CENTURION UNIVERSITY OF TECHNOLOGY & MANAGEMEN 4 REGISTRATIONFORM20.Q0_-2024 ¥s aay =e Siena CT Ol * Centurion campus: .. PK.D. L Adm. Category (speci Z : Paralakhemundi / Bhubsneswer (CUEE/JEE/OJEE/OUATINATA/Other) y ‘Applicant's Name (As per acadeic racorcs) o ‘Student Mobile No. Sp602 Soy, Date of Birth _() 2 2 Father's Namo Father's Occupation ~Feaxccea, ax sector Doh Mob. No. S439 (0990. ceo tiene ee Mother's Name Mother's Occupation Horr. tlie sector Mob. No. S-3% 119 50. E-mail ID i Gender (Mele/Female/Others) : Male Blood Group at Income of Parents (per annum): Rs. Mother Tongue 7 fond P | —— our Correspondence Address Permanent Address [A TAWAR bUR —_|* = CAHARPOR | Fo: Bio PRS Utou) _F® BARAONT 1%? igi Ps RaRKont | | Dist: State: ae AMnusarat rt WAR Dist. Relnueanar State: BTAAR 55 (Ce oes SSIERE Sei ae Ss Belongs tothe Area (RuréVUrbanvcity):_ Rue \ Category belongs to (SC/STOBC/GEN): Tt GN) Natlonalty a vB. Ont Religion__ur tT ADT UL) (CUEEMJEE/OJEE/OUATINATA/Other Roll No, (CUBE/JEEIOJEE/OUATINATA/Other Rank Alotied Course: Q-ecl CSE \ Bus/Selt/ If Hostel Room No, (specify) Academic Qualification | Exam | Name of "Name of Year of | Total | Mark | Division | “of Passed ‘SchooW/Gollege __| __Board/University _| Passing | Mark | Obtained Mark | Lic ety P0 | oASe tenth eool iq 1313-8 dpa nth [Rcgs. 8 Bosal BSER Inga! 500/310 | See 7 sae. = L [eto Wl Class-t0" (speci) :_ EAL) By Mode of Payment (specify): RIHAR Lnev. OdialHinaEnglish/Telugu/Bengali/Assamese/athersifany) (Bank Loan / Self /thers any) Percentage secured in PMY Group taken together at the qualifying Exam, for Engg./Diploma DECLARATION BY THE APPLICANT {hereby solemnly declare that, all the particulars given in this form are true to the best of my knowledge and belief. { shall abide by the rules and regulation laid down by the College from time to ime. In case the particulars furnished by me are found false, my admission stands cancelled. pace: BIH AR Aefsh Leanne, Foctin tI ‘Signature of the Applicant. ‘Medium of instructioSchoolNo. 50252 CenireNo. 7009 NINETY THREE ONLY KUMAR VENA KUMARI "AMRESH KUMAR ST JUDES VIDYALYA PHULWARIA BARAUNI BEGUSARAL BR KENDRIYA VIDYALAYA H P C URAVARAK NGR BARAUNI BR pofPeD - to appear inthe subjects given below: MEDIUM_| PAPER [ DATE be 1 02.03.2016 ge eBEs T wom206 | SESS 1 iso206 | 23 28 i 19.05.2016 = 1 21.03.2016 — ‘check all particulars carefully and corrections, if any, be brought to the notice ediately. Under no circumstances corrections in particulars will be d one year of issue of pass certificate. be issued to the candidate after the attestation of photo and signature of the fearing Impaired/Spastic/Locomotor Impaired candidates are medical certificate/document supporting their disability/disorder and its it card. The principal and candidate should sign at the appropriate place. Nese Controller of Examinations Central Board of Secondary Education "examination, please see DATE SHEET also. of Examination Centre or any other person authorised onYY abihYy “tra wre fea anion) / 1333040, Central Board of Secondary Education, Dethi S.No.SSEI2016 "areata frre weet (= «2014 - 46) hiciaiaiaanle Sane apa a ems oma ‘ite vite we Freaet TIT TA Grade Shoot cum Certificate of Performance ae sunfire fear stat 8% This Is to Certity that ANKUSH