Application No.

: 90546055 ALIGARH MUSLIM UNIVERSITY

Session : 2023-24 GENERAL
Application Form for admission to
B.Sc. Nursing
Faculty of Medicine

Receivable No.: 1077017, Date: 15-03-2023 14:19:11, Amount: 700.00 Nationality: India
Preference for Test Centres:
1. Aligarh (U.P.)
Personal Details:
Name: ZEBA SADAF Date of Birth: 06 September, 2004
Father's Name: AGHA ANWER Gender: MALE
Mother's Name: GULSHAN ARA Religion: Islam
Details of Qualifying Examination: Status & Special Categories:
Examination: PCB Status: EXTERNAL
Roll No.: 22644381 Enrolment No.:
Year of Passing/Appearing: 2022 Hall:
Board/Univ.: Central Board of Secondary Special Categories:
Education, Delhi Phone 1: 9304524356 Phone 2: 9931277485
Percentage: 80.6%% Email: asadanwerst@gmail.com
Remark (if any).: Is hostel accommodation required? YES#
Name of the Examination Board/University Year Roll No. % of Marks
PCB Central Board of Secondary Education, Delhi 2022 22644381 80.6%
MATRICULLAM Central Board of Secondary Education, Delhi 2020 22223669 85.4%
Address for Correspondence Permanent Address
01, DAS TOLA, MADHOPARA 01, DAS TOLA, MADHOPARA
MADHOPARA, PURNEA, PURNEA MADHOPARA, PURNEA, PURNEA
Bihar, 854301, India Bihar, 854301, India

DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic Council & other
appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions & Supplements applicable for this
course and solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief and if at any time, the entries are
found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me.
# Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel

Application No. 90546055/NRBDA

For office use (Procotor's Office) For office use (DSW's Office)

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