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Vikramajit Singh Sanatan Dharma College MCOM- 2

Nawabganj, Kanpur GENERAL
ONLINE APPLICATION FOR SESSION : 2023-24

URN Number 1622294872 Application Number 23246460

Course MCOM Submission Date 2023-09-22 17:28:54

Name GARIMA AGNIHOTRI

Father's Name SURENDRA AGNIHOTRI

Mother's Name Aradhna Agnihotri

Father's Private Employee Mother's Occupation House Wife

Occupation

Mobile 7318273778 Email garimaagnihotri18@gmail.com

Adhar Number 832458021379 Guardian's Name Surendra Agnihotri

Family Income 72000 Date of Birth 1999-11-18 Gender FEMALE

Marital Status Unmarried Nationality Indian Religion Hindu

Domicile in UP? Yes Locality Urban Category GENERAL

Certificat No. NA Caste Brahmin Belong to Minority No

Sub-Caste NA EWS No Sports Quota No

NCC No Divyang No Freedom Fighter No

Current Address 6, GT Road, Padav Chaubepur, Kanpur Nagar, Kanpur, Uttar Pradesh 209203, Kanpur, Uttar Pradesh, Pin Code-
209203
Permanent 6, GT Road, Padav Chaubepur, Kanpur Nagar, Kanpur, Uttar Pradesh 209203, Kanpur, Uttar Pradesh, Pin Code-
Address 209203

Registration Fee Rs. 150/- Payment ID pay_MfSvpVgPmHSwZx Payment Date 2023-09-22

Selected Subjects
Subject COMMERCE

Optional Paper

Applicant Class 10 Academic Details :

School Name GD GYAN MANJUSHA I C NANKARI IIT KANPUR Board UP BOARD Stream SCIENCE Passing Year 2013

10th Roll No. 1583087 Total Marks 600 Marks Obtained 450 Percentage 75

Applicant Class 12 Academic Details :

School THE MODEL I C KALYANPUR SINGHPUR Board UP Stream COMMERCE Passing 2015
Name KANPUR BOARD Year

10+2 Roll 1096171 Total Marks 500 Marks Obtained 328 Percentage 65.6
No.

Applicant Graduation Academic Details :

College Name Dayanand Brajendra Swarup College Univeristy CSJMU Kanpur Stream BCOM Passing Year 2018

Graduation Roll No. 0619157 Total Marks 2000 Marks Obtained 1086 Percentage 54.3

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9/23/23, 12:27 AM VSSD College

Applicant Graduation Subject Details:

# Subject Max Marks Obtained Marks Percentage
1 Corporative Accounting 100 50 50

2 Auditing 100 58 58

3 Money & Financial System 100 55 55

Total : 2000 1086 Final Percentage:54

Do You want to join any Co-curricular activity?

1. NCC No 2. NSS No 3. Rover Rangers No

4. Environmental Studies No 5. 1090 Women Powerline No

Have you ever been caught using impoper mens in an examination or expelled from a college/university? No
Somewhere a case is pending in a court/registered in a crime b police/punished by a court? No

If you are working somewhere, then provide full details of the employer and no objection letter received from him for No
admission to the college?
Do You Want Hostel Facility? No

Are you interested in Online Education? No

Do you have Laptop/Smart Phone? Yes

DECLARATION : I hereby declare that the details furnished above in the Application Form for Admission are true and
correct to the best of my knowledge and belief. In case any of the above information is found to be false or untrue or
misleading or misrepresenting. I am aware that I will be held liable for it and my application for admission may get
cancelled and the amount that I have submitted as fees will not be refunded.

घोषणा: मैं यह सुनिश्चित करता/करती हूं कि उक्त प्रवेश हेतु आवेदन पत्र में मेरे द्वारा प्रदान की गई समस्त जानकारियां एवं प्रविष्ठियां सही व सत्य हैं।
यदि आवेदन पत्र में मेरे द्वारा प्रदान की गई कोई भी जानकारी गलत या त्रुटिपूर्ण अथवा भ्रामक पाई जाती है, तो इसके लिए पूर्णता में उत्तरदाई
ठहराया जाऊं गा/जाऊं गी तथा इसी क्रम में मेरा आवेदन पत्र निरस्त भी हो सकता है, तथा जो राशि मेरे द्वारा शुल्क के रूप में जमा की गई है वह भी
वापस नहीं की जाएगी।

Enclouseres :

1. Photocopy of High School, intermediate and Graduation or eqivalent examination Mark sheets.
2. Photocopy of Certificate, If applicable for freedom fighter/Sports player/NCC/Physically handicapped/EWS Gen
category Students/Caste(SC/ST/OBC) category etc.
3. Photocopy of URN
4. Photocopy of Adhaar Card/Previous Year's Student ID Card

Parent Signature

Student Signature

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