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  • Atul

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    Adarsh tripathi
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    1) The student Atul Kumar Shukla has submitted an application for enrollment in the MBA program at the Chakravarti Rajgopalachari Institute of Management in Bhopal for the 2023-2024 academic year. 2) The application details include the application number, date of submission, fees paid, and payment status. 3) Personal details of the student like name, father's name, date of birth, category, address and contact details are provided. 4) Previous qualification details including the exam passed, university name, percentage, and other document numbers are listed.

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    1) The student Atul Kumar Shukla has submitted an application for enrollment in the MBA program at the Chakravarti Rajgopalachari Institute of Management in Bhopal for the 2023-2024 academic year. 2) The application details include the application number, date of submission, fees paid, and payment status. 3) Personal details of the student like name, father's name, date of birth, category, address and contact details are provided. 4) Previous qualification details including the exam passed, university name, percentage, and other document numbers are listed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    3 views2 pages

    Atul

    Uploaded by

    Adarsh tripathi
    1) The student Atul Kumar Shukla has submitted an application for enrollment in the MBA program at the Chakravarti Rajgopalachari Institute of Management in Bhopal for the 2023-2024 academic year. 2) The application details include the application number, date of submission, fees paid, and payment status. 3) Personal details of the student like name, father's name, date of birth, category, address and contact details are provided. 4) Previous qualification details including the exam passed, university name, percentage, and other document numbers are listed.

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    of 2

    14/11/2023, 22:13 about:blank

    ENROLLMENT/REGISTRATION REGULAR 2023-24

    Transaction Details
    Payment
    Transaction ID 23111400427803398499 Done on Nov 14 2023 10:13PM
    Status
    Application Application Submission
    EN23826000029 Nov 14 2023 10:08PM
    Number Date

    Application Fee 130 Late Fee 0 Portal Fee 26 GSTIN 23AAECM7539B1ZQ

    Total QR Scan to
    CGST 0.00 SGST 0.00 156.00
    Amount verify
    Application
    Application submitted successfully and sent to university for approval.
    Status

    College/Course Details
    College/UTD Name 826 -Chakravarti Rajgopalachari Institute of Management (CRIM) BHOPAL
    Course Name MBA Course Mode REGULAR
    Enrollment Not
    Enrollment Session MAY-2023 Not Genrated Roll Number
    Number Generated
    Applicant Id/ Roll No/ Application 1 Date of
    130807402041 Semester/year 19 Oct 2023
    No Semester/year Admission
    Receipt Number ctz1371073 Receipt Date 19 Oct 2023

    Student's Details
    Student Name ATUL KUMAR SHUKLA
    Father's/Husband's
    DHARM NARAYAN SHUKLA
    Name
    Mother's Name SHUSILA SHUKLA
    08 May Marital
    Date of Birth Gender Male UnMarried
    2002 Status
    Category UR Sub Category Not Applicable
    Employee Domicile
    Religion HINDU Handicapped No No No
    Ward of M.P.
    Non-
    Mobile
    Nationality Indian Resident No 96XXXXXX90 Email Id a************71@*****.com
    No
    Indian
    Address BHALUHA MAUGANJ REWA MP 486331

    Previous Qualification Details


    Exam Passed Graduate Board/University Name UnivState-APS UNIVERSITY
    Passing Year 2022 Percentage 60.00
    Barkatullah Enroll Number Not Applicable HSC(12th) Roll Number Not Applicable
    Eligibility Certificate Number Not Applicable Migration/Transfer Certificate Number AMIG2309210006

    Attachments Checked Details

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    14/11/2023, 22:13 about:blank

    Date of Birth Certificate,Marksheet Certificate,Migration/Transfer certificate,Gap Certificate

    Note
    All the information filled by us, is true and complete as per my knowledge. If any information provided by us, is found false
    or incorrect then Student will be disqualified by the University, so that Student will be responsible for the disqualification.
    Candidate must send a print copy of Paid Enrollment form to concern UTD/Department University Enroll Section with
    necessary documents, otherwise form will not be entertained.
    Student Signature HOD Signature

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