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ADMISSIONS 2022
APPLICATION FORM

Personal details
Registration number 140298

Course name B.Tech


Name of the applicant DHRUV LAXMAN AHUJA
Gender Male
Date of birth 17-Jun-2003

Blood group AB-Positive


Nationality Indian

Religion Hindu
Category GENERAL
Caste Lohana
Mother tongue Sindhi
Citizenship Indian

Family size Self +


3
Place of birth Ahmedabad
Handicapped No
Phone no -77000058
Mobile no 9277000058
Email ID DHRUVLALAHUJA@GMAIL.COM

Details of address Permanent address Communication details


Parent/Guardian's name LAXMAN AHUJA LAXMAN AHUJA
E-403 Lilamani Rivervalley One Near E-403 Lilamani Rivervalley One Near
Address Ranmukteshwar Temple Near Shukan Ranmukteshwar Temple Near Shukan
Residency Residency
City Ahmedabad Ahmedabad
State Gujarat Gujarat
Pincode 382475 382475

Details of parents Father Mother


Name LAXMAN AHUJA HARSHA AHUJA
Qualification B.E. Chemical Engineering B.A. History
Occupation Business House Maker

Designation Business Proprietor


Employer details
Annual income 500000
Alumnus of PES No No
Details of qualifying examination
Last institute studied name    Puna International School
Last institute studied Address Shree swaminarayan Gurukul, Chandkheda, Shre swaminarayan mandir, gurukul,
zundal road

City : Gandhinagar,  State : Gujarat,  Pincode : 382424

Last institute left (on or expected) 2022 Qualifying examination 12th CBSE

Details of branch
Branch being sought Preference  1 :  Artificial Intelligence & Machine Learning
Preference  2 :  Computer Science Engineering
Preference  3 :  Electronics & Communications Engineering

Test centre preferences


1.  Ahmedabad     2.  Jaipur     3.  Kota

Other details
Residence Non Karnataka Resident (NKR)
Admission through PESSAT
Payment type online payment

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