CUET Application Number: 223510043875 Form Number: BBAUPGCT22004626 Transaction Details 2022-10-07 Payment Status Paid Payment Date Transaction ID YBI11487179560 Amount 200.00 22:19:07 Personal Details 28 July 1997 Full Name of the BALAK RAM YADAV Gender Male Date of Birth Age as on Jul 1, 2021: 23 Years 11 Month 4 Applicant Days OBC (Central List, Non Creamy) Are you Certificate Citizen of Yes (Religion: Category Aadhar Number XXXXXX0725 Blood Group O- Number:534223016969 India? / Hinduism) Certificate Issuing Religion Date:2022-10-05 Vill Chand pur Vill Chand pur khalsa post khalsa post maskanwa, Email Mobile Number Alternate Email Alternate Mobile Correspondence maskanwa, Permanent Gonda, er97ram@gmail.com 9506897740 balakramyadav97@gmail.com 6394308040 Address Gonda, Gonda, Address Gonda, Uttar Uttar Pradesh Pradesh -271305, India -271305, India Place of Birth Details Chand pur khalsa post Village/Town/City Country India State Uttar pradesh District Gonda maskanwa BBAU registration details (if applicable) Have you studied Programme Name of the in any programme No Registration number NA NA registered NA department under BBAU? in Family Details Mother's Name SHIVPATA DEVI Father's Name SATYA NARAYAN YADAV Guardian's Name SATYA NARAYAN YADAV Emergency Contact of 9161829807 Parent/Guardian Other Category/Quota PwD Category Not Applicable Kashmiri Migrant Not Applicable Category Wards of Ex- Servicemen and No self Single Girl Child No Quota Bank details for refund(if applicable) Name of Account BALAK RAM YADAV Account Number 754910110002491 Name of Bank Bank of india IFSC BKID0007549 Holder Have you participated in National No Service Scheme (NSS) Camp? Have you participated in No Sports/Extra Curricular Activities Are you ward of University Employee (Father / Mother / Guardian working in Babasaheb No Bhimrao Ambedkar University Lucknow)? Do you have NCC Certificate No Language Proficiency (Reading/Writing/Speaking) English Reading Writing Speaking Hindi Reading Writing Speaking
CUET Score Card
Part A Part B Paper Code Paper Name Roll Number Total Marks Marks(in words) Marks Marks One Hundred Ninety One PGQP38 PGQP38-General (MBA etc) UP12600540 0.00 0.00 191.00 Only PGQP55 PGQP55 UP12600540 Absent
Selected Eligibility Criteria
Graduation degree with 50% marks (45 % for SC/ST/PwD) in any subject from recognized University/Institute
Qualification Details - X or Equivalent
Class X Year of Passing 2011 Class X Percentage (If your mark is in CGPA, please convert to equivalent percentage as per 72.00 your CGPA score and CGPA Scale) Class X Name of the Institution VALIUDDIN INTER COLLEGE TEJPUR BHOPATPUR GONDA Class X Board/University UP BOARD Class X Subject Studied HINDI, ENGLISH, MATHEMATICS, SOCIAL SCIENCE, SANSKRIT
Qualification Details - XII or Equivalent
Class XII Qualification Status Passed Class XII Year of Passing 2013 Class XII Percentage (If your mark is in CGPA, please convert to equivalent percentage as per 80.20 your CGPA score and CGPA Scale) Class XII Name of the Institution VALIUDDIN INTER COLLEGE TEJPUR BHOPATPUR GONDA Class XII Board/University UP BOARD Class XII Subject Studied Mathematics, English, Hindi, physics, chemistry Have you Passed Class XII With Mathematics Yes with minimum 55%
Qualification Details - Graduation
Qualification Status Passed Year of Passed Final Examination 2020 Name of the Programme B.tech Name of the Board/University Other Have You Passed Graduation with Honours Yes Name of the Honors Subject Mechanical engineering Name of the Board/University Dr.A.P.J ABDUL KALAM TECHNICAL UNIVERSITY UP Shri Ram Swaroop memorial college of engineering and management, Name of the Institution/College Lucknow ADVANCE WELDING, TOTAL QUALITY MANAGEMENT, Human Subjects Studied relationships and ethical human conduct for a happy and harmonious society, seminar, project Percentage [If your mark is in CGPA, please convert to equivalent percentage as per your 78.40 CGPA score and CGPA Scale]
Document File Link
Photo View File Signature View File Date of Birth Certificate View File OBC Category Certificate Undertaking View File CUET Score Card View File CUET Admit Card View File Document Supporting Upload: Graduation degree with 50% marks (45 View File % for SC/ST/PwD) in any subject from recognized University/Institute Class X Marksheet View File Class X Certificate (Note: If certificate is same as marksheet, please upload the View File marksheet.) Class XII Marksheet View File Class XII Certificate (Note: If certificate is same as marksheet, please upload the View File marksheet.) Dr.A.P.J ABDUL KALAM TECHNICAL UNIVERSITY UP (Graduation) View File Final Semester/Year Marksheet "I do hereby declare that all the statement made in the application are true, complete and correct to the best of my knowledge and belief. I am duly aware that in the event of any particulars or information furnished by me is found to be false/incorrect/incomplete or if i am found indulging in some unlawful act at any time during the course period, my candidature is liable to be summarily rejected/cancelled."