SHASHANK SHEKHAR Form No : 10086245

Transaction Number:
SHASHANKSHEKHER2005@GMAIL.COM 74184508159
+91 6201222782 Date: 16 Jul 2022
BCA Campus : Kolkata

PERSONAL DETAILS

Gender : Male
Category : OBC
Date Of Birth : 24/01/2005
Nationality : Indian
Passport : No

Correspondence Address
Permanent Address
For all communication related to your admission.
NEW ROAD, PHUSRO, NEW ROAD, PHUSRO,
Country :INDIA Country :INDIA
Sate :JHARKHAND Sate :JHARKHAND
City :BOKARO City :BOKARO
PinCode :829144 PinCode :829144

Admission Category : NS
Hostel Accommodation : No

Education Details
It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last completed semester / year. If the system of
marking of your school / college is on grading pattern, convert grade into marks as applicable and fill in the respective columns. In absence of complete
information, form will be rejected.
Class X

Board Type : CBSE

Board Name :
Board Roll No : 22265198
Passing Year : 2020
Aggregate Percentage : 76.40
School Code : 3430029
Mark Type : Marks

Class XII

Board Type : CBSE

Passing Year : 2022
Medium of instruction : English
School Name : DAV PUBLIC SCHOOL , DHORI
City : BOKARO STEEL CITY
Pin / Zip Code : 110007
XII Board Name : CBSE
Board Roll No : 22657287
Board Admit Card No : 0000
XII Results Declared : No
Marks

Class XII Board Result Details (Provide details of all subjects as in class XII marksheet)

Sno. Subject Marks Marks Out of

Mark Type : 1 ENGLISH 0 0
2 MATHEMATICS 0 0
3 PHYSICS 0 0
4 CHEMISTRY 0 0

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Family Information

Relationship Father Mother

Name LATE BASANT KUMAR GUPTA DOLLY GUPTA
Age 41
Email
Mobile +91 +91 6201222782
Qualification
profession
Organisation
Designation
Employment Category SELF-EMPLOYED
Country of Residence INDIA INDIA
Family at Amity - Any of your associated no
with Amity

Other Information

Aadhaar Card No :
Do you suffer from any chronic ailment : No
Have you ever been suspended, dismissed or
No
put on academic probation or warning at any :
school or college?

Extra Curricular

Awards / Achievements Name : No

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Employment
Work Experience : No

Previously Applied

No
Have you previously applied to Amity? :

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