2020

ONLINE
Form No : 8232568

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Basic Details
Name : ASHUTOSH KUMAR RAUSHAN

E-mail* ASHUTOSHJHA32411@GMAIL.COM

Mobile +91 9113799743

Program & Campus

Option 1: * B.A.,LL.B (H) Ranchi

Option 2: BBA LL.B. (H) Ranchi

Admission Category : NS

Hostel Accommodation Yes If YES, NAC

Payment Details
Your payment transaction number: 68724405118
Your payment transaction date : 25 Mar 2020

If you have any questions, email to admissions@amity.edu (mailto:admissions@amity.edu),

or call us at +91-72-820-77771/2/3/4/5/6, Whatapp No.: 7282 0777 72

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Personal Details
Category : GEN

Date Of Birth 30/09/2002

Gender Male

Nationality* Indian

Passport No

Aadhaar Card No 724270407152

Correspondence Address
For all communication related to your admission.

RASHIYARI,
,
DARBHANGA, Bihar - 847427
India

Permanent Address
same as correspondence address

RASHIYARI,
,
DARBHANGA, Bihar - 847427
India

Do you suffer from any chronic ailment No

Have you ever been suspended, dismissed or put on academic probation or

warning at any school or college?
No

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Family Information
Father Details

Name LALAN KUMAR JHA

E-mail
Qualification Masters

Organisation
Age 56

Mobile +91 8877711217

Profession ADVOCATE

Designation

Mother Details

Name * USHA KUMARI

E-mail
Qualification Bachelors

Organisation
Age
Mobile +91 9570422266

Profession
Designation

Family at Amity - Any of your associated with Amity

Family Member : no

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Education Details
It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last
completed semester / year.
If the system of marking of your school / college is on grading pattern, convert grade into marks as applicable
and fill in the respective columns.
In absence of complete information, form will be rejected.

Prequalifying Test

Class X
Board CBSE

Board Roll No 7117429

Passing Year 2017

Aggregate Percentage 83.60

School Code 50282

Class XII

Board STATE

Passing Year 2019

Medium of instruction English

School Name M.L.S.M COLLEGE DARBHANGA

City DARBHANGA

Pin / Zip Code 846004

XII Board Name Bihar School Examination Board

Board Roll No 19010178

XII Results Declared Yes

Mark Type Marks

Class XII Board Result Details (Provide details of all subjects as in class XII marksheet)

SNo Subject Name Marks obtained Maximum Marks

1 ENGLISH 63 100

2 PHYSICS 77 100

3 CHEMISTRY 74 100

4 MATHEMATICS 70 100

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5 HINDI 36 50

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Other Information
Awards / Achievements Name
(if any, latest two) Proof will be verified on the day of selection)

Sno. Name of the Awards / Received For

Achievements when what

Employment

Work Experience No

Previously Applied
Have you previously applied to Amity? No

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