KUMAR jolt Now: ‘arat/feren eRe ‘saps Roll No.: 7104293. Mother's/Father's/Guardian's Name VEENA KUMARI / AMRESH KUMAR eH APY Date of Birth 07/02/2001 07TH FEBRUARY TWO THOUSAND ONE framed School '50252-ST JUDES VIDYALYA PHULWARIA BARAUNI BEGUSARAI BR -al frees PETITE EI has performed os follows 1. terfore frearzt_Academic Performance : ‘AMT Part-t wars aA Scholastic Areas faua ae aaa "WaT Giese “sali Gaze X ‘Subject Code and Name ‘Grade | Grado | ___Overal rede (FA8A) | Grade | Grede | _Overal Grade PAvSA) FA_| 8% [Grade] Grado Point apy] F& | SA | Grade | Grade Point (GP) 101 ENGLISH COMM. Bt | Bz | az | 09 a2 [Bi | Bt 08 122, COMM. SANSKRIT az | az | a2 09 Az jot | Bt 08 041 MATHEMATICS az | e1 | am] 09 av fet | Bt 08 086 SCIENCE At | Bt | a2 09 Bt [> } Ba] o7 087 SOCIAL SCIENCE az | a2 | a2 09 az [cz |r| os Adsional “afer te farg ar stra (srte) Cumulative Grade Point Average (CPA) 78 art oie stam Berl (CERT) 3 STRATA HTS radon Aceeamento Speaking and Ueening Slo (AGL): IK“ BAX- AL 2 (3) (A) fee Lite Skills: ‘Wt Part-2: &- Ait Ml GH Co-Scholastic Areas Senate A Class We ie "wi Clase X Life Skits AUIS JeAW_ Descriptive indicators Grade ‘aUPAIGH THT Descriptive indicators i ‘denis personal strengthe and vaslwssas and uses fern To arte at B | Ionifes personal strengths and weaknesses, analyses a problem wih facets | meaningtl decisions relevant iformation and usually chooses appropriate alternative and ‘Thinking Skills. makes meaningful decisions. | Empathetic, Displays sensitivity towards differenty-abled, possesses good Eacaiele win au sroll paar Teese a sstsifseeets_|intarpersonal sks and appreciates other's opinions, accepts feedback from ag tatatarfeclitins sonnel ie feta eassotar ied lcirk Peete teachers, elders and peers for selFimproverent. positively, offen demonstrates leadership skills ais an inspiring team be ef-confident, optimistic, manages personal challenges and adverso situations lentiies the eau fess and maiagos advorse situations effectively ‘uiaaare sere _| SelPeonfident, optimistic, manages personal challenges and advereositvatl Identifies the causes of etvees and manages adverse situations effectively sffectivoly and constructively, handles stress well, expresses emotions Expresses emotions appropriately. Emotions! Sills | appropriately and readily takes help when needed. 2 (a)(B) are freA Work Education = Innovative, with excellant grasp of any assignment, very punctual Ta the i TARY bis lar gexS To ocr abatantvaa i ifaiee aoe ‘ari fire completion of any assigned task, selt motivated, empathetic, inspires others and Ups Gov peOA OF ak nak aafrtncatiaiedlargintote:Kigpies Gti Wiork Education | aR excellent team workerINUA A ere: fea a FACULTY : SCIENCE Samual Etamnation METERED: SAOOE-R.CS.S COLLEGE. SIHAT.SEGUSARAL “ser stata: ANKUSH KUMAR, sae a: \VEENA KUMARI Ravers: ‘ANIRESH KUMAR stem ar avers: 409620058984 wecricwat: R-840060763-16 beter: Rogular teats: 84008 Yar wia: 18010314 far: Male ‘ster sg raat: {MRD intor college Bishmupur Begusarat _ Saifte she Pree ( ete eter erie athe) frame forester sere | ont | sterereme | (Fearerre) lL ot NON RASHTRA 5: 140022098 Jt BasAm. To 100 (PM, = "02 [wear ene [022016 1S gasam-to 00 | 105 aii & L-ENGLIS 13.02.2018 jist 9:45AM. To 1:00 | Pa —— } | bar PHYSICS loscz2016 ‘st Jeasam