5/3/2016 :GOVINDBALLABHPANTUNIVERSITYOFAGRICULTURE

GOVINDBALLABHPANTUNIVERSITYOFAGRICULTUREAND
TECHNOLOGY
PANTNAGAR263145(UTTARAKHAND)

APPLICATIONFORUNDERGRADUATE,MASTER'S,MCA,M.TECHANDPh.D.ENTRANCE
EXAMINATION2016

Registration
53258 Name: SHRUTIPARGAI
Number:
Examination
M.Tech
AppearingFor:
Father'sName: RCPARGAI Mother'sName: CHAMPAPARGAI
Nationality: INDIAN DateofBirth: 22/04/1993
Ageason
23YEARS,2MONTH,8DAYS Gender: FEMALE
(30.06.2016):
BonafideResidentof Son/Daughter/Spouseofregular
Yes No
Uttarakhand: employeeofthisUniversity:
BloodGroup: A RHFactor: RH+
Qualifying Haveyoueverbeenstudentof
Appearing No
Examination?: GBPUA&T?:
CategoryCode: 1100
Category: General(UR) SubCategory: NotPH
EMailAddress: pargai93@gmail.com GateMarks: 23.34
NameOfDepartment
ElectricalEngineering(ElectricalEnergySystem)
ForAdmission
MobileNumber: 9456767555 LandlineNumber: 05946221250
ReferenceNumber: DU44730433 PaidAmount: 1200
PaymentMode: ONLINE TransactionDate: 2May16
CORRESPONDENCEADDRESSDETAILS
PARGAIVILLA,GANGAENCLAVEBLOCKA
Address: State: UTTARAKHAND
PHASE2,HALDWANI,UTTARAKHAND
District NAINITAL PinCode 263139
PERMANENTADDRESSDETAILS
PARGAIVILLA,GANGAENCLAVEBLOCKA
Address: State: UTTARAKHAND
PHASE2,HALDWANI,UTTARAKHAND
District NAINITAL PinCode 263139
QUALIFICATIONDETAILS
Passing
Examination Board/University Division Marks/OGPA Percentage(%) InstituteName Subject
Year
HighSchoolor NIRMALACONVENT SOCIASCIENCEENGLISH
CBSE 2009 First 429 85.8
Equivalent SCHOOLKATHGODAM HINDIMATHSSCIENCE
PHYSICSCHEMISTRY
Intermediateor NIRMALACONVENT
CBSE 2011 First 413 82.6 MATHSENGLISH
Equivalent SCHOOLKATHGODAM
COMPUTERSCIENCE
GB
UTTARAKHAND
PANTENGINEERING
Bachelor's TECHNICAL Apearing First 5772 82.4 ELCTRICALENGINEERING
COLLEGE,PAURI
UNIVERSITY
GARHWAL
Master's
Other's
Iherebydeclarethattheparticularsfilledaretrue,correctandcompletetothebestofmyknowledgeandbeliefandnothinghasbeenconcealed,In
caseanyoftheinformationisfoundtobefalse,incorrectormisleadingatanystageIshallhavenoclaimagainstcancellationofmycandidature
and/ortakingotherlegalactionasdeemedfitbyG.B.PantUniversity.

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