UG Application form

Application No: UG2411957

Basic And Preferences Details

Preferences Details
Course Preference Course Preference
Entry Type REGULAR B.SC (NURSING) BACHELOR OF PHYSIOTHERAPY (BPT)
1 2
Course Preference B.SC FOOD SCIENCE
3 AND DIETETICS
Personal Details
Title MISS First Name SIMREET Middle Name
Please Enter Full
Last Name KAUR SIMREET KAUR Email Address SEKHONSIMREET@GMAIL.COM
Name
Mobile Number +91-8194084148 Date of Birth 28/01/2006 Gender FEMALE
Alternate Mobile
+91-9837654112 Nationality INDIAN Mother Tongue HINDI
Number
Religion SIKHISM Adhar Card No. 463415119404 Blood Group B+
Caste Category OBC Caste SIKH JAAT Marital Status SINGLE

Parent's Details
Father's Details
Father's
MR Father's Name SAHIB SINGH Father's E-mail SAHIBSINGHSEKHON228@GMAIL.COM
Salutation
Father's Father's
Father's Mobile +91-8958084148 AGRICULTURE
Occupation Designation
Father's Company Father's Annual Mother's
MRS
Name Income Salutation
Mother's Name HARPREET KAUR Mother's E-mail FATEHSEKHON21@GMAIL.COM Mother's Mobile +91-9837654112
Mother's Mother's Mother's Company
HOMEMAKER
Occupation Designation Name
Mother's Annual
Income

Address Details
Address for Correspondence
Country INDIA State UTTAR PRADESH District BIJNOR
City NAJIBABAD Address Line 1 VILLAGE- KANDRAWALA Address Line 2 TEHSIL- NAGINA
Is Permanent
Address Same As
Pincode 246763 YES
Address For
Communication?
Permanent Address
Country INDIA State UTTAR PRADESH District BIJNOR
City NAJIBABAD Address Line 1 VILLAGE- KANDRAWALA Address Line 2 TEHSIL- NAGINA
Pincode 246763

Educational Details
Educational Details
10th Academic Details

Obtained CGPA /
Institute Name Board Year of Passing Marking Scheme
Percentage
KRIST JAYANTI SCHOOL BARIYA CENTRAL BOARD OF SECONDARY
10th 2022 PERCENTAGE 94.60
NAJIBABAD BIJNOR UP EDUCATION (CBSE)

After 10th
12TH
Qualification
12th Academic Details

Marking Obtained CGPA /

Institute Name Board / University Stream Year of Passing Result Status
Scheme Percentage
CENTRAL BOARD OF SECONDARY
12th R P PUBLIC SCHOOL SCIENCE 2024 AWAITED
EDUCATION (CBSE)

12th Roll Number

12th Academic Details for Diploma
 Institute Name Board/University Stream Year of Passing Result Status Marking Scheme Obtained Percentage/CGPA
12th

Diploma Academic Details

Institute Name Board/University Stream Year of Passing Result Status Marking Scheme Obtained CGPA / Percentage
Diploma

12th Technical Subject Details

(12th Technical Subject Details Are Mandatory For Merit And Selection
Criteria.)
Course Maximum Marks Obtained Marks Percentage
P1
P2
P3
Total Subject Details

Average
Percentage of
technical course
Other 12th subject wise details

Subject Maximum Marks Obtained Marks Obtained Percentage

1
2
3
4
5
6
Total

Graduation Details

University Stream/Degree Year Of Passing Result Status Marking Scheme Obtained(Point/Percentage/CGPA)

1st Year Details

Have You
Appeared in Any NO
Examination.
Entrance Test Details

Exam Year of Appearing Result Status Score/Rank/Percentile Exam Roll No. /Application No.
1
2
3
4
5
6

Upload and Declaration

Upload Documents
Upload Passport Size Upload Your 10th Upload Your 12th
YES YES NO
Photograph : Marksheet : Marksheet :

Migration
Upload Your Diploma Upload Your 12th Admit Certificate/Leaving
NO NO NO
Marksheet : Card : Certificate/Transfer
Certificate :

Score Card required for

NO Student’s Aadhaar Card : YES UG 1st year Marksheet : NO
Entrance Exam :

Upload 12th Academic

Syllabus : NO NO
Details for Diploma :

Declaration
I CERTIFY THAT THE INFORMATION SUBMITTED BY ME IN SUPPORT OF THIS APPLICATION, IS TRUE TO THE BEST OF KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY
INFORMATION BEING FOUND FALSE OR INCORRECT, MY ADMISSION IS LIABLE TO BE REJECTED / CANCELLED AT ANY STAGE OF THE PROGRAM. I UNDERTAKE TO ABIDE BY THE DISCIPLINARY
RULES AND REGULATIONS OF THE INSTITUTE.

Applicant Name SIMREET KAUR Parent Name SAHIB SINGH Date 05/03/2024