APPLICATION FORM

APPLICATION NO:
JU23036321

Discline: UNDER GRADUATE (UG) Programme: SCIENCES Specialisation : B.SC. (HONS.) FORENSIC SCIENCE 4 YEAR

Personal Details
Name KARTIKEY GODRA
Date of Birth 14/04/2005
Email Address KARTIKEYGODRA@GMAIL.COM Mobile Number +91-6377581135
Blood Group A+ Gender MALE
Nationality INDIAN Category SC
Religion HINDU Aaadhar Number 258315458753
Are You Differently Abled ? NO Nature Of Deformity
Do You Belong To Minority
NO Minority Type
Community?

Passport Details
Passport Number Country
Place Of Issue Date Of Issue
Date Of Expiry

Parent's Details
Father Details Mother Details
Title MR MRS
Name SANTOSH KUMAR GODRA TARAWATI
Email Address SANTOSHKGODARA@GMAIL.COM
Mobile +91-9413764924 +91-6350462236
Occupation GOVERNMENT SECTOR HOMEMAKER
Desigination ASSISTANT STAFF
Annual Income 5-10 LACS

Financial Assistance
Do You Wish To Avail Fee Loan At No Cost EMI: NO
Father's Pan Card No Father's Adhaar No.
Mother's Pan Card No Mother's Adhaar No.

Correspondence Address (Where Certificates And Other Material Will Be Sent)

Is permanent address same as address for communication? : YES
Correspondence Permanent
Country INDIA INDIA
State / UT RAJASTHAN RAJASTHAN
District JAIPUR JAIPUR
City JAIPUR JAIPUR
161/38 PRATAP NAGAR SECTOR 16 SANGANER 161/38 PRATAP NAGAR SECTOR 16
Address Line 1
JAIPUR SANGANER JAIPUR
Address Line 2
Pin Code: 302033 302033
 School Details
10th 12th
Institute Name SAINT SOLDIER PUBLIC SCHOOL SAINT SOLDIER PUBLIC SCHOOL
SECTOR 8 PRATAP NAGAR SANGANER , SECTOR 8 PRATAP NAGAR SANGANER ,
Address
JAIPUR , RAJASTHAN JAIPUR , RAJASTHAN
Roll/Registration No 11194406 11668088
Board CBSE CBSE
Stream - SCIENCE
Year of passing 2021 2023
Marking Scheme PERCENTAGE PERCENTAGE
Obtained Percentage or CGPA 63.2 64
Upload Your Pass Certificate YES YES

College Details
Graduation
Institute Name
University
Roll/Registration No
Major Stream
Current Graduation Status
Year Of Passing
Marking Scheme
Obtained Percentage/CGPA/Grade
Upload Transcript NO

Declaration
I certify that the information submitted by me in support of this application is true to the best of knowledge and belief. I understand that in the
event of any information being found false or incorrect, my admission is liable to be rejected / cancelled at any stage of the programme . I
undertake to abide by the disciplinary rules and regulations of the Institute. I also understand the Eligibility Criteria for opted Programme
and its Specialization in the above filled application form.

Applicant Name Parent Name Date

KARTIKEY GODRA SANTOSH KUMAR GODRA 26/06/2023