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Application for SCHOOL : For Class IX

SESSION-2024
Application Id:
BHU0229422102

1. Personal Information:
Name: PRASHANT MAURYA Date of Birth: 19 February 2010
Registered Mobile No. : 9935729894 Registered Email Id : Prashant.2412020831@gm
Gender: Male Category : OBC-NCL
Physically Challenged: No NCC Certificate: No
Father's Name: Ram Singh Maurya Mother's Name: Saroja Maurya
BHU Employee Ward: No Employee Id: N/A

2. Permanent Address:
Address Line 1: Village Gorai Post Gorai District Varanasi , Gorai, Varanasi
PIN Code: 221307 State: Uttar Pradesh
Alternate Mobile No: 9935729894

3. Communication Address:
Address Line 1: Village Gorai Post Gorai District Varanasi , Gorai, Varanasi
PIN Code: 221307 State: Uttar Pradesh
Alternate Mobile No: 9935729894

4. Bank Details:
Bank Name: State Bank Of India Branch Name: Lohta
Bank A/C No: 32561720580 Bank IFSC Code: SBIN0015
Account Holder Name: RAM SINGH MAURYA

5. Payment Details:
Order ID: order_Nf2aWBkUhP0N7j Payment Date Time: 25-02-2024 01:38 PM
Amount: 800 Payment ID: pay_Nf2atpQHEBJLZK

Declaration/ Undertaking by the Candidate:

I hereby declare that all the particulars given in this application form by me are true and no fact has been suppressed or tempered. I have read th
bulletin for the School Admission 2024 and the terms and conditions given therein and satisfied myself that I fulfill all the admission eligibility req
any information furnished by me is found wrong, my candidature for the admission test be cancelled outright without giving any opportunity and
disciplinary action be also taken against me.

Countersigned by the Parent/ Guardian : Full Signature of the candidate :

Date: 25-02-2024, Application Last Edited on: 25-02-2024 13:36:53

Printed on : 25-02-2024 01:38 PM