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Devi
Lodore
Ahilya Vishwavidyalaya MP© nline Limited

APPLICATION FORM FOR WES RE-VERIFICATION

Delalls
Payment Mode NETBANKING

Application No WE23242970 Payment Status Done on Dec 14 2023 10 0749930PM

Transaction ld 23121449753176006071 Channel ld cITIZEN

Total Fee Rs) 1530

Application Fees(Rs) 1500 Portal FeeRs) OR Code

Persanal tntotin(t

10th AARCHI AGRAWAL 10th

Marksheet) (in Engl1sh) Marksheet) (In Hind)
DEEPAK AGRAWAL
(Father's/Husband's Name)
KALPANA AGRAWAL
(Mother's Name)
fatfe (Date of Birth)(DD/MMYY) 07/01/2003
gA (Mobile Number) 9109744277 uft (Category) UR

nath
t(Present address) mantLmain road, Sal r4ate (Pincode) 452002

sta(Email ld) archi agBgPgmal corm fam (Gender) FEMALE

Calleg Detsib i r
Tftuartr g ( Name of the NeTITITE or MANAGEMENT STUDIES (IMS,
INDORE(810)
college /examination center)
CH H(Name of Course) MBA feaDivision) FIRST
ghet tTt dh( Name of the af t (Vear of final exam
BBA MBA 2023
exan which passed) Given)

J 0 a (Roll Number) 71301 DX2001319

(Enraliment Number)

ExStudent WES Ha amWES REFERENCE 6302546

(REGULAR/PRIVATE) NUMBER)

Deciarion(t

#A J4Rcftet antcs. 1 g1( certity that the above infomation given by me in the application form is corect I any intormation is found to be false then the
application will be rejected and all the resposibility for any loss will be on the applicant )

(Important Notice: This online form is valid only when it has been paid online, inclading the application number, QR. Code Transaction iD, Payment Date, Channel iD The
detauls of etc are cleatly mentioned otherwise the form is deened cancelled)