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ADMISSION FORM

SESSION: July 2023

COURSE: PGDCA

STREAM: Computer Application

GENERAL INFORMATION

Enrollment No:

Name of Candidate: NIDHI SACHAN

Father's Name: RAMKESH SACHAN Mother Name: SARLA SACHAN

Date Of Birth: 1987-11-03 Nationality: Indian

Category: OBC Gender: Female

Admission Type: Regular Year: 2023

Contact Number: 9336505051 Email Address: sapan.sfkanpur@gmail.com

Candidate Address: H NO -26,LIG 1,JARAULI PHASE 2,BARRA,KANPUR

City: KANPUR NAGAR Pin Code: 208027

State: Uttar Pradesh Country: India

QUALIFICATION INFORMATION

Examination Year Board/University Marks(%)

SECONDARY 2002 UTTARANCHAL SHIKHSHA EVAM PARIKSHA PARISHAD 83

SR. SECONDARY 2004 UTTARANCHAL SHIKHSHA EVAM PARIKSHA PARISHAD 66.2

Graduation 2007 HEMVATI NANDAN BAHUGUNA GADWAL UNIVERSITY 62.94

DECLARATION

I hereby declare that entries made by me in this admission form and the documents submitted by me along with it, are true to the best of my
knowledge, in all respects and in any case, if any information is found to be false, this shall entail automatic cancellation of my admission
and forfeiture of all fee deposited, besides rendering me liable to such action as the University may deem proper.

I take note that my admission to the University and continuation on its roll are subject to the provisions of rules of the University, issued
from time to time. I shall abide by the rules of discipline and proper conduct. I am fully aware of the law regarding ragging as well as the
punishment and that if, found guilty on this account I am liable to be punished appropriately. I hereby undertake that I shall not indulge in
any act of ragging.

In such circumstances, I will have no claim for refund of fees deposited by me the University.

Place: (Signature of Candidate)