Registration No.

: MTA23103551
MTA23103551
Personal Details
First Name Kushagra
Middle Name Last Name Raghuvanshi

Father’s / Mother’s /
Amit Singh
Guardian’s Name

ID Name Aadharcard Date of Birth 31/12/2007

Id Number 776235398115 Gender Male
Nationality IndianCitizen Mobile No. 9650992986
Email Id raghuvanshi.kushagra8@gmail.com

(I)
Alternative Alternative
9999533927 ar.raghuvanshi@gmail.com
Mobile No. Email Id
School Details
School Type Others School Name Delhi Public School, Noida
Class Eleventh School Address H8FP+V74, Sector 30, Noida, Uttar Pradesh 201303
School Pincode 201303 School District Gautam Buddha Nagar

School State Uttar Pradesh Region Belong To Delhi

Board CBSE Medium ENGLISH

TA
Address Details
Permanent Address Current Address
Door No. B-804 B-804
Street Gardenia Grace Apartments, Sector 61 Gardenia Grace Apartments, Sector 61
Landmark Life Care Hospital Life Care Hospital
City Noida Noida
District Gautam Buddha Nagar Gautam Buddha Nagar
State Uttar Pradesh Uttar Pradesh
M

Pincode 201307 201307

Subject IOQM Language ENGLISH

Centre Preference
Centre Name DLK0001 - KV AGCR COLONY

Centre Preference 1 Centre Preference 2 Centre Preference 3

N/A N/A N/A

Payment Details
Amount 240 Transaction No 11000173689683

Transaction Date 11/07/2023 20:58:55 Status Success

Declaration
I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In case of any changes in
the information furnished above, the same will be informed forthwith. In the event, the information is found to be false or incorrect
my application may be considered null and void.

11/07/2023 20:59
1/1