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7/9/2019

Personal Details

Registration Number 2019121919 Candidate Name SADAF NAZ

Father's Number MOHD MIAN Mother's Number SAIRA BANO

Mobile Number 9412334787 Alternate Mobile 9808659786


Number
Gender Female Category General

Stream Opted Arts Rank 188433

Email Id sadafnaz9412334787@gmail.com

Counselling Round Details

Phase 2 Round 1

Candidate Bank Details

Account Holder Name SADAF NAZ Bank IFSC Code BARB0BLYBAZ

Bank Account No. 26750100006286 Bank Name BANK OF BARODA

Branch Name BARA BRANCH Bank City BAREILLY

Payment Details

Payment Status Success Payment Date 28/Jun/2019


(DD/MMM/YYYY)
Payment Transaction QSBI7696976186 Payment Receipt 20190628
Number Number
Order Id 2019121919- Counselling Fee 750
031117820190628154009231
Advance College Fee 51250 Total Amount 52000

Declaration

I hereby, certify that the particulars given by me in this Application Form are true to my knowledge and belief. I certify that
I fulfill the M.J.P. RohilKhand University eligibility criteria and undertake to produce original documents whenever
necessary. I understand all disputes will be subject to territorial jurisdiction of city of Bareilly only.

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