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    Chhatrapati Shahu Ji Maharaj University, Kanpur: Under-Graduate (UG) Admission Registration Form

    Uploaded by

    Mushir Quraishi
    The document contains an undergraduate admission registration form for Chhatrapati Shahu Ji Maharaj University in Kanpur, India for the 2019-2020 session. It includes personal details of the applicant such as name, date of birth, gender, category, address, contact information, educational qualifications, choice of college and course, and a declaration signed by the applicant and parent/guardian. The form also lists the documents required to be submitted along with the application for admission processing.

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    © All Rights Reserved
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    Chhatrapati Shahu Ji Maharaj University, Kanpur: Under-Graduate (UG) Admission Registration Form

    Uploaded by

    Mushir Quraishi
    158 views3 pages
    The document contains an undergraduate admission registration form for Chhatrapati Shahu Ji Maharaj University in Kanpur, India for the 2019-2020 session. It includes personal details of the applicant such as name, date of birth, gender, category, address, contact information, educational qualifications, choice of college and course, and a declaration signed by the applicant and parent/guardian. The form also lists the documents required to be submitted along with the application for admission processing.

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    i want to study of science as directed by allah

    Original Title

    19 g 0055051

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    The document contains an undergraduate admission registration form for Chhatrapati Shahu Ji Maharaj University in Kanpur, India for the 2019-2020 session. It includes personal details of the applicant such as name, date of birth, gender, category, address, contact information, educational qualifications, choice of college and course, and a declaration signed by the applicant and parent/guardian. The form also lists the documents required to be submitted along with the application for admission processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    158 views3 pages

    Chhatrapati Shahu Ji Maharaj University, Kanpur: Under-Graduate (UG) Admission Registration Form

    Uploaded by

    Mushir Quraishi
    The document contains an undergraduate admission registration form for Chhatrapati Shahu Ji Maharaj University in Kanpur, India for the 2019-2020 session. It includes personal details of the applicant such as name, date of birth, gender, category, address, contact information, educational qualifications, choice of college and course, and a declaration signed by the applicant and parent/guardian. The form also lists the documents required to be submitted along with the application for admission processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Chhatrapati Shahu Ji Maharaj University, Kanpur

    Under-Graduate (UG) Admission Registration Form


    SESSION 2019 - 2020
    RegNo # 19G0055051 Reg. Date : 25 June, 2019 09:00 AM

    1. Candidate Name : MUSHEERUL HASAN


    2. Father's Name : KHALID UMAR
    3. Mother's Name : SHAMA PARVEEN
    4. Date of Birth : 25-Apr-2002 5. Gender : MALE
    6. Category : O.B.C. 7. Sub Category : Not Applicable

    8. Other Category : Not Applicable 9. E.W.S. ** : Not Applicable

    10. Domicile : Uttar Pradesh 11. Dom. Cert. :


    12. Religion : Muslim 13. Minority : YES
    14. Nationality : INDIAN 15. AADHAAR : 952883159873

    16. Address for Correspondance : 17. Permanent Address :


    89/1 - J Dalel Purva Kanpur 89/1 - J Dalel Purva Kanpur
    Kanpur Nagar Kanpur Nagar
    Uttar Pradesh Uttar Pradesh
    PIN Code : 208001 PIN Code : 208001

    18. Mobile : 9795937864 19. Email : [email protected]


    20. Payment Details: Paid Rs.100.00 on 25/6/2019 Ref# 834303918 Bank Ref: 1350 - 834303918
    21. Qualifications:

    Examination Board/University Year Roll No. Max. Mrk. Obt. Mrk.

    Highschool U.P. Board (U.P. Board of High School & Intermediate... 2017 1268117 600 415
    Intermediate U.P. Board (U.P. Board of High School & Intermediate... 2019 0991805 500 343
    Subjects/Stream : Commerce(With Maths)

    Other Qualifications
    ** E.W.S. gsrq ƒå çfr'kr dh lhek rd vkj{k.k mÙkj çns'k 'kklu dh vf/klwpuk@'kklukns'k ds vuqlkj ns; gksxk

