05/03/2021

Application for 2 years Part-time U.G Diploma Courses 2020-21

REGISTRATION NO: BHU07074162015 PAYMENT ID: BHUL57074160151T

Course Name: (2015) Diploma Course - Spanish

पाठय म का नाम :
Candidate Name: SAKSHI
आवेदक का नाम :
Father's Name: SANJAY KUMAR MISHRA
पता का नाम :
Mother's Name: ANITA MISHRA
माता का नाम:
Father's / Mother's Mobile
Number:
पता / माता का मोबाइल नंबर :
Date of Birth: 05. January .2001
ज तथ:

Sex/ लग: FEMALE Category/वग: General

Blood Group: NOT KNOWN Employee's Ward: NO

ड ुप : कमचारी पु पु ी :
Physically Challenged: NO Sports Seat: NO
शारी रक वकलांगता: ोट् स सीट :

Nationality/रा ीयता : Indian Do you belong to "BHU Bonafide YES

Student"?:
Religion/धम: HINDU ा आप बी.एच.यू वदयाथ क ेणी म ह

Aadhaar Card/धम: Do you belong to "BHU Staff"?: NO

Address For Correspondence प ाचार का पता Permanent Address ायी पता

Name: SAKSHI Guardian's Name (If
आवेदक का नाम Applicable)

Harmu Address (पता ) : Harmu

Address (पता ) :

Ranchi District ( जला): Ranchi

District ( जला):
Jharkhand State (रा ): Jharkhand
State (रा ):
Pin ( पन) : 834002
Pin ( पन) : 834002

Ph. No. with STD Code Ph. No. with STD Code

7257925075 Fax No.

Mobile No. (मोबाइल नंबर )
Mobile No. (मोबाइल नंबर) 7257925075
Email sakshi12nikki@gmail.com

Distance of your Residence from 500-999 Annual Income of your Less than 2,00,000
BHU . Parents/Guardians in Rs.

ACADEMIC RECORD
Name of the Examination Board / University Year of Passing Subjects Marks Max Marks Marks
/ Appearing (list of subjects) Obtd. %

High School or equivalent CBSE 2017 ENGLISH,HINDI,MATHS,SCIENCE,SOCIAL 475 500 95

SCIENCE

Intermediate or equivalent (10+2 ENGLISH,BUSINESS STUDIES,

level) CBSE 2019 ACCOUNTANCY, ECONOMICS ,MATHS, 538 600 89.67
FINE ARTS
Graduation (Bachelor Degree)
Any Other Degree

Name of the Institution from where you have passed the qualifying DELHI PUBLIC SCHOOL , RANCHI
examination
Whether currently/ever admitted in BHU YES
Write Name of the Course BA(HONS) ARTS
Enrolment Number 413611
Name of Faculty/College/School FACULTY OF ARTS
Year of admission 2019
State whether any disciplinary action had been taken against you or No
whether you were ever convicted of a crime or whether any criminal
prosecution is pending against you? If so, give full details

Signature Uploaded by
the candidate
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