GOVT KAMLARAJA PG AUTONOMOUS COLLEGE

GWALIOR - MP

STUDENT ADMISSION FEE PAYMENT RECEIPT

Payment Details
Application
KRG22S17146F45 Trasaction Date 10/09/2022 21:23:57
Number
Payment Mode Bharat QR Channel ID ONLINE
Trasaction ID 111636074637 Payment Status Success
Fee 677 Late Fee 0

Student Information
Higher Education
Session 2022-23 1200056715244
(Adm No)
Enrollment No. JC20006963 Roll No. 2121217
Student Name HARSHITA GABRA Date Of Birth 2002-04-23
Father's Name VINOD GABRA Mother's Name PRAMODANI GABRA
Category UR Gender Female
Mobile No. 6264656914 E-mail ID gabraharshita@gmail.com
Bachelor of Commerce
Course Branch/Sub. Commerce
(B.Com.)
THIRD YEAR ADMISSION
Year/Sem. 3 Year Fee Name FORM FOR SESSION 2022-
23
Address Samadhiya Colony 47 Krishna Enclave Lashkar Gwalior Madhya Pradesh Pin: 474001

This is a computer-generated document. No signature is required. If you have any

technical issue. Please contact to college authority/technical team.
 GOVT KAMLARAJA PG AUTONOMOUS COLLEGE
GWALIOR - MP

STUDENT ADMISSION FORM 2022-23

Course:  Bachelor of Commerce (B.Com.) Sem/Year:  3 Year

Enrollment
Form No.:  __________ Roll No.:  2121217
No.:  JC20006963
Student Name.:  HARSHITA GABRA
Father's Name.:  VINOD GABRA
Mother's Name.:  PRAMODANI GABRA

D.O.B.:  23-Apr-2002 Gender:  Female Minority (Yes/No):  Yes

Mobile
Category:  UR E-mail ID:  gabraharshita@gmail.com
No.:  6264656914
Annual Income:  90000 Aadhar No.:   Samagra No.:  
Address:  SAMADHIYA COLONY 47 KRISHNA ENCLAVE LASHKAR
Blood Group:  AB
Gwalior Madhya Pradesh PIN: 474001
RESULT OF PREVIOUS SEM/ANNUAL EXAMINATION
Sem/Year Year Obt.Marks Tot.Marks Result
1 2021 269 400 PASS
2 2022 235 400 PASS
PREVIOUS ACADEMIC RECORD
  Year Board Per (%) Roll No.
10th 2018 CBSE 59 1226893
12th 2020 MP 60 201402540

    I declare that

1. I will follow all rules and regulation of the College/Higher Education Deptt.
2. I will follow discipline in college campus according to institution's guidelines.
3. I will follow rule of 75% of attendance in my classroom. Otherwise I will not eligible for scholarship and
main examination.
4. I will not participate in any type of ragging activities.
5. All information given by me in this application form is true.
In case of violation of any above declaration, the principal will have the right to cancel my
admission from the college and take action.

All information is verified with attached documents and recommended for provisional Student Signature
admission by the admission committee.

Coordinator, Admission Committee Principal

Signature with Date