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Printed At: 29/11/2023 01:24 PM

M
DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA
डॉ. भीमराव अम्बेडकर विश्वविद्यालय, आगरा
Application Form

Migration
Application
1032023409144 Dated 29/11/2023
No.
Father's
Name Ayush pathak Praveen pathak
Name
Course B.A.(ALL)
Session 2021-22 Passing Year 2022
Enrollment
A-19025028 Roll No. 2000130011081
No.
D.O.B. 29/12/2003 Old Appl. No.
Mobile 8273644441 Email ayushpathak638@gmail.com
Address Chitragupt colony bangaon road etah
Remarks For admission in another university

M
DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA
डॉ. भीमराव अम्बेडकर विश्वविद्यालय, आगरा
e-Payment Receipt

Migration
Application
1032023409144 Dated 29/11/2023
No.
Father's
Name Ayush pathak Praveen pathak
Name
Course B.A.(ALL) D.O.B. 29/12/2003
Amount Paid 150 Payment Date 29/11/2023
Reference Transaction
1032023409144002 510852911230115358
No. Id
(For office use only)

Signature

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