UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2020

(Undergraduate Management Programs)
REGISTRATION ID : 20206001393

PERSONAL DETAILS
Name of Programme : Undergraduate Management Programs
Name of Student : MOHD ADNAN KHAN
Father's Name : MOHD ZUBAIR KHAN
Mother's Name : RESHMA KHAN
Date of Birth : 05/09/2001
Mobile Number : 8840658964
E-Mail ID : adnankhanmovies@gmai.com
Gender : Male
Domicile : Uttar Pradesh
Religion : ISLAM
Category : General Cast Certificate Number :
Annual Income of
: Between 200000 and 300000 Nationality : Indian
Family (in Rs.)
Sub category : -
Weightage : - Zero Fees Required : No
Father's Income below Rs. 2,00,000 Per Annum : Blood Group : A+
ID Proof : Aadhar Card ID Number : 796811827706
Do you claim Reservation for Economically Weaker Section (EWS) ? : NO

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : FLAT NO. C2, 2ND FLOOR, 93 L, ANUJ Address : FLAT NO. C2, 2ND FLOOR, 93 L, ANUJ
APARTMENT, NEAR GANNA SANSTHAN, APARTMENT, NEAR GANNA SANSTHAN,
DALIBAGH DALIBAGH
Lucknow - 226001 Lucknow - 226001
Uttar Pradesh, India Uttar Pradesh, India
Mobile Number : 8840658964 Mobile Number : 8840658964
Alternate Mobile Number : 9005592786 Alternate Mobile Number : 9005592786
Landline With STD Code : Landline With STD Code :

EDUCATIONAL QUALIFICATION
HIGH SCHOOL

Roll Number : 6742114 Year Passed : 2018 Percentage : 82.00%

Maximum Marks : 600 Marks Obtained : 492
Examination Body of the High School or equivalent Education : I.C.S.C\I.S.C. Board

INTERMEDIATE

Roll Number : 6742114 Year Passed : 2020 Percentage : 73.40%

Maximum Marks : 500 Marks Obtained : 367
Examination Body of the Intermediate or equivalent Education : I.C.S.C\I.S.C. Board
SUBJECT-WISE MARKS OBTAINED IN INTERMEDIATE
ENGLISH(79/100),HINDI(90/100),PHYSICS(57/100),CHEMISTRY(57/100),BIOLOGY(84/100)

PAYMENT DETAILS
Amount (Rs) : 1,000.00 Transaction No. : 468039854 Transaction Date : 13/05/2020

DECLARATION : All the Information entered by me in the Application Form are true to the best of my knowledge . If at any stage of the admission
process any information is found to be wrong I will be fully responsible for this and my application or candidature may be rejected.

Signature of Student

N O T E : K i n d l y k e e p t h e p r i n t o u t o f t h e A p p l i c a t i o n f o r m w i t h y o u . Yo u h a v e t o b r i n g t h e p r i n t o u t o f t h e A p p l i c a t i o n F o r m o n l y a t t h e
time of Counselling. Do not send any printout to the University of Lucknow by post or by hand.
Print Date : 9/18/2020 Page 1 of 2
 UNIVERSITY OF LUCKNOW
Online Application Form for Admission - 2020
(Undergraduate Management Programs)
REGISTRATION ID : 20206001393

Print Date : 9/18/2020 Page 2 of 2