You are on page 1of 1

APPLICATION FORM: LPUNEST | B.

TECH
APPLICATION NO: A21227895

Review Details
First Name Lakshya Surname .
Gender Male Email ID lakshyapunyani1144@gmail.com
Mobile Number +91-9079146826
Do you have LPUNEST Kit / Application Number / Prospectus /Scratch Code?
Do You Want Hard Copy Of LPUNEST Kit ?
General Information
Mother's First Name Anju rani Mother's Surname
Father's First Name Devender kumar Father's Surname
Date Of Birth 15/12/2002 Aadhar Card Number 831371648785
Category General/OC
Contact Information
Address: Ward no. 11 Near Singh sabha gurudwara
Country India State Rajasthan
District Sri Ganganagar City Padampura
Pincode 335041
WhatsApp Number +91-9079146826 Alternate Contact Number +91-9079146826
Parent's Email ID devenderpunyani80782@gmail.com Parent's Contact Number +91-9783032220
Qualification Details (12th)
12th Subject 12th Status Grade or Percentage Course CommencementYear Course Completion Year
Non Medical (MPC) Appearing 2020 2021
12th Qualification From :India
12th School/College 12th School/College 12th School/College
12th School/College 12th Board/University
State District City
Central Board of Secondary Education
Rajasthan Sri Ganganagar Padampur Other|ASM public school
(CBSE)
Have You Attended Any Coaching? : No
Coaching Centre State Coaching Centre District Coaching Centre City Coaching Centre Name

Slot To Be Booked By :
Test State : Test City :
1st Date Preference : 2nd Date Preference : 3rd Date Preference : 4th Date Preference :

You might also like