UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2022

(Undergraduate Professional Programmes (BCA & BBA))
REGISTRATION ID : 20226011874
PERSONAL DETAILS
Name of Programme : BBA
Name of Student : VINAYAK JAGWANI
Father's Name : DHARMENDRA JAGWANI

Mother's Name : KAVITA JAGWANI

Date of Birth : 31/05/2003
Mobile Number : 9305337522
E-Mail ID : vinayakjagwani9@gmail.com
Gender : Male
Domicile : Uttar Pradesh Religion : Hinduism

Category : General Caste Certificate Number : -

Annual Income of
: Between 300000 and 600000 Nationality : Indian
Family (in Rs.)
Sub Category : -
Weightage : - Income Certificate No. :-
Zero Fees Required : No
Is Father's Income below Rs. 2,00,000 Per Annum ? : No Blood Group : B+
ID Proof : Aadhaar Card ID Number : 716842398242
Do you claim Reservation for Economically Weaker Section (EWS) ? : NO EWS Certificate No. :

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : SECTOR K MARUTIPURAM 1 AASHIYANA Address SECTOR K MARUTIPURAM 1 AASHIYANA
:
COLONY LUCKNOW COLONY LUCKNOW
Lucknow Lucknow
Uttar Pradesh, India, Pin Code - 226012 Uttar Pradesh, India, Pin Code - 226012
Mobile Number : 9305337522 Alternate Mobile Number : 9453017557 Mobile Number : 9305337522 Alternate Mobile Number : 9453017557
Landline With STD Code : 9936519099 Landline With STD Code : 9936519099

BANK DETAILS
Account Holder Name : DHARMENDRA JAGWANI Bank Name : HDFC
Account No. : 50100103919632 IFSC Code : HDFC0001943

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION
Roll Number : 5149037 Passing Year : 2019 Percentage : 71.80% Maximum Marks : 500
Marks Obtained : 359 Examination Body of the High School or equivalent Education : C.B.S.E. Board
INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION
Passing Status : Passed Roll Number : 23690083 Appearing/Passing Year : 2022

Maximum Marks : 500 Marks Obtained : 284 Percentage : 56.80%

Examination Body of the Intermediate or equivalent Education : C.B.S.E. Board
SUBJECT-WISE MARKS OBTAINED IN INTERMEDIATE

PAYMENT DETAILS
Amount (Rs.) : 1,000.00 Transaction No. : ADM220000391383 Transaction Date : 03/08/2022

DECLARATION : All the Information entered by me in the Application Form are true to the best of my knowledge . If at any stage of the admission
process any information is found to be wrong I will be fully responsible for this and my application or candidature may be rejected.

Signature of Student

NOTE : Kindly keep the printout of the Application form with you. You have to bring the printout of the Application Form only at the
time of Counselling. Do not send any printout to the University of Lucknow by post or by hand.

Print Date : 03/08/2022 Page 1 of 1