UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2022

(MBA/MTTM Programmes)
REGISTRATION ID : 20225000926
PERSONAL DETAILS
Name of Programme : MBA/MTTM
Name of Student : DIVYANSH SAHU
Father's Name : ASHOK SAHU
Mother's Name : VINITA SAHU
Date of Birth : 18/08/2002
Mobile Number : 9889519414
E-Mail ID : divyanshsahu22@gmail.com
Gender : Male
Domicile : Uttar Pradesh
Religion : Hinduism
Category : OBC Non Creamy Layer Caste Certificate Number : 361223002751 Uploaded
Annual Income of
: Between 300000 and 600000 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 : B+
ID Proof : PAN Card ID Number : LADPS4840Q
Aadhar Card No : 858775658673

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : KARHANPURA CHIRGAON Address : KARHANPURA CHIRGAON
Jhansi Jhansi
Uttar Pradesh, India, Pin Code - 284301 Uttar Pradesh, India, Pin Code - 284301
Mobile Number : 9889519414 Mobile Number : 9889519414
Alternate Mobile Number : - Alternate Mobile Number : -
Landline Number With STD Code : - Landline Number With STD Code : -

BANK DETAILS (Self)

Account Holder Name : DIVYANSH SAHU Bank Name : STATE BANK OF INDIA
Account No. : 34994799393 IFSC Code : SBIN0007831

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION

Roll Number : 5095894 Passing Year : 2017 Percentage : 60.80%

Maximum Marks : 500 Marks Obtained : 304
Examination Body of the High School or equivalent Education : C.B.S.E. Board

INTERMEDIATE OR EQUIVALENT EDUCATION

Roll Number : 5688893 Passing Year : 2019 Percentage : 66.80%

Maximum Marks : 500 Marks Obtained : 334
Examination Body of the Intermediate or equivalent Education : C.B.S.E. Board
GRADUATION OR EQUIVALENT EDUCATION

Passing Status : Appearing

Roll Number : NA Passing Year : NA Percentage : NA
Maximum Marks : NA Marks Obtained : NA
Examination Body of the Graduation or Equivalent Education : CHATRAPATI SAHU JI MAHARAJ UNIVERSITY, KANPUR
Subject-1 : Subject-2 :

FEE PAYMENT DETAILS

Amount in Rs. : 1,600.00 Transaction No. : ADM220000349118 Transaction Date : 10/06/2022

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 : 6/10/2022 Page 1 of 2

 UNIVERSITY OF LUCKNOW
Online Application Form for Admission - 2022
(MBA/MTTM Programmes)
REGISTRATION ID : 20225000926

Print Date : 6/10/2022 Page 2 of 2