INDIRA GANDHI KRISHI VISHWAVIDYALAYA, RAIPUR (C.G.

)
ONLINE COUNSELING APPLICATION FORM FOR ADMISSION IN
UG PROGRAMME [B.Sc.Ag.(Hons.) / B.Sc.Hort.(Hons.) / B.Sc.Forestry (Hons.)]
ACADEMIC SESSION 2022-23

GENERAL DETAILS
Roll No. : 11021259 Registration No. : 202211425 Degree Program Type : UG
Overall Rank : 30557 Category Rank 9112
PERSONAL DETAILS
Candidate Name : Ms. JULEE EKKA / ĝIJŵıÿIJĕıðſĭ
Father's Name : BACHHRAI / ďĭþēĭĒ
Mother's Name : BINA EKKA / Įďċĭðſĭ
Gurdian's Name : BACHHRAI
Husband Name : NA
Father's Occupation : Krishak

Gender : Female

Date of Birth : 12/04/2003 Age : 19 Years 4 Months 19 days (as on 31-08-2022)

Category : ST Nationality : Indian

Special category : NA Class : [F],[X]

Family Fanancial Status : APL (Above Poverty Line)

ADDRESS DETAILS
Correspondence Address : Chidapara vill Chidapara post pent pratapgarh Sitapur surguja , ,MAINPAT ,SURGUJA ,CHHATTISGARH ,497114,Area-
Rural
Permanent Address : Chidapara vill Chidapara post pent pratapgarh Sitapur surguja , ,MAINPAT ,SURGUJA ,CHHATTISGARH
,497114,Area-Rural
Mobile No. : 7999720771 E-Mail ID : starstarsukomalekka@gmail.com

Mobile No. (alternate) : NA Aadhaar Number : NA

Type of Phone You Are Using? : Smart Phone

BANK ACCOUNT DETAILS FOR FEE REFUND (in case of multiple payment)
Account Number 3938722599 Payee Name SUKOMAL EKKA

Bank Name CENTRAL BANK OF INDIA Branch Code 497111

Branch Name Sitapur IFSC Code CBIN0281208

ACADEMIC DETAILS
SNo Name of Name of Board / Year of Total Total Calculated Grade Subject / Roll No
Examinatio University Passing Obtained Maximum Percentage Group /UE ID
n Marks Marks

1 HSC (10th) CG Board ( CG 2019 369 600 61.50 1197505500

Board )
2 HSSC (12th) CG Board 2021 406 500 81.20 Biology 2213511585
HSSC(12th) SCHOOL DETAILS
12th School Medium- : Hindi Medium 12th School Type- : Private