Tota | | Pas | 118 “CHEMISTRY 10.02.2018 1st [eas a, To 1:00 | PM nig BioLoey |o6.02.2016 1245 A.M. To 1:00 PA. 121 MATHEMATICS ‘15.02.2018 st [9:45 AM. To 1:00 re I | Pa AG ORS Oooh Rn 2 t ‘shen fares ( semTe) ncipa’ RC.S.S. Collega’ Biha|, UCAT 1063858 BOARD, PATNA "MARKS STATEMENT [, 2018 ANNUAL INTERMEDIATE EXAMINATION, 2018 M.S. No. 181063852 Name ANKUSH KUMAR : ‘Fis 31 WH Mother's Name VENA KUMARI (iar #1 7H Fathers Name AMRESH KUMAR i wire Roll Code 84006 Ars Roll No. 18010314 | aalio Wear Regisvation No. R-eao0e0260-16 sta Faculy SCIENCE etfsica/+2 faencra 3 At College/+2 School Name R(C.SS COLLEGE, BIHAT, BEGUSARAI fava ara SUBJECT NAME 1. sifar§ COMPULSORY : RBNONHIND! ALTERNATIVE ENGLISH ENGLISH 2, Ufa OPTIONAL : PHYSICS CHEMISTRY BIOLOGY |. sifaftat_ ADDITIONAL MATHEMATICS, 100 AGGREGATE : THREE HUNDRED TEN Tm RESULT 4ST DIVISION| rahe ciclni sich ious loreieiae BIHAR SCHOOL EXAMINATION BOARD. PATNA ipa nie cleus U ohkee ula | 7 Fer Sree toae eter tub sven searot eat ~ 2018) | a prommrrrny jet 5 ects ‘VENA KUMARI | ph tie hahecwninan | | pe ste fo] | se ae ae en i jaan ‘naan at NUS | | sewn evens ee ner: en Pe ‘SINCE lea to te oe ere Peg ‘4006-8.C.8.8 COLLEGE, SIHATBEGUSARAT | or Sautee Taamioae | , sees iscromreeaee he eaoe a heareT | aor ENG oo cHenasiey | . | on ent eo | | oT Frame > © et a4 | ogee ae er jaf é stenirine | T htips:i/srsec.bsebbmarcomiRepatlRPTRegistatonCardinter. aspx 828© Ram Charitra Singh Smarak College BIHAT (BARAUNI INDUSTRIAL AREA), DIST. : BEGUSARAI No. 3779 pate: L7H] 2816 COLLEGE LEAVING CERTIFICATE (Net in lieu of Transfer Certificate) Name of Student... Rall No.. LIS sein 618. Registration Ni 2 2 O17 ..«Date ofbirth (As per Records)... ~~ HelShe has eel at the Ps. oc exatnination LEI R.y Aca jand other activities * } @ College Societies © Ab) Sports “ He/She bears a good moral character General Remarks = Clerk.ter seer 040117202091809337 ‘este 28-Sep-2018 wart deat. R/18/09505 swore far ara & Pe feted gpa Gee SoriSmt/Kumari ANKUSH KUMAR Rleefaft arte gare} Father/Husband/Shri AMRESH KUMAR ratitidt Mother’Smt. STHArx 8ECKX Village/Town LAHARPUR ‘== Fa ore. ce wh he se ee arse re fer ere Tee FTC eae Pare A eat: et yy sally signed Fey by Alay al Reeth : 28-Sep-2018 Date: 20180928 124750 10520" AA ~—o ax ew te eter EOE Aer Sha MT eT Arar, FREE Ree wore gad hsicin ¥ RTPS Unk # "Vorty Cortese’ Tab at sree are rr 040117202001000957 eee HHT RUTBOSOS Cre aT eA |Sr ONsoAReeTreeoS P.C. No. 431048 feer frenera otter aff, gear BIHAR SCHOOL EXAMINATION BOARD, PATNA i ATS TA PROVISIONAL CERTIFICATE arftfes grexaifeve utter, 2018 ANNUAL INTERMEDIATE EXAMINATION, 2018 Certified that ANKUSH KUMAR Son/Daughter of AMRESH KUMAR Roll Code 84006 Rollo, 18010314 Registration No. R~840060263-16 @ student of R.C.S.8 COLLEGE, BIHAT, BEGUSARAT Passed the Intermediate SCIENCE Examination 2018, held in the month of February, 2018 and has been placed in FIRST Division. Subjects offered COMPULSORY OPTIONAL ADDITIONAL, R._B. NON-HINDT PHYSICS: MATHEMATICS ALTERNATIVE ENGLISH ENGLISH CHEMISTRY BIOLOGY eds Deer 96-06-2018 ic Det uae Controller of Examination SL.NO. 1 MC.No. 431048 fore ffenera wet fifa, deat BIHAR SCHOOL EXAMINATION BOARD, PATNA ‘sor WATCT UA, MIGRATION CERTIFICATE afer srewiifeye Ta, 2018 ANNUAL INTERMEDIATE EXAMINATION, 