Online Application Form For Admission - 2022: (Undergraduate Professional Programmes (BCA & BBA) )

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UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2022


(Undergraduate Professional Programmes (BCA & BBA))
REGISTRATION ID : 20226008636
PERSONAL DETAILS
Name of Programme : BBA
Name of Student : AYUSH DUBEY
Father's Name : KARUNESH KUMAR DUBEY

Mother's Name : REKHA DUBEY


Date of Birth : 13/09/2004
Mobile Number : 9116874276
E-Mail ID : Dubeyayush778@gmail.com
Gender : Male
Domicile : Uttar Pradesh Religion : Hinduism

Category : General Caste Certificate Number : -


Annual Income of
: Between 200000 and 300000 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 ? : No Blood Group : -
ID Proof : Aadhaar Card ID Number : 812984309238
Do you claim Reservation for Economically Weaker Section (EWS) ? : NO EWS Certificate No. :

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS


Address : KHASRA NO. 248 PANDIT KHEDA NEAR Address KHASRA NO. 248 PANDIT KHEDA NEAR
:
JAIPURIA SCHOOL JAIPURIA SCHOOL
Lucknow Lucknow
Uttar Pradesh, India, Pin Code - 226009 Uttar Pradesh, India, Pin Code - 226009
Mobile Number : 9116874276 Alternate Mobile Number : 9889576730 Mobile Number : 9116874276 Alternate Mobile Number : 9889576730
Landline With STD Code : - Landline With STD Code : -

BANK DETAILS
Account Holder Name : KARUNESH KUMAR DUBEY Bank Name : ICICI
Account No. : 032601506794 IFSC Code : ICIC0000326

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION
Roll Number : 1116750 Passing Year : 2020 Percentage : 65.00% Maximum Marks : 500
Marks Obtained : 325 Examination Body of the High School or equivalent Education : C.B.S.E. Board
INTERMEDIATE/POLYTECHNIC OR EQUIVALENT EDUCATION
Passing Status : Passed Roll Number : 11662310 Appearing/Passing Year : 2022

Maximum Marks : 190 Marks Obtained : 139 Percentage : 73.16%


Examination Body of the Intermediate or equivalent Education : C.B.S.E. Board
SUBJECT-WISE MARKS OBTAINED IN INTERMEDIATE

PAYMENT DETAILS
Amount (Rs.) : 1,000.00 Transaction No. : ADM220000357736 Transaction Date : 20/06/2022

DECLARATION : All the Information entered by me in the Application Form are true to the best of my knowledge . If at any stage of the admission
process any information is found to be wrong I will be fully responsible for this and my application or candidature may be rejected.

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 : 20/06/2022 Page 1 of 1

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