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Payment Details

Registration
Transaction Id PAYGOV11879UG2853513416 UC23233721147991
Number
Payment
Status Success 30/05/2023
Date
Amount 200 Rs

Personal Information

Candidate Date Of
Chakshu Attar 16/01/2005
Name Birth
Blood
Gender Male AB+
Group
Marital Aadhaar
Unmarried 356518850606
Status Number
Email ID attarchakshu7@gmail.com Mobile No 9914887487
Mother's Father's MANDEEP
SAROJ RANI
Name Name KUMAR
Mother's Father's
House Wife Self Employed
Occupation Occupation

Permanent Address H NO. 44 B-8 WARD NO. 12 MAHILPUR

Permanent Permanent
Permanent Country India PUNJAB HOSHIARPUR
State District
Permanent Region Urban Permanent Pincode 146105
Correspondence Address H NO. 44 B-8 WARD NO. 12 MAHILPUR
Correspondence Correspondence
Correspondence Country India PUNJAB HOSHIARPUR
State District
Correspondence
Correspondence Region Urban 146105
Pincode
Religion Hindu Nationality Indian
Age 18
Guardian's Name (If Any) Guardian's Mobile No.
Guardian's Email Id Land Line Number
Parental Income from all
0 to 100000
Sources

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Bank Account Details

Bank Name UCO BANK Bank Account Number 23050110040454

IFSC Code UCBA0002305 Bank Branch Mahilpur

Education Qualification

Stream: Commerce with Maths

Exam Result Passing Marks Total

Univ/Board School/College Roll No. Percentage
Passed2 Status Year obtained/CGPA Marks
JNV
CHANDNI
Central Board of
CHOWK
Twelveth Secondary 13659999 Pass 2023 379 500 75.8
PHALAHI DT
Education(CBSE)
HOSHIARPUR
PB

CM Scholarship

You are eligible for CM Scholarship Scheme, do you want to avail this scholarship ? Yes
Whether you have already applied for or taking any other scholarship (State or Central
No
Scheme)?

Reservation Detail

Reservation Category SC/ST

Caste Category SC/ST
Ad-
Caste
Dharmi
Are you a Resident of Punjab OR Do you have Punjab Domicile? Yes

Additional Detail

1 Do you need a hostel? No

2 Are You Cancer/AIDS/Thalassemia Patient? No
3 Are You NRI? No
4 Need Parking? No

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5 Punjabi In Matric Yes

6 Do you reside in Border Area ? No
7 Are you a Kashmiri Migrant? No

Weightage Detail

1 Are you an NCC holder? Yes

2 Are you an NSS holder (Grade O/A ) Or (1st / 2nd position)? No

Documents Attached

Documents Action
10th View
Residence Certificate Verified By Esewa
SC Certificate Verified By Esewa
Income Certificate View
NCC Certificate View

Choice of Course Preferences

Preference
College Name Course Name Subjects
No.
1 Govt. College Hoshiarpur B Com (Regular)
Sri Guru Gobind Singh Khalsa College, Mahilpur, B Com (Self
2
Hoshiarpur Financed)

Student Signature

Declaration

I declare that I have gone through the provisions of UGC Regulations on Curbing the Menace of
Ragging in Higher Educational Institutions, 2009 and Punjab Educational Institutions (Prohibition of
1.
Ragging) Bill, 2013. I undertake that I will adhere to all the provisions mentioned therein and will not
indulge in any behavior or act that may be constituted as ragging under law.
2. I shall abide by all the rules and regulations of UGC/State Government/University/College in the matter.

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I shall be held responsible for the consequences if the information/original scanned documents provided
3. by me are found to be fictitious/bogus at any stage and I understand that my registration/admission shall
stand cancelled without any prior notice to me.
I submit that no criminal case is either pending or decided against me in any competent court of law in
4.
India.
I, Chakshu Attar certify that I agree to pay a non refundable registration fee of Rs 200 for admissions.
Further I submit that I will not raise any request of refund/charge back for this payment in future.

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