UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2023

(Undergraduate Programmes)
LURN : LU2300069273 REGISTRATION ID : 2023105370314
PERSONAL DETAILS
Name of Programme : B.A. (NEP)
Name of Student : VIVEK KUMAR MAURYA
Father's Name : DESHRAJ

Mother's Name : FOOL KUMARI

Date of Birth : 01/01/2003
Mobile Number : 9140496758
E-Mail ID : kvivek6518@gmail.com
Gender : Male
Domicile : Uttar Pradesh Religion : Hinduism

Category : OBC Non Creamy Layer Caste Certificate Number : 235223008839 Uploaded
Annual Income of
: Below 200000.00 Nationality : Indian
Family (in Rs.)
Sub Category : -
Weightage : - Income Certificate No. :-
Zero Fees Required : No
Is Father's Income below Rs. 2,00,000 Per Annum ? : Yes Blood Group : O+
ID Proof : Aadhaar Card ID Number : 862944809213

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : HULAS PURWA, RUDRAPUR Address :HULAS PURWA, RUDRAPUR
Lakhimpur - Kheri Lakhimpur - Kheri
Uttar Pradesh, India, Pin Code - 261502 Uttar Pradesh, India, Pin Code - 261502
Mobile Number : 9140496758 Alternate Mobile Number : 9918814713 Mobile Number : 9140496758 Alternate Mobile Number : 9918814713
Landline With STD Code : - Landline With STD Code : -

BANK DETAILSSelf
Account Holder Name : VIVEK KUMAR MAURYA Bank Name : INDIAN BANK
Account No. : 59154667710 IFSC Code : IDIB000R669

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION
Roll Number : 210955981 Passing Year : 2021 Percentage : 70.83% Maximum Marks : 600
Marks Obtained : 425 Examination Body of the High School or Equivalent Education : U.P. Board
INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION
Passing Status : Passed Roll Number : 2235822612 Appearing/Passing Year : 2023

Maximum Marks : 500 Marks Obtained : 301 Percentage : 60.20%

Examination Body of the Intermediate or Equivalent Education : U.P. Board
SUBJECT-WISE MARKS OBTAINED IN INTERMEDIATE
BIOLOGY(80/100),CHEMISTRY(57/100),ENGLISH(48/100),HINDI(68/100),PHYSICS(48/100)

FEE PAYMENT DETAILS

Amount (In Rs.) : 800.00 Transaction No. : ADM220000679156 Transaction Date : 08/06/2023

DECLARATION : I hereby declare that all the Information being provided by me in the Application Form are true and correct to the best of my
knowledge. I understand that if at any stage of the Admission process any of the provided information is found to be wrong or incorrect I will be
solely held responsible for it and my application or candidature shall be liable for rejection.

Signature of Student

NOTE : Kindly keep the printout of the Application form with you. You have to bring the printout of the Application Form only at the
time of Counselling. Do not send any printout to the University of Lucknow by post or by hand.

Print Date : 08/06/2023 Page 1 of 1