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JENIFA KHAN Form No : 12442561

Transaction Number:
JENIFAK3333@GMAIL.COM 0851853102
+91 9588864470 Date: 06 Jun 2024
Bachelor of Pharmacy Campus : Kolkata

PERSONAL DETAILS

Gender : Female
Category :
Date Of Birth : 19/08/2004
Nationality : Indian
Passport : No

Correspondence Address
Permanent Address
For all communication related to your admission.
QTR 484/A, BGR TOWNSHIP , DHALIGAON VILL- HATIZANA, PO- JOSHIHATI
Country :INDIA Country :INDIA
Sate :ASSAM Sate :ASSAM
City :BONGAIGAON City :HOWLI
PinCode :783385 PinCode :781316

Admission Category : NS
Hostel Accommodation : : Yes (Hostel Type : AC)

Education Details
It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last completed semester / year. If the system of
marking of your school / college is on grading pattern, convert grade into marks as applicable and fill in the respective columns. In absence of complete
information, form will be rejected.
Class X

Board Type : CBSE


Board Name : 0
Board Roll No : 11182402
Passing Year : 2020
Aggregate Percentage : 85.60
School Code : 11018
Mark Type : Marks

Class XII

Board Type : CBSE


Passing Year : 2022
Medium of instruction : English
School Name : DELHI PUBLIC SCHOOL
City : JODHPUR
Pin / Zip Code : 110007
XII Board Name : CBSE
Board Roll No : 11674033
Board Admit Card No : JJ031110
XII Results Declared : Yes
Marks

Class XII Board Result Details (Provide details of all subjects as in class XII marksheet)

Sno. Subject Marks Marks Out of


1 ENGLISH 91 100
Mark Type :
2 PHYSICS 61 100
3 CHEMISTRY 65 100
4 BIOLOGY 76 100
5 PAINTING 92 100

Page 1 of 2 06 Jun 2024


Family Information

Relationship Father Mother


Name WAHEDUZ ZAMAN KHAN JOYNOB KHAN
Age 54 43
Email wz90188@gmail.com WWW.JOYNOBJENIFAJEET@GMAIL.COM
Mobile +91 9101301982 +91 9101317228
Qualification Bachelors Bachelors
profession PUBLIC SECTOR EMPLOYEE
Organisation
Designation
Employment Category EMPLOYED HOMEMAKER
Country of Residence INDIA INDIA
Family at Amity - Any of your associated no
with Amity

Other Information

Aadhaar Card No : 608179526442


Do you suffer from any chronic ailment : No
Have you ever been suspended, dismissed or
No
put on academic probation or warning at any :
school or college?

Extra Curricular

Awards / Achievements Name : No

Employment

Work Experience : No

Previously Applied

Have you previously applied to Amity? : No

Page 2 of 2 06 Jun 2024

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