Form No.

University of Rajasthan, Jaipur 121097

Application Form For Session 2023-24
Three/Four Year B. A.

7
University Rajasthan College

9
Personal Information
1.(i) Applicant's Name : VARUN SINGH

0
(ii) Student NetID : UG23740067

1
2.(i) Mother's Name : MAMTA KANWAR

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(ii) Father's Name : DHARMENDRA SINGH

1
3. Date of Birth : 4. Gender : 5. Age as on 01-07-2023 :
Affix Photograph

2007-03-07 Male 16 Years

6. Caste Category : 7. Other Spl Cat : 8. Weightage. Cat. :
EWS NA NA
9. Locality : 10. Annual Income :
Rural More than 1 Lac and less than 2 Lacs
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11. Mobile No.: 12. Nationality : 13. Email ID :

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7665520476 Indian varunnaruka8@gmail.com

14. Permanent Address : 15. Mailing Address :
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Jalooki Jalooki
7
67
23

Nagar Nagar
Jalooki Jalooki
00
UG

16. Religion : Hindu

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17. Educational Qualification :

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S.No. Name of Exam. Board/University Stream Year Max. MarksMarks Obts%

1. Secondary Rajasthan Board 2021 600 582 97.00

UG

2. Sr. Secondary Rajasthan Board Science 2023 500 436 87.20

UG23740067

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 Form No.
University of Rajasthan, Jaipur 121097
Application Form For Session 2023-24

7
Three/Four Year B. A.
University Rajasthan College

9
18. Subject Combination Preference

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Sub. Subject Combination Name Sub. Subject Combination Name
Comb. Comb.
Pre. Pre.

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1. English-Lit.--Pol.Sc.--Geography 2. Economics--History--Geography

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3. History--Pol.Sc.--Geography 4. Hindi-Lit.--Pol.Sc.--Sociology

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5. Pol.Sc.--Economics--History 6. NA

19. Bank Account Information

Account Number 44620100004225 IFS Code BARB0BRGBXX

Account Holder Name Mrs Mamta MICR Code 305647004

Bank Name Baroda Rajasthan Kshetriya Gramin Branch Name Baroda Rajasthan Kshetriya
Bank Gramin Bank jaluki
67
00

20. Fee Detail

Amount Transaction No. Transaction Date Transaction Mode
7 4

Rs. 150/- 230626152859102 Jun,26,2023 09:42:05 PM UPI_ICICI

67
23
00
UG

Place: Signature of the Applicant

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Date:
23
UG

UG23740067

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