Registration No:

2020402766

System ID: 2020402766 Application No:00122683

Programme Applied: MBA Plan Applied: MBA - Marketing Management

PERSONAL DETAILS

First Name: A d i t y a

Last Name: M i s h r a

M F
Gender: Date of Birth: 3 1 0 7 1 9 9 9 Place of Birth: 31/07/1999
Other

Category: Physically Challenged:

Domicile State: *As per 10th Marksheet
*Please attach Minority General SC ST OBC Other Differently Abled UP
*As per 10th Marksheet
Certificate, if any Y N

Religion: Hindu Muslim Sikh Christian Jain Buddhist Parsee Other Nationality: Indian

Father’s Name: Gyan Prakash Misra Mother’s Name: Aparna Mishra

Father’s Qualification: MBA Mother’s Qualification: MBA

Father’s Occupation: Industrialist Mother’s Occupation: Self employed

Household Income (Per Annum): Less than `1,00,000 `1,00,001-3,00,000 `3,00,001-5,00,000 `5,00,001-8,00,000 Above `8,00,000

Aadhaar No.: 8 6 1 8 7 4 2 1 0 6 9 5 Pan Card No:

ID Proof:
Passport: Any Other:

Permanent Address (As mentioned in ID):

163 chandralok colony, aliganj

City: LUCKNOW

State: Uttar Pradesh Pin Code: 226024

Landline No: 0522-2327677 Student Mobile No: 8 9 4 8 0 6 9 0 6 9 Parent's Mobile No: 8 9 4 8 0 6 9 0 6 9

Email (Student): adityaa.mishraa317@gmail.com Email (Parent):

Online/Internet Newspaper TV Radio Hoarding Walk-in Education Fair

Source of Information:
University Students Friends/Relatives Consultant Others

EDUCATIONAL QUALIFICATIONS

Examination Passed Year of Passing Board/University School/College Name City State Mark Scheme %(Agg.)

Xth Standard 2015 Central Board of Secondary Education The Millennium School LUCKNOW Uttar Pradesh CGPA 9

XIIth Standard 2017 Central Board of Secondary Education The Millennium School LUCKNOW Uttar Pradesh PERCENTAGE 73

Graduation 2020 Lucknow University IMS LUCKNOW Uttar Pradesh PERCENTAGE

Other

Post Graduation

Name of the Degree:

Graduation Other Post Graduation

BBA

Details of Marks: ( Marks Obtained (MO))

PCM (in %) PCB (in %) PCSM (in %) School No. Centre No. Roll No. ID Card No.

ENTRANCE EXAMINATION DETAILS:

JEE Rank (AIR) UPSEE Rank (Gen.) UPSEE Rank (Biotech)

MAT (Percentile) CAT (Percentile) 63.39 XAT (Percentile)

NATA (Score) CLAT (Score) LSAT (Score)

NEET (Score) SUAT (Score) Gate

SLET MPHIL NET

Any other

Does any of your sibling(s) studies at any of the Sharda Group of Institutions? Yes No If yes, please give details:

Name Relationship Programme System ID Year of Admission

DECLARATION BY STUDENT & PARENT

I Gyan Prakash Misra Parent/Guardian, of Aditya Mishra do hereby declare that the information given above is true and correct. I stand guarantee for good conduct of my ward during the period
of his/her study in the University/Hostel. I am aware that the University is authorised to initiate disciplinary action against my ward for violation of any of the rules and regulation/code of conduct
which is available on the University’s website (www.sharda.ac.in). I also promise to compensate fully the damages that may be caused by my ward due to his/her misconduct. I also promise to pay
the fee on time as per the instructions issued by the University from time-to-time, failing which an appropriate penalty may be.

27-09-2020 LUCKNOW

DATE PLACE Signature of Student

DOCUMENTS CHECKLIST

Documents Certificate/Roll No.

Application Form with a photograph affixed Yes

Photocopy of 10th Marksheet Yes

Photocopy of 12th Marksheet/Admit Card Yes

Photocopy of Diploma Marksheet No

Photocopy of Graduation Marksheet No

Photocopy of Other Marksheet No

Photocopy of Post Graduation Marksheet No

Photocopy of Entrance Exam Scorecard Yes

ID Proof Yes

Category Support Documents (Other Than General) No

Physically Challenged Certificate (If Any) No

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