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5/31/23, 8:40 PM Application Form

DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY GORAKHPUR


(A State University estabilshed under Uttar Pradesh Univertsity Act 1973)

APPLICATION FOR UNDER GRADUATION ENTRANCE EXAMINATION : 2023

Registration Number : 230163093


Signature of the
Candidate
PERSONNEL DETAILS
Examination Appearing
Name : CHANDRAKANTI TRIPATHI Bachelor of Law (L.L.B.)
For :
Father's Name : RAJESH KUMAR TRIPATHI Gender : FEMALE
Mother's Name : SHUSHILA TRIPATHI Category : GENERAL
Date of Birth 08/09/1993 Religion : HINDU
Nationality : INDIAN Domicile : UP
State of Qualifying
Aadhar : 630519854743 UP
Examination:
Email : harshitmish12@gmail.com Eligible for EWS : No
Mobile Number : 8052102274 Annual Income : Less than 1 Lakh
Postal Address : VILLAGE KAHARAULI POST BANKATA
State : UTTAR PRADESH District : GORAKHPUR
Pin Code : 273155
PAYMENT DETAILS
Reference Number : YIC41915268181 Paid Amount : 00000800.00
Payment Mode : ONLINE Transaction Date : 31/05/2023 20:13:00
Registration Date : 31/05/2023 20:39:00
QUALIFICATION DETAILS
Passing Marks Total
Examination Status Board/University Percentage Subject/Course
Year Obt. Marks
High School or
Passed UP 2009 302 600 50.33
Equivalent
Intermediate or
Passed UP 2011 348 500 69.6 Arts
Equivalent
I hereby declare that the particulars filled are true, correct and complete to the best of my knowledge
and belief and nothing has been concealed.

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