Note:-:- All information which is given by you, should be correct.

If any discrepancy found then form will be rejected by department.You can not able any claim on the
Registraion No:- WRN202300185006 Academic Session:- 2023-24
university regarding this in future.   
चेतावनी:-:- आपके द्वारा दी गई सभी जानकारी सही होनी चाहिए। यदि कोई विसंगति पाई जाती है तो विभाग द्वारा फॉर्म को अस्वीकार कर दिया जाएगा। इसे लेकर आप भविष्य में यूनिवर्सिटी पर कोई
दावा नहीं कर सकते।

DIRECT ADMISSION APPLICATION FORM - 2023-24

Form Category Admission Final Submit Date 07-08-2023 16:36:43

Transaction ID 07082023163321325135 Transaction Date 07-08-2023 16:33:21

Transaction Amount 300 Print Time 13-12-2023 14:16:52

Counselling/Application Number

Mode of Admission DIRECT

Registration No WRN202300185006

Full Name JIGNESH GUPTA

Hindi Name जिग्नेश गुप्ता

Father Name SANTOSH GUPTA

Mother Name RUBY GUPTA Photo

Date of Birth 2004-06-02

Mobile Number 8381888066

Email ID JIGNESHGUPTA0077@GMAIL.COM

High School Roll Number 23194199 Signature

High School Year 2021

High School Board CENTRAL BOARD OF SECONDARY EDUCATION

Gender MALE

Aadhar Number 673407724363

Category OBC

Do you want to apply for EWS reservation?

Religion Hindu Minority -

Physical Disability NO Type of Disability

Address Details

Communication Address Permanent Address

Address 59/33 BIRHANA ROAD KANPUR, Uttar Pradesh, Kanpur Address 59/33 BIRHANA ROAD KANPUR, Uttar Pradesh, Kanpur
Nagar Nagar

Pincode 208001 Pincode 208001

Qualification Educational Details

10th :: CENTRAL BOARD OF SECONDARY EDUCATION

Exam Status PASSED Year of qualify exam 2021

Roll No of Qualify Exam 23194199 Marks 500/314

10+2 (Intermediate) :: CENTRAL BOARD OF SECONDARY EDUCATION

Exam Status PASSED Year of qualify exam 2023

Roll No of Qualify Exam 23681505 Marks 500/263

Applied College for Course Wise

S.No Institute Course Branch IsUniversityCampus? IsAllowedLiteral

1 KN03 - D.A.V. COLLEGE,CIVIL LINES, KANPUR BCOM - BACHELOR OF COMMERCE CM - COMMERCE OffCampus NO

Terms & Conditions

I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application
proves to be false or incorrect, I shall be responsible for the consequences.

It is my sole responsibility to go through the Guidelines and check my eligibility. The eligibility will be verified by the University at the time of Counselling/Admission and if
Registraion
found incorrect, I will not get admission No:-
to the course. WRN202300185006 Academic Session:- 2023-24   
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