8.76 2007 % M CGPA G 75.00 DAV PUBLIC SCHOOL, URJANAGAR JHARKHAND DAV PUBLIC SCHOOL, URJANAGAR JHARKHAND AMITY UNIVERSITY , NOIDA CBSE MATHS,HINDI,SCIENCE,ENGLISH,SOCIAL SCIENCE MATHS,ENGLISH,HINDI,PHYSICS,CHEMISTRY MATHS,C,C++,JAVA ETC N S D

S. E N . H S /M C S S (10+2) I A D

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N B

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CBSE AMITY UNIVERSITY

DECLARATION BY THE APPLICANT I , U I I . I JNU I , , I JNU C Signature . .I I .I , I I A F

Instructions B 1. 2. 3. 4. 5. 6. 7. P T T T T T T L C P , . . O D F A R . 28 R M P 2012 /S P 5:00 PM. : D S . P /S P . D D .

SECTION OFFICER (ADMISSIONS), Room No. 28, Administrative Block, Jawaharlal Nehru Universit , New Delhi 110067

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