2018 This Board has no objection to the admission of ANKUSH KUMAR Son/ Daughter of Shri AMRESH KUMAR Registration No. R-B40060263-16 Roli Code 84006 Roll No. 18010314 for his/her further Studies in any Institution or University. Dated : 06-06-2018 ae PATNA- 800.001 . beite eAs Ze ‘orere FANT GAR ‘ara Hat / Enrollment No.: 0000100279/03893 5 Sobou & era Oi Retory Bepsra ig Siar ost116 8 roscazaacs M00 0 MATS2 100595" SITET TUTE HAT / Your Aadhaar No. : 4096 9005 8984 Ar arene, AY VET Spor fo 08 07022001 rie ___4096 9005 3984 sie AW 37a, ALT eatCenturion UNIVERSITY BONAFIDE LETTER date: 15/10/2020 Suident Name: Ankush Kumar Mail: ankushking7@gmail.com Parent's Name: Amresh kumar Relerenee ID: CU20/PKD/BCC-0000003 1 A dinission (CU20/PKD/BCC-00000031) fo [Bachelor of Technology in Computer Sefence and neering & Technology, PKD] Engincering and School of E ear Ankush Kumar 1 please to offer you admission in Bachelor of Technology in Computer Science and ajneeriag progeam for session 2020-21, Schoo! of Engineering & Technology, PKD at our | AKHEMUNDI under Bihar Students Credit card Scheme, Inuission wilt remain provisional until the prescribed fees and associated conditions are fulfilled npendix { attached with this letter for the same igty you success and invite you to explore your campus and its many facilities ‘ours sincerely ees ie eee Aes rion unive ey eaeCenturion UNIVERSITY jit Card Scheme. Appendix 1 — Special Kee Structure for students under Bihar Students Cr dent Name: Ankush Kumar E-M: ushking7@gmail.com Porent’s Name: Amresh kumar Reference ID: CU20/PKD/BCC-00000031 Course: Bachelor of Technology in Computer Science and Engineering Campus: PARALAKHEMUNDI 12th Percentage | Student Name 10th Per nat the fees for your course will be as shown in the table below, FEES/CHARGES Ist YEAR 2nd YEAR 3rd YEAR 4th YEAR | Yuilion Fees 100000.0 100000.0 100000.0 100000.0 \ Other Fees 23000.0 \ Exam Fees 7000.0 7000.0 7000.0 | ilostel Fees 65000.0 65000.0 65000.0 65000.0 fii Pacida exp of Admissions ears ny aes rer elaes n university of technology and managementCenturion UNIVERSITY Booking Amount:5000.0 she fee amount shall be remitted via NEFT/RTGS (o “CENTURION UNIVERSITY OF TECHNOLOGY \ND MANAGEMENT?” with the following bank details Bank Ale Name : CENTURION UNIVERSITY OF TE Ae No. : 1681131000056 Bank : ORIENTAL BANK OF C LPSC Code s ORBCOLOL66S ‘CHNOLOGY AND MANAGEMENT OMMERCE, R. SITAPUR Branch, GAJAPATI, Odisha Note: This Student is Registered under Bihar Students Credit Card Sc For CU’s Admission Cancellation Fee Refund policy, kindly refer to our website www.cutm.ac.in this admission is provisional tll final verification of all the documents and fee payment. You following documents at the time of reporting, for admission: <4 to submit the Oth, 12th Certificate and Mark sheet 2. ‘Transter Certificate 3. Caste Certificate 1. Study and Conduct Certificate 5. Migration Certifieate Audhar card Passport size photos (8) LOTE: Please bring 4 copies of the above-mentioned certificates. ease feel free to contact 1. Mr. Manoj Biswal, 2. Mv, Ramakanta Lead Of Admission: Mr, Sukant n, Mob: 9890656434 makanta Mob: 7873056806 Parida, Email; sukanta.parida@cutm.ac.in, Mob: 9650029112, if Sc ees rat otter " Uppalada, Paralakhemundi- 76 Sener ibs: yva.cut ein