UNIVERSITY OF LUCKNOW Online Application Form for Admission - 2023 SS (Undergraduate Professional Programmes (BA LLB)) LURN : LU2300052766 REGISTRATION ID : 20236718167 rl PERSONAL DETAILS Name of Programme: BALLB Name of Student KUMAR NILESH Father's Name MRITUNJAY KUMAR SHAH! Mother's Name RANJUKALA DEVI Date of ith znsi1999 Mobile Number Torososone E-Mail iD NILESHSHAMI7070@gmalLcom cones Male Domicile omer Religion Hinduism (SC/ST and OBC category candidates of outside UP will be treated as General for Counselling Purpose.) Category General Caste Certificate Number ‘Annual Income of» eiow 120000.00 ational cian Family (in Rs.) Nationality ' Sub Catagory a Weightage - Income Certificate No. : Zero Fees Required —: No leathers income below Rs, 120,000 Per Annum? :YES Blood Group e+ 1D Proot Aadnaat Card 1D Number 421202278174 ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS Address: BELTHARI GOPALGANIBINAR lAcaross BELTHARI GOPALGANJ BIKAR Gopatgen Gopalgenj Bihar, India, Pn Code - 841509 Bihar, India, Pin Code - 841608 Mobile Number :7070404082 Alternate Mobile Number Mobile Number : 7070404082 Alemate Mobile Number :- taneline With STD Code = ~ Landline With STD Code [___ EDUCATIONAL QUALIFICATION HIGH SCHOOL OR EQUIVALENT EDUCATION Roll Number + 1400082 Passing Year :20%4 aximum Marks: 600 Marks Obtained. : 310 Examination Body ofthe High Schoo! or Equivalent Education BIHAR Boar INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION Passing Status: Passed Roll Number: 10078 ‘AppearingPassing Year + 2016 Maximum Marks: 500 Marks Obtained. :301 Examination Body of the Intermediate or Equivalent Education BAR Board q FEE PAYMENT DETAILS ‘Amount (Ins): 14,030.00 ‘ransaction No. : ADM220000756958 Transaction Date: 16/10:2029 DECLARATION | hereby decere al al tw IWometon bong provded by nah be Applicaton Fom ae tos ant cored jo dw bet of hy Weonfesget undesane that" aarp stage of the" Aaason process. anya the pred miamaton Te found t2 be wong’ or ied I wil De "Soi held reponse lor and my applcaon or candidature shal be ble fr rejection, Signature of Student NOTE : kingly keep the printout of the Application form with you, You have to bring the printout of the Application Form only at the time of Counseling. Bo not send any printout othe Unwverety of Lucknow by pos or by hand Print Date : 16/10/2023 Page 1 of 1