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APPROVED REJECTED
1 Registration lD MBA-7098
2 Received for Verification on (Date) 30-04-2022
3 Name of the Applicant ANJALI
4 Father's Name SHRI Amlesh Kumar Singh
5 Name of the lnstitute ln full SCHOOL OF MANAGEMENT SCIENCES

6 Course Applied for Master of Business Administration (MBA) Course

7 Name of the Gompetent Authority recognizing the Course * Dr. A.P.J. AKTa, Lucknow
I Roll No.(lf available)/Admission Offer No. MBA7098.
I Name of the University in full Dr. APJ Abdul Kalam Technical Universily, Lucknow
. AICTE, Govl. of India, New Delhi
10 University/lnstitute Recognized by (Name of Regulating Agency)
11 lnstitute Affiliated since (Date) * 30-06-2013
* 30-06-2022 (Session 2021 -22)
12 Validity of Affiliation up to (Date)
13 Certificate no. Of Affiliation Provided by the lnstitute * F.No. Northem/ I -93 I 8 I 46378 12021 IEO A

14 Full Address & Contact details (Landline/Mobile/Email) of the lnstitute Khushipur, Po-Bachhaon, Varanasi, Ph. - 7052055555

15 Name/Designation/Contact Details of Contact Person of the lnstitute * Shri Sanjay Gupta, Registrar, Ph. - 7052055555

16 Stateand District of the lnstitute Uttar Pradesh Varanasi


(Bt.
17 Category of City ln which lnstitute is situated (A/B/C)
18 Duration/session of the Course 2 Years (fullaime) Course

19 Course Start Date July,2022


* Firsl Semesler (First Year)
20 Present Year/Semester of the Applicant
*
21 Fees Charged (Year wise/Semester wise) Rs. 7 2,0 0 0/- Semester-ll'is e
*
22 Expected Payment Date of the Fees to the lnstitute 3Uh June and 31il December every year

23 Whetherthe applicant resides/or intends to reside in the institute's Hostel* - NO


24 Candidate Admitted in the lnstitute via Management Quota Entrance Exam or other medium
25 Bank Account Details of the Institute for receiving Fees
Type of Fees Name of Bank Account Holder * Account No. " IFSC Code* Bank Name & Branch *
Tution fees School of Management Sciences, 369s002101000s99 PaN80369500 Punjab National Bunk
Hostelfees Varsnssi Lahurabir Branch,
Mess fees Vuranasi
Any other
26 Whether Fees required by the lnstitute through DD, Furnish details School of Management Sciences, Varunasi
Note :The above serial no - 25 is mandatory, in case the institute requires different type of fees namely Tuition Fees,
Hostel Fees, Mess Fees,etc. in more than one account.lf the institute requires all types of fees namely Tuition Fees, Hostel
Fees, Mess Fees etc. in only one account, then only single account details of the institute is to be furnished
Signature of the Authorized Contact Person of the lnstitute Shri Sanjay Gupta, Registrar

CERTIFICATE OF TPVA
I have verified the above mentioned particulars with respect to the applicant and on the basis of this
applicant's case for sanction of Education Loan by BSEFCL under Bihar Student Credit Card Scheme is
RECOMMEN DED/NOT RECOMMENDED (Reasons therefor)
Remarks,if any -

Signature of the verifying TPVA Representative


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Tp wHoM IT M*Y r0llcs3N

This is tn Amlesh
has provisionallY takerT
Year (Full-Tinre) Masters in
30?4 Batch) in our Institute, which approved by
Council for Techni*a} Educntion, Ministry of Edusatlon, Covt. *f
h'rdia, New Delhi and afTiliated to Dr. A.P"J' AMul Kalam Technical

Further, the Bank Account details of the Institute is as following:


Bank Name - Punjab National Bank
A*i:ountNo. - 3695SS21CI100S59P
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IFSC Code - PUNB035e500


Branch - lMA Buildirrg, Lahnrabir, Yara*asl'
Institute's H,mait ID

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