Re-Accredited by NAAC 'A' Grade

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT

B.SC. BARDOLI ZONE 2021-22

Academic Year : 2021-2022

Application No. : AD202100588196

Application Date : 25/08/2021 *AD202100588196*

Application Form
Personal Detail
Applicant Name : MOURYA SUHASANI SANJAY
Birth Date : 03/01/2000 Birth Place : BALLIA
:
E-mail ID Category : General
suhasanimourya@gmail.com
Aadhar No : 649488861124 Religion : HINDU
Disability : None Gender : Female
: Veer Narmad South
Region of Last
Gujarat University Region ( Mobile No. : 8320079031
School / College
Except Union Territory )
: Other Board of Gujarat
Qualifying Board Blood Group : B+
State
Qualifying Uni. : -- Father / Mother / Guardian Mobile No : 9427139413

Father / Mother / Guardian Aadhar No : 549935909284

Postal Detail
Current Address : A-169, Prabhudarshan society, Bhesan Road, Permanent Address : A-169, Prabhudarshan society, Bhesan Road,
Jahangirabad, Surat
Jahangirabad, Surat
Current City : SURAT Permanent City : SURAT
Current State : GUJARAT Permanent State : GUJRAT
Current Pincode : 395005 Permanent Pincode : 395005
Current Country : INDIA Permanent Country : INDIA
Current Phone : 8320079031 Permanent Phone : 8320079031

Academic Detail
Previous Program : --
Previous Stream : SCIENCE - B GROUP (OTHER BOARD)
Previous Medium : --

Counselling Center : GOVERNMENT SCIENCE COLLEGE, VALOD

HSC Seat No. : 1614768 HSC Exam Month : May HSC Exam Year : 2018

S.S.C. EXAMINATION DETAILS

1 S.S.C. SEAT NUMBER : 1115373

2 S.S.C. TOTAL MARKS : Marks : 8.40 / 10.00 = 84.0000 %

OTHER BOARD SCIENCE B MARKS

1 BIOLOGY THEORY (GROUP B-OTHER BOARD) : Marks : 35.00 / 70.00 = 50.0000 %

2 BIOLOGY PRACTICAL (GROUP B-OTHER BOARD) : Marks : 27.00 / 30.00 = 90.0000 %

3 CHEMISTRY THEORY (GROUP B-OTHER BOARD) : Marks : 23.00 / 70.00 = 32.8571 %

4 CHEMISTRY PRACTICAL (GROUP B-OTHER BOARD) : Marks : 26.00 / 30.00 = 86.6667 %

5 PHYSICS THEORY (GROUP B-OTHER BOARD) : Marks : 24.00 / 70.00 = 34.2857 %

6 PHYSICS PRACTICAL (GROUP B-OTHER BOARD) : Marks : 26.00 / 30.00 = 86.6667 %

7 OTHER SUBJECT 1 (GROUP B-OTHER BOARD) : Yes

8 OTHER SUBJECT 1 NAME (GROUP B-OTHER BOARD) : ENGLISH

Printed By : Student Printed Date : 25/08/2021 3:37 PM

 Re-Accredited by NAAC 'A' Grade

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT

B.SC. BARDOLI ZONE 2021-22

Academic Year : 2021-2022

9 OTHER SUBJECT 1 MARKS (GROUP B-OTHER BOARD) : Marks : 71.00 / 100.00 = 71.0000 %

10 OTHER SUBJECT 2 (GROUP B-OTHER BOARD) : Yes

11 OTHER SUBJECT 2 NAME (GROUP B-OTHER BOARD) : INFORMATICS PRAC

12 OTHER SUBJECT 2 MARKS (GROUP B-OTHER BOARD) : Marks : 76.00 / 100.00 = 76.0000 %

13 OTHER SUBJECT 3 (GROUP B-OTHER BOARD) : No

14 OTHER SUBJECT 3 NAME (GROUP B-OTHER BOARD) : --

15 OTHER SUBJECT 3 MARKS (GROUP B-OTHER BOARD) : --

16 OTHER SUBJECT 4 (GROUP B-OTHER BOARD) : No

17 OTHER SUBJECT 4 NAME (GROUP B-OTHER BOARD) : --

18 OTHER SUBJECT 4 MARKS (GROUP B-OTHER BOARD) : --

19 OTHER SUBJECT 5 (GROUP B-OTHER BOARD) : No

20 OTHER SUBJECT 5 NAME (GROUP B-OTHER BOARD) : --

21 OTHER SUBJECT 5 MARKS (GROUP B-OTHER BOARD) : --

H.SC. TOTAL OBTAIN MARKS DETAILS

1 NO OF ATTEMPTS(H.S.C.) :1

2 H.S.C. TOTAL MARKS : Marks : 308.00 / 500.00 = 61.6000 %

QUOTA

1 ARE YOU INTERESTED IN SPORTS QUOTA ? : No

2 ARE YOU APPLYING FOR DEFENCE QUOTA ? : No

3 KASHMIRI MIGRANT ? : No

Attachment Details
Attachment Name Is Attached?

S.S.C. MARKSHEET

H.S.C/DIMPLOMA/I.T.I MARKSHEET & EQUIVALENT CERTI.

Payment Details
Payment Mode : ONLINE Transaction Date : 25/08/2021 15:36:35
Transaction No : 11000042200997 Payable Amount : 150.00
Payment Reference No : AFON210089025677 Application No. : AD202100588196

Important Note

Declaration

I hereby declared that I have read prospectus to avail my admission for the Graduation Degree / Post Graduation Degree / Diploma and their eligibility,
submitting my application forthe same for the Academic year 2021-22 and I hereby declare that all the information provided in this application form are correct
to the best of my knowledge and understanding. In case of any information furnished by me is found to be incorrect and/or to be not in compliance to the rules
of University, the University has the right to take any action it deems fit, including the cancellation of the admission at any point of time . I promise that if I avail
the admission during 2021-22 in any Graduation Degree / Post Graduation Degree / Diploma I will abide by all the framed and relevant rules of Gujarat State
Government and Veer Narmad South Gujarat University. In case any mistake is committed on my part related to misbehavior, ragging or any unconstitutional
activity whatever decision taken by Veer Narmad South Gujarat University shall be abiding to me.

Printed By : Student Printed Date : 25/08/2021 3:37 PM

 Re-Accredited by NAAC 'A' Grade

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT

B.SC. BARDOLI ZONE 2021-22

Academic Year : 2021-2022

૨૦૨૧-૨૨

૨૦૨૧-૨૨
(Ragging )

Date :

Place : Applicant Signature

Student Entry

Printed By : Student Printed Date : 25/08/2021 3:37 PM