DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY, GORAKHPUR

Online Hostel Form : 2021-22

      

FORM NO. 20210023  NEW

   
COURSE: PRE PHD.
NAME OF APPLICANT: NUPUR SINGH
FATHER'S NAME: DINESH KUMAR SINGH
MOTHER'S NAME : REENA SINGH
GENDER: FEMALE
DATE OF BIRTH: 29/06/1995
CATEGORY : GEN
NATIONALITY: INDIAN
TULSI NIWAS, H. NO. 403, KIRAN ENCLAVE, KURSI ROAD, NEAR
ADDRESS :
INTEGRAL UNIVERSITY, LUCKNOW
DISTRICT : 613
STATE: 34

PIN CODE: 226026

PHONE / MOBILE NO.: 7390048582
   
NAME OF HOSTEL: ALAKNANDA HOSTEL (FOR FEMALE ONLY)  
NAME OF FATHER/ AJAY KUMAR SINGH
WARD NO. 9, MARWATIYA NAGAR, NAGAR
LOCAL GUARDIAN: PANCHAYAT BANSGAON, POST OFFICE BANSGAON, GORAKHPUR.
   
NCC CERTIFICATE N 
NSS CERTIFICATE N Paste photograph as same
ARE YOU EX RESIDENT uploaded on portal
NO
OF THE HOSTEL
DO YOU USE ELECTRIC
YES
FAN & APPLIANCES
PERMANENT TULSI NIWAS, H.NO. 403, KIRAN ENCLAVE, KURSI ROAD, NEAR
ADDRESS INTEGRAL UNIVERSITY. LUCKNOW - 226026
   
     
  EXAM PASSING BOARD NAME /
ROLL NO MRK OBT TOT MRK PERCENT % STATUS
NAME YEAR UNIVERSITY
               
10TH T/1942/0742011 578 700 82.57 ICSE PASS
12TH
  B/9703/0642013 416 500 83.20 ISC PASS
UG 213513 2016 2629 3600 73.03 OTHER PASS
           
DECLARATION  
   
I SOLEMNLY DECLARE THAT ALL THE INFORMATION MADE ABOVE ARE TRUE TO THE BEST OF MY KNOWLEDGE AND
BELIEF. IF ANY INFORMATION IS FOUND INCORRECT, MY CANDIDATURE/ ALLOTMENT CAN BE CANCELLED.

SIGNATURE OF FATHER/ LOCAL GUARDIAN :

MOBILE NO.:
9415657545
(SIGNATURE OF THE APPLICANT)