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COLLEGE PREFERENCE DETAILS
Preference Name of College College Degree Program Admission Quota
No Type
1 College of Agriculture, Raipur Govt B.Sc.Ag.(Hons.) Open Seat
2 SG College of Agriculture & Res. Stn., Jagdalpur Govt B.Sc.Ag.(Hons.) Open Seat
3 College of Agriculture & Res. Stn., Marra, Patan Govt B.Sc.Ag.(Hons.) Open Seat
4 College of Agriculture, Lormi, Mungeli (Campus College- Govt B.Sc.Ag.(Hons.) Open Seat
BRSM College of Agril. Engg. and Tech. & RS, Mungeli )
5 SKS College of Agriculture & Res. Stn., Rajnandgaon Govt B.Sc.Ag.(Hons.) Open Seat
6 BTC College Of Agriculture and Research Station,Bilaspur Govt B.Sc.Ag.(Hons.) Open Seat
7 RMD College of Agriculture & Res. Stn., Ambikapur Govt B.Sc.Ag.(Hons.) Open Seat
8 College of Agriculture & Res. Stn., Raigarh Govt B.Sc.Ag.(Hons.) Open Seat
9 College of Agriculture & Res. Stn., Jashpur Govt B.Sc.Ag.(Hons.) Open Seat
10 College of Agriculture & Res. Stn., Chhuikhadan Govt B.Sc.Ag.(Hons.) Open Seat
11 College of Agriculture & Res. Stn., Korea Govt B.Sc.Ag.(Hons.) Open Seat
12 College of Agriculture & Res. Stn., Kanker Govt B.Sc.Ag.(Hons.) Open Seat
13 SK College of Agriculture & Res. Stn., Kawardha Govt B.Sc.Ag.(Hons.) Open Seat
14 College of Agriculture & Res. Stn., Korba Govt B.Sc.Ag.(Hons.) Open Seat
15 College of Agriculture & Res. Stn., Gariaband Govt B.Sc.Ag.(Hons.) Open Seat
16 DKS College of Agriculture & Res. Stn., Bhatapara Govt B.Sc.Ag.(Hons.) Open Seat
17 College of Agriculture & Res. Stn., Mahasamund Govt B.Sc.Ag.(Hons.) Open Seat
18 College of Agriculture & Res. Stn., Janjgir-Champa Govt B.Sc.Ag.(Hons.) Open Seat
19 College of Agriculture & Res. Stn., Bemetara Govt B.Sc.Ag.(Hons.) Open Seat
20 College of Agriculture & Res. Stn., Saja, Bemetara Govt B.Sc.Ag.(Hons.) Open Seat
21 College of Agriculture & Res. Stn., Kurud Govt B.Sc.Ag.(Hons.) Open Seat
22 College of Horticulture & Res. Stn., Jagdalpur Govt B.Sc.Hort.(Hons.) Open Seat
23 College of Horticulture, Arjunda, Balod (Campus College- Govt B.Sc.Hort.(Hons.) Open Seat
Kishorilal Shukla College of Horticulture & Res. Stn.,
Rajnandgaon )
24 Kishorilal Shukla College of Horticulture & Res. Stn., Govt B.Sc.Hort.(Hons.) Open Seat
Rajnandgaon
25 College of Agriculture & Res. Stn., Narayanpur Govt B.Sc.Ag.(Hons.) Open Seat
26 College of Forestry, Sankra Patan Govt B.Sc.Forestry Open Seat
(Hons.)
27 College of Horticulture, Dhamtari (Campus College- College Govt B.Sc.Hort.(Hons.) Open Seat
of Agriculture & Res. Stn., Kurud )
28 College of Horticulture, Jashpur (Campus College- College Govt B.Sc.Hort.(Hons.) Open Seat
of Agriculture & Res. Stn., Jashpur )
29 College of Horticulture, Saja, Bemetara (Campus College- Govt B.Sc.Hort.(Hons.) Open Seat
College of Agriculture & Res. Stn., Saja, Bemetara )
30 College of Horticulture, Sankara patan Govt B.Sc.Hort.(Hons.) Open Seat
31 College of Horticulture, Gaurela-Pendra-Marwahi Govt B.Sc.Hort.(Hons.) Open Seat
32 Danteshwari College of Horticulture, Raipur Private B.Sc.Hort.(Hons.) Open Seat
33 MDS College of Agriculture, Ambikapur Private B.Sc.Ag.(Hons.) Open Seat
34 College of Agriculture, Raigarh Private B.Sc.Ag.(Hons.) Open Seat
35 Bhartiya College of Agriculture, Durg Private B.Sc.Ag.(Hons.) Open Seat
36 Chhattisgarh College of Agriculture, Bhilai, Durg Private B.Sc.Ag.(Hons.) Open Seat
37 Mahamaya College of Agriculture, Dhamtari Private B.Sc.Ag.(Hons.) Open Seat
38 Bhoramdeo College of Agriculture , Kawardha Private B.Sc.Ag.(Hons.) Open Seat
39 College of Agriculture, Dantewada Private B.Sc.Ag.(Hons.) Open Seat
40 Shriram College of Agriculture, Rajnandgaon Private B.Sc.Ag.(Hons.) Open Seat
41 Ramnivas Sharda College of Agriculture,Ambagarh Private B.Sc.Ag.(Hons.) Open Seat
Chowki,Rajnandgaon
42 Gayatri College of Horticulture, Dhamtari Private B.Sc.Hort.(Hons.) Open Seat
43 K.L. College of Horticulture, Dhamtari Private B.Sc.Hort.(Hons.) Open Seat
44 Rani Durgawati College of Horticulture, Pendra Road Private B.Sc.Hort.(Hons.) Open Seat

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DOCUMENT DETAILS
Note:- The following uploaded documents are to be submitted at the time of document verification

S.No. Document Name Document related question Uploaded File Preview (if JPG file uploaded)
1 10th Marksheet Uploaded

2 10+2 Marksheet Uploaded

3 PAT/PET Marksheet Uploaded

4 CG Domicile Certificate Uploaded

5 Permanent Caste Certificate Uploaded

6 Freedom Fighters Certificate Are you ward of Freedom Fighter? - Not uploaded
No

7 Krishak Certificate Are you ward of Krishak? - No Not uploaded

8 Weaker Schedule Tribe Do you belong to Weaker Schedule Not uploaded

Tribe i.e.
Abujhmadiya/Baiga/Birhor/Kamaar/Pa
hadi Korwa?/ ƐĭçčēĭǛĝēøĭēȪĭēĭ
æĮĊĝijĮýćæċIJĝijĮýćÿċÿĭĮćøıèċ
øđÿļēÿċÿĭĮćĒļøĸæŃćúŊćçćĸĞĹ
‡æďIJĀđĭĮģĒĭŽďĹúĭŽĮďēĞļēŽøđĭēŽčĞĭģı
øļēęĭˆ…§No

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 9 Naxal Affected Certificate Are you ward of Naxal Affected? - No Not uploaded

10 Ex Serviceman Certificate Are you ward of Ex Serviceman? - No Not uploaded

11 Physically Handicapped Certificate Are you a PH Person? - No Not uploaded

12 NOC for In-service Candidate of Are you Inservice Candidate of Not uploaded
Agriculture Department
Agriculture Department? - No

DECLARATION

1. I, hereby, declare that, the entries made by me in the Application Form are complete and correct to the best of my knowledge and records.
2. I, hereby, undertake to present the original documents immediately upon demand by the concerned authorities of the Institute.
3. I, further declare that, my admission may be cancelled, at any stage, if I found not eligible and/or the informations provided by me are found incorrect.
4. I, further declare that, I will regularly visit website for updates as all updates will only be available in website.

JULEE EKKA
Date : 26-Jul-2022

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