UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2022

(Undergraduate Programmes)
REGISTRATION ID : 20221026266
PERSONAL DETAILS
Name of Programme : LL.B.(Integrated 5 Years)
Name of Student : AAYUSHI MAHAJAN
Father's Name : SANJEEV MAHAJAN

Mother's Name : PREETI MAHAJAN

Date of Birth : 02/11/2004
Mobile Number : 9758544240
E-Mail ID : sk6417769@gmail.com
Gender : Female
Domicile : Uttar Pradesh Religion : Hinduism

Category : General Caste Certificate Number : -

Annual Income of
: Below 200000.00 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 ? : Yes Blood Group : -
ID Proof : Aadhaar Card ID Number : 578932809787
Do you claim Reservation for Economically Weaker Section (EWS) ? : NO EWS Certificate No. :

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : 51, FATHEGANJ PASHCHIMI, MOHALLA MALI, Address 51, FATHEGANJ PASHCHIMI, MOHALLA
:
FATHEGANJ MALI, FATHEGANJ
Bareilly Bareilly
Uttar Pradesh, India, Pin Code - 243501 Uttar Pradesh, India, Pin Code - 243501
Mobile Number : 9758544240 Alternate Mobile Number : - Mobile Number : 9758544240 Alternate Mobile Number : -
Landline With STD Code : - Landline With STD Code : -

BANK DETAILS
Account Holder Name : SANJEEV MAHAJAN Bank Name : STATE BANK OF INDIA
Account No. : 33602905729 IFSC Code : SBIN0012753

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION
Roll Number : 6984385 Passing Year : 2020 Percentage : 68.00% Maximum Marks : 500
Marks Obtained : 340 Examination Body of the High School or equivalent Education : I.C.S.E\I.S.C. Board
INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION
Passing Status : Appearing Roll Number : Appearing/Passing Year : 2022

Maximum Marks : Appearing Marks Obtained : Appearing

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

PAYMENT DETAILS
Amount (Rs.) : 800.00 Transaction No. : ADM220000316725 Transaction Date : 26/05/2022

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 : 26/05/2022 Page 1 of 1