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THE LNM INSTITUTE OF INFORMATION TECHNOLOGY

(Deemed University) Rupa Ki Nangal, Post-Sumel, Via - Jamdoli, Jaipur - 302031 Rajasthan, India
www.lnmiit.ac.in ugadmissions@lnmiit.ac.in Contact No : +91-141-5191791 / 92 , +91-141-5189212 (SESSION:2014-2015 I)

Registration No

LNMVS6A3

ADMISSION FORM Personal Information


Full Name Father's Name Mother's Name Date of Birth Gender Mobile No. Nationality Email Id : : : : : : : : ARPIT KATHURIA KANWAL KISHAN

MANJU BALA
07-October-1996 MALE 9680023252 INDIAN kanwalkishan@rbi.org.in

Correspondence Address
Correspondence Address : E 28,R.B.I Officers' Colony Gandhinagar

City/Village Pin/Zip

: : :

JAIPUR 302015

District State

: :

JAIPUR

RAJASHTHAN

Country

INDIA

Permanent Address
Permanent Address : E 28,R.B.I Officers' Colony Gandhinagar

City/Village Pin/Zip Country

: : :

JAIPUR 302015

District State

: :

JAIPUR

RAJASHTHAN

INDIA

Eligibility Details

Marks Obtained 10th Standard Information TOTAL 615

Maximum Marks 700

Percentage 87.86

Marks Obtained Physics 12th Standard Information Chemistry Mathematics PCM TOTAL

Maximum Marks

Percentage

JEE Exam Details


JEE(Main) Exam Details Roll no. Marks Obtained in Physics Marks Obtained in Chemistry Marks Obtained in Mathematics Total Score

Fees Details (Online)


Applicant Name Application ID Mode of Payment Amount Transaction ID : : : : :

ARPIT KATHURIA LNMVS6A3 Debit/Credit 1,500.00 1397394748171 Transaction Successful

Participation in Talent Search Exams and Sports

A. Science Olympiad :
National Level Discipline : : No None International Level : No

B. Sports :
State Level Name of Sport : : No None National Level Prize/Rank : : No None No No No

C: National Talent Search Scholarship (NTSS)/ Kishore Vaigyanik Protsahan Yojana (KVPY) : D. "Scholarship to Young Artists" given by Ministry of Culture, Govt. of India : E. NCC : State Level :
Branch Preferences
1-Computer Science & Engineering 2-Communication & Computer Engineering 3-Electronics & Communication Engineering 4-Mechanical - Mechatronics Engineering

No

National Level :

Signature of the Candidate Print Date :13-April-2014 1:15 pm Page 2 of 2

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