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  • Application Form JNU 23 12342

    Uploaded by

    Kartik Singhal
    6 views2 pages
    This document contains an admission application form for an undergraduate programme at Jaipur National University. The form requests personal details of the candidate like name, date of birth, contact information, education qualifications, family details, address and upload of documents. The candidate, Gagan Singhal, is applying for B.Tech in Biotechnology and providing details of his 10th and 12th class results from Gyan Ganga Senior Secondary School along with photo, signature and other documents for admission consideration.

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    This document contains an admission application form for an undergraduate programme at Jaipur National University. The form requests personal details of the candidate like name, date of birth, contact information, education qualifications, family details, address and upload of documents. The candidate, Gagan Singhal, is applying for B.Tech in Biotechnology and providing details of his 10th and 12th class results from Gyan Ganga Senior Secondary School along with photo, signature and other documents for admission consideration.

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    © All Rights Reserved
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    6 views2 pages

    Application Form JNU 23 12342

    Uploaded by

    Kartik Singhal
    This document contains an admission application form for an undergraduate programme at Jaipur National University. The form requests personal details of the candidate like name, date of birth, contact information, education qualifications, family details, address and upload of documents. The candidate, Gagan Singhal, is applying for B.Tech in Biotechnology and providing details of his 10th and 12th class results from Gyan Ganga Senior Secondary School along with photo, signature and other documents for admission consideration.

    Copyright:

    © All Rights Reserved
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    of 2

    Admission Application Form

    Application No: JNU/23/12342

    Personal Details
    B.TECH. (BIOTECHNOLOGY Are you applying
    Programme Type UNDER GRADUATE PROGRAMME Programme NO
    ENGINEERING) for Lateral Entry ?
    Are you an Alumni
    Enrollment
    Select Admission Year of Jaipur National
    Number
    University?
    Personal Details
    Candidate's First Candidate's Candidate's Last
    GAGAN SINGHAL
    Name Middle Name Name
    Email Address GAGANSINGHAL003@GMAIL.COM Date Of Birth 07/06/2005 Aadhaar Number 508854231987
    Mobile Number +91-6376163425 Nationality INDIAN Religion HINDUISM
    Specific Categories GENERAL Gender MALE Marital Status UNMARRIED
    Employed/Unemployed UNEMPLOYED
    FATHER'S DETAILS
    Father's Middle Father's Last
    Father's First name MOHAN SWAROOP SINGHAL
    Name Name
    Father's Mobile Father's Email Father's Aadhaar
    +91-9667484757 GAGANSINGHAL777@GMAIL.COM
    Number Address Number
    MOTHER'S DETAILS
    Mother's Middle Mother's Last
    Mother's First name SEEMA GUPTA
    Name Name
    Mother's Mobile Mother's Email Mother's Aadhaar
    +91-9828253274
    Number Address Number
    Guardian's Details
    Name MOHAN SWAROOP SINGHAL Relation FATHER Mobile Number +91-9667484757
    BASAN GATE, JAIN DHARMSHALA
    Email Address GAGANSINGHAL777@GMAIL.COM Address KI GALI, BHARATPUR, Area BASAN GATE
    RAJASTHAN,INDIA),321001
    Country INDIA State RAJASTHAN
    Address for Correspondence
    Country INDIA State RAJASTHAN District BHARATPUR
    BASAN GATE, JAIN DHARMSHALA
    City BHARATPUR Address Line 1 KI GALI, BHARATPUR, Area BASAN GATE
    RAJASTHAN,INDIA),321001
    Is Permanent
    Address Same As
    Pincode 321001 YES
    Address For
    Correspondence?
    Permanent Address
    Country INDIA State RAJASTHAN District BHARATPUR
    BASAN GATE, JAIN DHARMSHALA
    City BHARATPUR Address Line 1 KI GALI, BHARATPUR, Area
    RAJASTHAN,INDIA),321001
    Pincode 321001

    Education Details
    Academic Record
    10th Details

    Name of the Year Result Marking Maximum Obtained Obtained School


    Board
    School Passing Status Scheme Marks Marks Percentage/CGPA Code
    GYAN GANGA RAJASTHAN
    SENIOR BOARD OF
    10th 2019 DECLARED PERCENTAGE 600 531 88.50 1050445
    SECONDARY SECONDARY
    SCHOOL EDUCATION

    After 10th
    12TH
    Qualification
    10+2

    Name of the Year Result Marking Maximum Obtained Obtained School


    Board
    School Passing Status Scheme Marks Marks Percentage/CGPA Code
    GYAN GANGA RAJASTHAN
    SENIOR BOARD OF
    12th 2021 DECLARED PERCENTAGE 500 491 98.20 1050445
    SECONDARY SECONDARY
    SCHOOL EDUCATION

    Diploma

    Name of Name of Year Result Marking Maximum Obtained Obtained School


    University the Degree Passing Status Scheme Marks Marks Percentage/CGPA Code
    Diploma

    Graduation

    Name of Name of the Year Result Marking Maximum Obtained Obtained


    University Degree Passing Status Scheme Marks Marks Percentage/CGPA
    UG

    PG / Others

    Name of Name of the Year Result Marking Maximum Obtained Obtained


    University Degree Passing Status Scheme Marks Marks Percentage/CGPA
    PG

    Do You have Any


    Other NO
    Qualification?
    Any Other Qualification

    Name of the Result Marking Maximum Obtained Obtained


    Year Passing
    Degree Status Scheme Marks Marks Percentage/CGPA
    Any Other
    Qualification

    Upload Documents
    Upload Documents
    Upload your recent Passport Upload Your Migration
    YES Upload Your Signature : YES YES
    size photograph : Certificate :

    Upload Your Transfer Certificate


    NO Upload Your Cast Certificate : NO Upload Your Id Proof : YES
    :

    Upload Your Graduation


    Upload Your 10th Certificate : YES Upload Your 12th Certificate : YES NO
    Certificate :

    Upload Your PG / Others Upload Your Other UPLOAD YOUR DIPLOMA


    NO NO NO
    Certificate : Qualification Certificate : CERTIFICATE :

    Declaration
    INSTRUCTIONS

    THE ABOVE INFORMATION GIVEN BY ME IS TRUE AND CORRECT AND NOTHING HAS BEEN CONCEALED THERE IN.

    Applicant Name GAGAN SINGHAL Parent Name MOHAN Date 17/06/2023


    Place checkbox I AGREE

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