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Form No : 5404922
Program & Campus
Option 1: *
B.Sc. - Agriculture & Food Business Noida
Option 2:
Admission Category :
NS
Category :
OBC
Date Of Birth
05/01/1997
Hostel Accommodation
Yes If YES, AC
Mobile
+ 91 9955009720
Landline
+ 91 0641 000000
E-mail*
DIVYANSHISHARMA078@GMAIL.COM
Payment Details
Your payment transaction number: 201406281908475
Your payment transaction date : 28 Jun 2014
If you have any questions, chat with our Counsellors at www.amity.edu (http://www.amity.edu/), or email to admissions@amity.edu
(mailto:admissions@amity.edu),
or call us at 0120-2445252/4713600
Basic Details
Name :
DIVYANSHI
Do you suffer from any chronic ailment
No
Have you ever been suspended, dismissed or put on academic probation or warning at any school or
college?
No
Family Information
Name
RAMCHANDRA SHARMA
E-mail
RCSHARMA.NALANDA@GMAIL.COM
Qualification
MA.LLB,B.Ed
Organisation
GOVT. CIVIL COURT
Age
62
Mobile
+ 91 9955009720
Profession
LEGAL
Designation
RETD. DISTRICT PROSECUTION OFFICER
Father Details
Name *
LALITA SHARMA
E-mail
PS.NALANDA@GMAIL.COM
Qualification
B.A
Organisation
NA
Age
50
Mobile
+ 91 9934810243
Profession
HOUSEWIFE
Designation
NA
Mother Details
Physical Standard
Height: 5 Ft. 3 Inches. Weight: 50 Kg.
Gender
Female
Nationality*
Indian
Passport
No
Personal Details
RAMCHANDRA SHARMA,
H/O ALOK RANJAN CHATURVEDI, SIYARAM NAGAR
BHIKHANPUR 2,
BHAGALPUR, Bihar - 812001
India
Correspondence Address
For all communication related to your admission.
Permanent Address
same as correspondence address
RAMCHANDRA SHARMA,
H/O ALOK RANJAN CHATURVEDI, SIYARAM NAGAR
BHIKHANPUR 2,
BHAGALPUR, Bihar - 812001
India
Family Member :
No
Family at Amity - Any of your associated with Amity
Education Details
It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last completed semester / year. If the
system of marking of your school / college is on grading pattern, convert grade into marks as applicable and fill in the respective columns.
In absence of complete information, form will be rejected.
Board
CBSE
Passing Year
2011
Aggregate Percentage
95.00
Class X
Mark Type
Marks
Class XII Board Result Details (Provide details of all subjects as in class XII marksheet)
SNo Subject Name Marks
obtained
Maximum
Marks
1 ENGLISH CORE 88 100
2 PHYSICS 68 100
3 CHEMISTRY 84 100
4 BIOLOGY 82 100
5 COMPUTER SCIENCE 74 100

Board
CBSE
Passing Year
2013
Medium of instruction
English
School Name
NAVYUG VIDYALAYA
City
BHAGALPUR
Pin / Zip Code
812001
XII Board Name
CBSE, NEW DELHI
Board Roll No
7604154
XII Results Declared
Yes
Class XII
Work Experience
No
Employment
(if any, latest two) Proof will be verified on the day of selection)
Awards / Achievements Name
Sno. Name of the Awards / Achievements Received when For what
1 YOUTH FESTIVAL BIHAR 30/12/2010 PAINTING
2 RAJGIR MAHOTSAVA 12/12/2010 DANCE
Other Information
Have you previously applied to Amity?
No
Previously Applied