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TRIPTI KUMARI Form No : 10147456

Transaction Number:
KUMARITRIPTI959@GMAIL.COM 74252650193
+91 8340395567 Date: 28 Jul 2022
B.El.Ed. (Bachelor of Elementary Education) Campus : Kolkata

PERSONAL DETAILS

Gender : Female
Category : OBC
Date Of Birth : 24/07/2003
Nationality : Indian
Passport : No

Correspondence Address
Permanent Address
For all communication related to your admission.
QUARTER NO 3311, SECTOR 8 D NEW VILL KANPHATTA, POST BAIDMARA, SEC 9
Country :INDIA Country :INDIA
Sate :JHARKHAND Sate :JHARKHAND
City :BOKARO STEEL CITY City :BOKARO STEEL CITY
PinCode :827009 PinCode :827009

Admission Category : NS
Hostel Accommodation : : Yes (Hostel Type : AC)

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 : 2225897
Passing Year : 2020
Aggregate Percentage : 92.60
School Code : 66334
Mark Type : Marks

Class XII

Board Type : CBSE


Passing Year : 2022
Medium of instruction : English
School Name : THE PENTECOSTAL ASSEMBLY SCHOOL
City : BOKARO STEEL CITY
Pin / Zip Code : 110007
XII Board Name : CBSE
Board Roll No : 22660515
Board Admit Card No : 0000
XII Results Declared : Yes
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 ECONOMICS 92 100
2 ENGLISH 90 100
3 HISTORY 99 100
4 POLITICAL SCIENCE 90 100

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Family Information

Relationship Father Mother


Name SHANKAR DEY MOUSUMI DEY
Age 48 38
Email DEYSHANKAR1234@GMAIL.COM DEYMOUSUMI220384@GMAIL.COM
Mobile +91 9431742667 +91 7488002206
Qualification Bachelors
profession ADVOCATE
Organisation
Designation
Employment Category SELF-EMPLOYED HOMEMAKER
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

Page 2 of 3 28 Jul 2022


Employment
Work Experience : No

Previously Applied

No
Have you previously applied to Amity? :

Page 3 of 3 28 Jul 2022

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