ALLENHOUSE BUSINESS SCHOOL, KANPUR

PLOT NO.- 176, KULGAON ROAD, ROOMA, KANPUR, UTTAR

PRADESH

COLLEGE REGISTRATION FORM - Institute Copy

(Provisional, subject to the compliance of Rules/Regulation of CSJM University, Kanpur)
BACHELOR OF BUSINESS ADMINISTRATION (PRE-ENROLLED STUDENTS): 2022-23

IMPORTANT : Candidates should fill the entries very carefully.

UNIVERSITY ROLL NO. (URN) :

Name of Course & Branch : Bachelor of Business Administration

Year : 2
Semester : 4
Status of Student : Regular
Name of Student: UNNATI BAJPAI
(As per High school Certificate in English)

Name of Student:
(In Hindi)

Father's Name : MANOJ BAJPAI

(As per High school Certificate)

Occupation : others Annual Income : 100000.00

Mother's Name : RANI BAJPAI
(As per High school Certificate)

Date of Birth : 29-Apr-2003

Category (GEN/OBC/SC/ST) : General
Permanent Address : 65/33 MOTI MAHAL
65/33 MOTI MAHAL KANPUR
KANPUR
UTTAR PRADESH
INDIA
Pincode : 208001
Local Address : 65/33 MOTI MAHAL
65/33 MOTI MAHAL KANPUR
KANPUR
UTTAR PRADESH
INDIA
Pincode : 208001
Student Mobile No. : 6392383544
Student Email Id : unnatibajpai0@gmail.com
Parents Mobile No. :
Parents Email Id:

Qualification Details
S.No. Qualification Passing Year Board/Univers Institute/Colle Highest Percentage
ity ge Qualification
1 10th 2019 U.P. BOARD S N SEN N 67.00
OF HIGH BALIKA
SCHOOL & VIDYALAY
INTERMEDI A I C MALL
ATE ROAD
EDUCATION
2 12th 2021 U.P. BOARD S N SEN N 57.00
OF HIGH BALIKA
SCHOOL & VIDYALAY
INTERMEDI A I C MALL
ATE ROAD
EDUCATION

Declaration
I UNNATI BAJPAI hereby declare that all statements in this application are true, complete and correct to
the best of my knowledge and belief. I shall be liable to a punishment in the event of providing any wrong
information. Further, I shall obey all the rules and regulations of ALLENHOUSE BUSINESS SCHOOL,
KANPUR.

Date : 04-May-2023
Place :

(Signature of Student)

(Authorized Signatory)
ALLENHOUSE BUSINESS
SCHOOL, KANPUR

Enclosure :
(1)Affidavit of Student for Anti-Ragging.
(2)Affidavit of Parents for Anti-Ragging.
 ALLENHOUSE BUSINESS SCHOOL, KANPUR
PLOT NO.- 176, KULGAON ROAD, ROOMA, KANPUR, UTTAR
PRADESH

COLLEGE REGISTRATION FORM - Student Copy

(Provisional, subject to the compliance of Rules/Regulation of CSJM University, Kanpur)
BACHELOR OF BUSINESS ADMINISTRATION (PRE-ENROLLED STUDENTS): 2022-23

IMPORTANT : Candidates should fill the entries very carefully.

UNIVERSITY ROLL NO. (URN) :

Name of Course & Branch : Bachelor of Business Administration

Year : 2
Semester : 4
Status of Student : Regular
Name of Student: UNNATI BAJPAI
(As per High school Certificate in English)

Name of Student:
(In Hindi)

Father's Name : MANOJ BAJPAI

(As per High school Certificate)

Occupation : others Annual Income : 100000.00

Mother's Name : RANI BAJPAI
(As per High school Certificate)

Date of Birth : 29-Apr-2003

Category (GEN/OBC/SC/ST) : General
Permanent Address : 65/33 MOTI MAHAL
65/33 MOTI MAHAL KANPUR
KANPUR
UTTAR PRADESH
INDIA
Pincode : 208001
Local Address : 65/33 MOTI MAHAL
65/33 MOTI MAHAL KANPUR
KANPUR
UTTAR PRADESH
INDIA
Pincode : 208001
Student Mobile No. : 6392383544
Student Email Id : unnatibajpai0@gmail.com
Parents Mobile No. :
Parents Email Id:

Qualification Details
S.No. Qualification Passing Year Board/Univers Institute/Colle Highest Percentage
ity ge Qualification
1 10th 2019 U.P. BOARD S N SEN N 67.00
OF HIGH BALIKA
SCHOOL & VIDYALAY
INTERMEDI A I C MALL
ATE ROAD
EDUCATION
2 12th 2021 U.P. BOARD S N SEN N 57.00
OF HIGH BALIKA
SCHOOL & VIDYALAY
INTERMEDI A I C MALL
ATE ROAD
EDUCATION

Declaration
I UNNATI BAJPAI hereby declare that all statements in this application are true, complete and correct to
the best of my knowledge and belief. I shall be liable to a punishment in the event of providing any wrong
information. Further, I shall obey all the rules and regulations of ALLENHOUSE BUSINESS SCHOOL,
KANPUR.

Date : 04-May-2023
Place :

(Signature of Student)

(Authorized Signatory)
ALLENHOUSE BUSINESS
SCHOOL, KANPUR

Enclosure :
(1)Affidavit of Student for Anti-Ragging.
(2)Affidavit of Parents for Anti-Ragging.