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Veer Kunwar Singh University, Ara (Bihar)

Under-Graduate (UG) Admission Registration Form


SESSION 2020 - 2021
URN # 20G0127440 Reg. Date : 24 May, 2020 06:23 PM

1. Candidate Name : JULE KUMARI KUMARI


2. Father's Name : KAMLESH TIWARI
3. Mother's Name : SAVITRI DEVI
4. Date of Birth : 18-Mar-2001 5. Gender : FEMALE
6. Category : General 7. Sub Category : Not Applicable

8. Quota Claimed : Not Applicable 9. AADHAAR : 485437979680


10. Domicile : Bihar 11. Dom. Cert. :
12. Religion : Hindu 13. Minority : NO
14. Nationality : INDIAN 15. EWS Status: Not Applicable

16. Address for Correspondance : 17. Permanent Address :


Village- gopalpur, post-khangaon, ps -chandiDistic Village- gopalpur, post-khangaon, ps -chandiDistic
bhojpurBihar bhojpurBihar
Bhojpur Bhojpur
Bihar Bihar
PIN Code : 802161 PIN Code : 802161

18. Mobile : 9304389493 19. Email : sarthak04112000@gmail.com


20. Payment Details: Paid Rs.300.00 on 29/5/2020 Ref# 10425852561 Bank Ref: UPI - 015022297408
21. Qualifications

Examination Board/University Year Roll No. Max. Mrk. Obt. Mrk.


73030170008
Highschool Bihar School Exam. Board, Sinha Library Road, Patna 2017 500 203
7
73030170008
Intermediate Bihar School Exam. Board, Sinha Library Road, Patna 2019 500 255
7
Subjects/Stream : Arts and Humanities

Subject Obtained Marks Max Marks Percentage %


Hindi 44 100 44.00
History 52 100 52.00
Psychology 69 100 69.00
Sociology 45 100 45.00
N.R.B. (NRA) 30 50 60.00
M.B. Alt. English (MAL) 15 50 30.00

Other Qualifications

22. College/Course Chosen (by order of preference)


1 [201] HARPRASAD DAS JAIN COLLEGE, BHOJPUR B.A. Psychology (Hons) Psychology
2 [202] MAHARAJA COLLEGE, ARA B.A. Psychology (Hons) Psychology
3 [203] S.B. COLLEGE, ARA B.A. Psychology (Hons) Psychology
4 [204] JAGJIWAN COLLEGE, ARRAH, BHOJPUR B.A. Psychology (Hons) Psychology
5 [205] MAHANTH MAHADEVANAND MAHILA MAHAVIDY B.A. Psychology (Hons) Psychology
6 [206] TAPESHWAR SINGH INDU MAHILA MAHAVIDYAL B.A. Psychology (Hons) Psychology

Printed: Monday, July 20, 2020 12:37 PM Page: 1/2


Veer Kunwar Singh University, Ara (Bihar)
Under-Graduate (UG) Admission Registration Form
SESSION 2020 - 2021
URN # 20G0127440 Reg. Date : 24 May, 2020 06:23 PM
Declaration

I declare that I have never been convicted for any criminal act and that there is no case pending
against me in the court of law. I also declare that I have never been caught using Unfair Means or
any Disciplinary action has been taken against me. If I was charged for using Unfair Means, the
punitive duration is over and charges have been cleared. I have read carefully and have understood
all rules as mentioned in the University Rules and Admission Brochure. Furthermore I also declare
that if my application is found to contain incorrect/false information regarding my Name, Birth Date,
Gender, Religion, Domicile, Weightage, Caste, Horizontal Reservation, Marks obtained or any other
field, my application is liable to get cancelled, and I will have no objection in getting disqualified for
admission to the concerned course/college.

Signature of Parent/Guardian Signature of Candidate


Date: Date:

Options checked during registration


»
Document Checklist
NOTE: Mark the number of documents ( Photocopy/Xerox) attached by the Candidate during form submission to the college

Xth Marksheet Xth Certificate


XIIth Marksheet Last Exam Passed Marksheet
Recent Passport Sized Photograph Scanned Signature
Domicile (for other state) Certificate for Kashmiri Resident
Certificate for Category Certificate for Sub-Category
Documents for Claiming Weightage Other Certificate/Document

Printed: Monday, July 20, 2020 12:37 PM Page: 2/2

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