Gmail - Application For Admission Into Self-Financing Courses - App No.

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APPLICATION FOR ADMISSION INTO SELF-FINANCING COURSES | App No.

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KHALLIKOTE UNITARY UNIVERSITY <kuubamweb@gmail.com> Wed, 17 Aug, 2022 at 12:34 pm


Reply to: sujit@teamin.in
To: choudhurysridhara@gmail.com

Application No. 1590

Name of the SRIDHARA CHOUDHURY


Applicant

Date of Birth December 27, 2004

Gender Male

Blood Group O+

Email choudhurysridhara@gmail.com

Phone 9348248868

Alternate Phone 9692475538

Father's Name RADHA KRISHNA CHOUDHURY

Mother's Name MAMATA CHOUDHURY

Course Applying for BBA

Do you belong to No
OBC

Upload Photo (Max https://kuu.ac.in/wp-content/uploads/formidable/2/SRIDHARA.jpeg


100KB)

Permanent/Current SITARAM STREET

Address OLD TALUKA

BERHAMPUR, ODISHA 760006

India

10th School Name KBM ASKA ROAD BAM

10th Board BSE, ODISHA

10th Max Mark 600

10th Mark Secured 307

10th 51.16
Percentage/Division

12th KHALLIKOTE HS SCHOOL


School/College
Name

12th Board CHSE, ODISHA

12th Max Mark 600

12th Mark Secured 429

12th 71.5
Percentage/Division

Upload Payment e- https://kuu.ac.in/wp-content/uploads/formidable/2/CHALLAN-SRIDHARA.jpeg


receipt

Enter Transaction 222954316383


Id:

DECLARATION AND I submit myself to the jurisdiction of the authorities of the Khallikote Autonomous College
UNDERTAKING BY and declare that I shall abide by the rules and regulations. The decision of the authorities of
THE APPLICANT the University about my merit position shall be binding on and acceptable to me. I hereby
declare that the particulars stated by me in this application and elsewhere are true. I have
read the Information Brochure and satisfied myself with the fact that I fulfill all the
admission eligibility requirements, I understand that in the event of my being found
ineligible even at a later date, my selection/admission will be cancelled I further undertake
that I will not involve in any ragging activities in the University and hostel premises. I
understand that criminal case will be filled against me if I indulge in ragging.

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