6/8/22, 9:49 PM IEHE UG Registration Report

Institute for Excellence in Higher Education(IEHE), Bhopal

उच्च शिक्षा उत्कृ ष्टता संस्थान,भोपाल

College with Potential for Excellence (CPE)

status conferred by the University Grants Commission

Re-accredited by NAAC with 'A' Grade

Kaliasot Dam, Kolar Road, Post Box No 588, Post Office: Ravishankar Nagar, Bhopal
- 462016, Telephone No: (0755)
2492433, 2492460
Undergraduate Admission Registration Form
for
First Year
 
2022-23
Institute's Application No:22S01262

Marks For Merit Calculation (with Additional and HE Weightage)

For Same Faculty: 446 For Other Faculty: 423.7 Total Weightage Percentage :
0 % Total Weightage Marks :
0

Personal Details
Applicant's Name:

SAKSHI GOUR Marital Status: Unmarried

(As per XII marksheet)

Father's Name:

CHHAGAN LAL GOUR Mobile No.: 9669538552
 (As per XII marksheet)

Mother's Name:

HEMLATA GOUR Religion: Hindu
 (As per XII marksheet)

आवेदक का नाम, पिता का नाम एवं माता के नाम को 12th के मार्क शीट के अनुसार ही लिखे |  

Adhar No. XXXXXXXX4269 Parents Mobile No. 9644219603

Date of Birth: 14/08/2005 Sub Category: Not Applicable

 Reg. Payment
Gender: Female Domicile: M.P.
   
(Bhopal) Status

Category: OBC Non Creamy Layer Nationality: Indian

for taking benefit of caste reservation category, certificate is mandatory at the time of counselling.(जाति आरक्षण श्रेणी का
लाभ लेने के लिए काउंसलिंग के समय प्रमाण पत्र अनिवार्य है।)

Blood Group: No E-Mail: nprgour2503@gmail.com

Address: RUNAHA, RUNAHA, BERASIA, BHOPAL, Madhya Pradesh,Pin Code - 462420

Academic Details of Class 12th or Equivalent

12th
Board MPB
  Obtained/ Total Max. Marks: 446
/
500 12th Educational Background: Rural

Passing Year:: 2022 Stream of 12th Class: Science with Mathematics Roll No of 12th: 226331150
Last Institute VIVEKANAND VIDHYA VIHAR H S SCHOOL Annual Income 60000

Preference of Faculty and Major Subject

1. Science (I) Computer Science (II) Electronics (III) Physics
2. - (I) - (II) - (III) -

Reservation
Special Class: None Physically Handicapped: No
Higher Education Employee's Ward: No Relation with HE Employee: --

Additional Weightage
Additional Weightage: No     Weightage Percentage: 0
Activity Name: -

Other Information
Registration Fee(Rs. 500)
Any Charge of Misconduct? No
Paid Amount Transaction ID Pay Date Transaction Status
Any legal or Police Case? No
500.00 22S01262RF86222146 6/8/2022 9:46:32 PM SUCCESS
Are You Employed? No

Declaration
    I am applying for UG admission in Institute for Excellence in Higher Education(IEHE), Bhopal with certification that all the information
given above are correct. I fully understand that any wrong or misleading information can lead to disciplinary actions including cancellation of
my admission.

SAKSHI GOUR

For all the updated information regarding admission 2022-23 of Institute, Please vistit regularly admission portal of our
https://iehe.ac.in/Admission/UG/UGPanel.aspx 1/2
6/8/22, 9:49 PM IEHE UG Registration Report
website www.iehe.ac.in
(संस्थान के Admission 2022-23  के बारे में सभी अद्यतन जानकारी के लिए, कृ पया नियमित रूप से हमारी वेबसाइट www.iehe.ac.in के प्रवेश पोर्टल पर
जाएं ।)

 
 
DECLARATION
I hereby declare that
1. I have thoroughly read the rules and regulations / direction / information and code of conduct as mentioned in the prospectus.
2. I will follow the rules and regulations of the institute and abide by them. I will help in maintaining the discipline and management of the
Institute. I will obey all the orders of the Institute in all matter by keeping my behavior amiable and balanced.
3. I will not participate in any such activity that damages the reputation and spoils the underlying aims and objectives of the Institute.
4. All the information that I have furnished above is completely true. I have neither hided any information nor have I given any false or doubtful
information.
5. I ensure that any attendance will not be less than 75% otherwise I may be debarred from appearing in the examination.
6. In case of violation of any declaration given above, Director is embowered to cancel my admission and may take any legal action against me.
7. I will not indulge in ragging or any other activity forbidden by the authority. In case I am found guilty of any offence therein, any disciplinary
action taken by the Institute against me will be unconditionally acceptable.
 
  SAKSHI GOUR
 
TO BE FILLED BY THE PARENT/GUARDIAN
We have read the prospectus of the Institute for the academic session 2022-23
 and hereby declare that the rules and regulations of the Institute
are acceptable to us. We also undertaken that our son/daughter/ward will abide by them, failing which we shell concur with any action taken by
the Institute authorities.

         We further declare that we are aware of the zero-tolerance policy of the Institute towards ragging. In case our ward is found guilty of any
offence therein any disciplinary action taken by the Institute against him/her will be unconditionally acceptable to us.
 
Place …………………………………………. Parent’s signature with date
 
TO BE FILLED BY THE LOCAL GUARDAIN
            I have read the prospectus of the Institute for the academic session 2022-23
 and hereby accept to be the local guardian of the applicant.
In the absence of parents/guardian, I would bear all those responsibilities that they are expected to discharge. 
 
Place___________________ Local Guardian ‘s signature with date
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