Receipt - Enrollment/Registration

: MAY-2021
PRIVATE

Transaction Details
Application Status:
Application is pending for Payment.
 
Application Number: EN210036632
(Please carefully note your application No for future reference.)
Payment Mode: -NA- Channel Id: -NA-
Transaction Id: -NA- Payment Status: NOT DONE
Application Fee(Rs.):
100 Portal Fee(Rs.):
40
Late Fee(Rs.):
200 GST Tax :
0
Total(Rs.):
340

College & Course Details

HE-Applicant ID*
Priv-MAY-2021 Enroll Year*
MAY-2021
College Name :[G303
] GOVT ADARSH SCIENCE COLLEGE, GWALIOR, GWALIOR Program Name :[BSC]
 B.Sc.
Course Group/Branch Name : [C172]
Mathematics - Geology - Physics Admission Type
PRIVATE

Personal Details
Full Name AMIT KUMAR PANDEY

Father's Name JAWAHAR LAL PANDEY

Mother's Name SUSHILA DEVI

Date of Birth 14/01/1999

(DATE FORMAT: DD/MM/YYYY)

Gender MALE

Marital Status UNMARRIED Husband's Name

Category UR Sub-Category
Nationality INDIAN
          M.P.Domicile :Yes Religion HINDU
Correspondence Address CHITARWAI KHURD, KHUTAR, MADA, SINGRAULI, MADHYA PRADESH - 486886
Permanent Address CHITARWAI KHURD, KHUTAR, MADA, SINGRAULI, MADHYA PRADESH - 486886

Other Details
Phone No:  
- Mobile Number:  
******2805 Email Id:********35@gmail.com

Previous Education Details

Exam Passed: HSSC University/ Board: MPBSE
Passing Year: 2014 Percentage: 51.5
Eligibility/Migration/ Transfer Certificate No.: Previous Roll No 143725864

Enclosures
Eligibility certificate? :No Migration certificate? :No Proof for DOB?
:Yes Marksheet?
:Yes Gap Certificate?
:No Transfer Certificate?
:No

Declaration

Note: I,hereby declare that the information filled by me is true and complete as per my knowledge. If any information provided by me is found false or
incorrect then I shall be disqualified by the University.

Important Notice

(1) स्वाध्यायी (Private) 1SEM छात्र ऑनलाइन नामांकन (इसके साथ Application No. जेनेरे ट होगा) एवं परीक्षा फॉर्म (Application No. से ही भरे जायेंगे) भरने एवं भुगतान करने
के पश्चात् ही प्रिंट लेवें। दोनों फ़ॉर्म की एक प्रतिलिपि सम्बंधित महाविद्यालय में सभी आवश्यक दस्तावेजों के साथ अवश्यरूप से जमा करें । दस्तावेज जमा करने के पश्चात ही
विश्वविद्यालय द्वारा नामांकन संख्या (Enroll Number) जारी किया जायेगा, अन्यथा छात्र 2SEM ऑनलाइन परीक्षा फॉर्म भर नहीं पॉएं गे जिसके लिए छात्र स्वयं जिम्मेदार होंगे। (2)
ऑनलाइन फॉर्म मान्य तब होता है जब इसका ऑनलाइन भुगतान किया गया हो, जिसमें Application /Temp. Enroll No., Transaction Id, Payment Date, Payment status,
Amount, QR Code आदि का विवरण स्पष्ट रूप से हो, अन्यथा फॉर्म स्वतः निरस्त हो जायेगा।