AL-FALAH UNIVERSITY

HARYANA
College Admission Form (SESSION 2022-2023)
Online Form No.: 39599
TO BE ALLOTED BY OFFICE
Roll No........................................
Application for admission to: B.Sc.
Pool : NA
Reserved Category : OTHERS
Category : GENERAL
Previous Examination passed in year : 2021
Gap year : NA
Marks in previous examination: 410.00/500.00 Percentage: 82.00
Old College Roll No. : Session: 2022
Conveyance (Scooter/Motorcycle) : No Vehicle No.:
PU Roll No. : NA MU Reg : NA
Boarder/Day Scholar :

Student's Details
Candidate Name: Amaan Date of birth: 22-11-2001
Gender: Male Blood Group: B+
Minority Status: No Religion: NA
Nationality: INDIAN Pan No.: DXGPA4312B
Contact 8448575409 EPIC No:
Email: Amaan7866@gmail.com State: Haryana
Permanent Address: NEELAM BATA ROAD, Correspondence NEELAM BATA ROAD,
FARIDABAD,HARYANA Address: FARIDABAD,HARYANA

Belongs to BPL: No Annual Income: 2 to 5 lac

Special Achievements
Cultural : No Sports : No
Academic : No
Achievement Remarks :

Father's Details
Father's Name: Basheer Ahmed Occupation: MECHANIC
Email: Tariqueshaikh0082@gmail.com Office Address: 136 B CIVIL LINES CURCIT HOUSE
FARIDABAD,HARYANA

Mother's Details
Mother's Name: Neha Shaikh Occupation: HOME MAKER
Email: Mahboob786shaikh@gmail.com House Address: NEELAM BATA ROAD,
FARIDABAD,HARYANA

Guardian's Details
Guardian's Name: Amina Shaikh Occupation:
Email: Office Address:
Contact no:
Sports Category
Sports Seat : No
Sport Name : NA
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