UNIVERSITY OF LUCKNOW

Online Application Form for Admission - 2024

(MBA/MTTM Programmes)
REGISTRATION ID : 20245000420
PERSONAL DETAILS
Name of Programme : MBA/MTTM
Name of Student : NITIN KUMAR
Father's Name : SRAVAN KUMAR
Mother's Name : SHASHI GAUTAM
Date of Birth : 08/12/2003
Mobile Number : 9621864970
E-Mail ID : nitin962186@gmail.com
Gender : Male
Domicile : Uttar Pradesh
Religion : Hinduism
Category : SC Caste Certificate Number : 334224000978 Uploaded
Annual Income of
: Below 200000.00 Nationality : Indian
Family (in Rs.)
Sub category : -
Weightage : - Income Certificate No. : -
Zero Fees Required : No
Is Father's Income below Rs. 2,00,000 Per Annum? : Yes Blood Group : B+
ID Proof : Aadhaar Card ID Number : 696692592341

ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS

Address : VILL PULANDAR POST DAHELI KANPUR Address : VILL PULANDAR POST DAHELI KANPUR
DEHAT DEHAT
Kanpur Dehat Kanpur Dehat
Uttar Pradesh, India, Pin Code - 209208 Uttar Pradesh, India, Pin Code - 209208
Mobile Number : 9621864970 Mobile Number : 9621864970
Alternate Mobile Number : 7307499708 Alternate Mobile Number : 7307499708
Landline Number With STD Code : - Landline Number With STD Code : -

BANK DETAILS (Self)

Account Holder Name : NITIN KUMAR Bank Name : Bank of Baroda
Account No. : 30700100011315 IFSC Code : BARB0MATIXX

EDUCATIONAL QUALIFICATION
HIGH SCHOOL OR EQUIVALENT EDUCATION

Roll Number : 5127335 Passing Year : 2019 Percentage : 70.40%

Maximum Marks : 500 Marks Obtained : 352
Examination Body of the High School or equivalent Education : C.B.S.E. Board

INTERMEDIATE OR EQUIVALENT EDUCATION

Roll Number : 23673684 Passing Year : 2021 Percentage : 90.20%

Maximum Marks : 500 Marks Obtained : 451
Examination Body of the Intermediate or equivalent Education : C.B.S.E. Board
GRADUATION OR EQUIVALENT EDUCATION

Passing Status : Appearing

Roll Number : NA Passing Year : NA Percentage : NA
Maximum Marks : NA Marks Obtained : NA
Examination Body of the Graduation or Equivalent Education : Chatrapati Shahuji maharaj University kanpur
Subject-1 : GOOD AND SERVICE TAX Subject-2 : AUDITING

FEE PAYMENT DETAILS

Amount in Rs. : 800.00 Transaction No. : ADM220001028374 Transaction Date : 13/04/2024

DECLARATION : I have read and understood all the minimum eligibility conditions and instructions regarding the Admission
Process 2024 for the MBA/MTTM of the University of Lucknow. I understand that it is my responsibility to check the
eligibility criterion and other conditions of the Admission Process 2024 in the University of Lucknow. I am also aware that the
University of Lucknow is not verifying the eligibility at the time of submission of online application and that it will be verified by
the University at the time of admission and reporting I also certify that I have not been expelled from any
University/College/Institution or found guilty under the Indian Penal Code. I understand that if any information provided by me
is found to be false, my application and my right to admission in the University of Lucknow shall stand null and void. If I get
Admission at University of Lucknow and during my studentship I am found to be involved in any disciplinary act against the
University rules, my admission may be cancelled and I will be sole responsible for this cancellation .

Signature of Student
NOTE : Kindly keep the printout of the Application form with you. You have to bring the printout of the Application Form only at the
time of Counselling. Do not send any printout to the University of Lucknow by post or by hand.

Print Date : 4/13/2024 Page 1 of 2

 UNIVERSITY OF LUCKNOW
Online Application Form for Admission - 2024
(MBA/MTTM Programmes)
REGISTRATION ID : 20245000420

Print Date : 4/13/2024 Page 2 of 2