CNLU1441

PATNAWOMEN'SCOLLEGE
PatnaUniversity
3rdCycleNAACAccredited'A'GradewithCGPA
3.58/4
"CollegewithPotentialforExcellence"
(CPE)statusaccordedbyUGC
BAILEYROAD,PATNA FormNo.:F20174959

CasteApplicationFormforAdmissionontheReservedSeatsinB.Sc.Part1
ReservedCategories:BCI(DHANUK)
(Note:TheCastecertificateonlyissuedfromS.D.O./C.O./D.M.isaccepted)
Session:20172020
1.NameoftheApplicant:JYOTIKUMARI
2.Father'sName:ANILKUMAR
3.Occupation:BUSINESSMAN
4.CasteCategory:BCI(DHANUK)
5.OriginalApplicationFormNo.(MainApplicationForm.):F20174959
6.CasteCertificateNo:OL/PAT/PHL/2015/cast/502772
7.IssuedBy:S.D.O.
8.Place:PATNA
9.FullAddressforCorrespondence

Address:WESTJAYPRAKASHNAGAR,PATNA,PostOffice:GPO,PoliceStation:JAKKANPUR,District:PATNA,Home
Town:PATNA,State:Bihar,Pin:800001

Selected/Rejected SignatureoftheCandidate
Date:_______________

..............................................................................................................................................................................

Receivedapplicationformforthereservedcategories:B.Sc.Part1
Receivedfrom:JYOTIKUMARI
ForAdmissiontotheB.Sc.Part1

ReceivingOfficer,
Date_____________________
PatnaWomen'sCollege