UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2023

(PG Programme)
REGISTRATION ID : 20232032398
PERSONAL DETAILS
Name of Programme : M.Com (Commerce)
Name of Student : ANSHUL VERMA
Father's Name : RAKESH KUMAR VERMA
Mother's Name : USHA VERMA
Date of Birth : 13/07/2004
Mobile Number : 7275784519
E-Mail ID : vermaanshul4567@gmail.com
Gender : Male
Domicile : Uttar Pradesh Religion : Hinduism
Category : SC Caste Certificate Number : 273184019084 Certificate Uploaded
Annual Income of
: Below 200000.00 Nationality : Indian
Family (in Rs.)
Sub Category : -
Weightage : -
Zero Fees Required : No Income Certificate No. :
Is Father's Income below Rs. 2,00,000 Per Annum : Yes Blood Group : O+
ID Proof : Aadhaar Card ID Number : 741928675655
Aadhaar Card No : 741928675655

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : PLOT NO 13 KHASRA NUMBER-42 MUNNI Address : PLOT NO 13 KHASRA NUMBER-42
VIHAR SARIPURA ROAD ALAMNAGAR MUNNI VIHAR SARIPURA ROAD
LUCKNOW ALAMNAGAR LUCKNOW
Lucknow Lucknow
Uttar Pradesh, India, Pincode - 226017 Uttar Pradesh, India ,Pincode - 226017
Mobile Number :7275784519 Alternate Mobile Number : 9956554582 Mobile Number : 7275784519 Alternate Mobile Number : 9956554582
Landline Number with STD Code :- Landline Number with STD Code :-

BANK DETAILS (Self)

Account Holder Name : ANSHUL VERMA Bank Name : Kotak Mahindra Bank
Account No. : 2546736351 IFSC Code : KKBK0005205

EDUCATIONAL QUALIFICATION
High School or Equivalent Qualification
Roll Number : 5136867 Passing Year : 2018 Percentage : 64.00%
Maximum Marks : 600 Marks Obtained : 384
Examination Body of the High School or Equivalent Education : C.B.S.E. Board

Intermediate or Equivalent Qualification

Roll Number : 23868228 Passing Year : 2020 Percentage : 86.60%
Maximum Marks : 500 Marks Obtained : 433
Examination Body of the Intermediate or Equivalent Education : C.B.S.E. Board
Graduation or Equivalent Qualification
Passing Status Appearing Roll Number NA Passing Year NA
Maximum Marks NA Marks Obtained NA Percentage NA
Examination Body University of Lucknow Graduation Degree B.Com.(Hons)
Subject-1 GST IN INDIA Subject-2 BUSINESS POLICY

FEE PAYMENT DETAILS

Amount (In Rs) : 500.00 Transaction No. : ADM220000768391 Transaction Date : 17/07/2023

DECLARATION : I hereby declare that all the Information being provided by me in the Application Form are true and correct to the best
of my knowledge. I understand that if at any stage of the Admission process any of the provided information is found to be wrong or
incorrect I will be solely held responsible for it and my application or candidature shall be liable for rejection.

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 : 17/07/2023 Page 1 of 1