    22. Choice of College / Course Combination :


    2 [KN01] CHRIST CHURCH P.G. COLLEGE, KANPUR B.Com. Commerce
    4 [KN03] D.A.V. COLLEGE,CIVIL LINES, KANPUR B.Com. Commerce
    1 [KN04] P.P.N. P.G. COLLEGE, KANPUR B.Com. Commerce
    3 [KN05] BRAHMANAND P.G. COLLEGE, KANPUR B.Com. Commerce
    5 [KN06] HALIM MUSLIM P.G. COLLEGE, KANPUR B.Com. Commerce

    Printed: Saturday, August 24, 2019 12:01 PM Page: 1/3


    Chhatrapati Shahu Ji Maharaj University, Kanpur
    Under-Graduate (UG) Admission Registration Form
    SESSION 2019 - 2020
    RegNo # 19G0055051 Reg. Date : 25 June, 2019 09:00 AM

    Declaration

    I declare that I have never been convicted for any criminal act and that there is no case pending
    against me in the court of law. I also declare that I have never been caught using Unfair Means or
    any Disciplinary action has been taken against me. If I was charged for using Unfair Means, the
    punitive duration is over and charges have been cleared. I have read carefully and have understood
    all rules as mentioned in the University Rules and Admission Brochure. Furthermore I also declare
    that if my application is found to contain incorrect/false information regarding my Name, Birth Date,
    Gender, Religion, Domicile, Weightage, Caste, Horizontal Reservation, Marks obtained or any other
    field, my application is liable to get cancelled, and I will have no objection in getting disqualified for
    admission to the concerned course/college.

    Signature of Parent/Guardian Signature of Candidate


    Date: Date:

    Document Checklist
    NOTE: Mark the number of documents ( Photocopy/Xerox) attached by the Candidate during form submission to the college

    Xth Marksheet Xth Certificate


    XIIth Marksheet Last Exam Passed Marksheet
    Recent Passport Sized Photograph Scanned Signature
    Domicile (for other state) Certificate for Kashmiri Resident
    Certificate for Category Certificate for Sub-Category
    Documents for Claiming Weightage Other Certificate/Document

    अभयर्थियों हेतु आवशयक निर्देश

    · अगर आप उत्तर प्रदेश के मूल निवासी हैं और आपिे इंटर की परीका यू.पी. बोर्ड से उत्तीर्ड की है तो मूल निवास प्रमार
    पत्र भरिे की बाधयता िहीं है | ककसी अनय बोर्ड / प्रांत दवारा इंटर परीका उत्तीर्ड होिे की स्थिनत में यदद उत्तर प्रदेश में
    निवास प्रदरश्डत ककया हो तो , प्रवेश प्रक्रिया के समय मूल निवास प्रमार पत्र प्र्ततुत करिा आवशयक है ।

    · आवेदि पत्र के पप्रंट आउट पर मांगी गई कतुछ जािकारी अभयथि्थी जैसे बारहवीं के पूराणांक, प्रापतांक, भारांक , ््ीम ,
    महापवदयालय का िाम एवं कोस्ड ्वयं भरेंगे तथिा सजस महापवदयालय में प्रवेश लेिा चाहते हैं, पवशवपवदयालय के दवारा
    निरा्डररत अंनतम नतथथि के पूव्ड वांनछत प्रमारपत्र्रों को संलगि करते हतुए जमा करेंगे |

    · एक अभयथि्थी एक ही पंजीकरर कर सकता है | एक से अथरक महापवदयालय अथिवा कोस्ड में आवेदि करिे हेततु, आवेदि
    पत्र के पप्रंट आउट की फोटो कॉपी करा के प्रतयेक महापवदयालय एवं कोस्ड इतयादद ्वयं भरते हतुए पवशवपवदयालय के
    दवारा निरा्डररत अंनतम नतथथि के पूव्ड वांनछत प्रमारपत्र्रों को संलगि करते हतुए सजस महापवदयालय में प्रवेश लेिा चाहते
    हैं, जमा करेंगे |

    · आवेदि में ककसी भी त्रतुदट के रलए आवेदक खतुद सजममेदार होगा|अतः आवेदि पत्र भरते वक़त एवं महापवदयालय में जमा
    करिे के पूव्ड भली भांनत जाँच ले |

    · अभयथि्थी यह सतुनिसशचत कर ले कक जो मोबाइल िंबर उसिे आवेदि फॉम्ड में भरा है वह ककसी भी महापवदयालय में
    उसका प्रवेश समपतुषट (Confirm) होिे से पूव्ड बंद िहीं होिा चादहए तथिा उसकी पहतुंच में होिा चादहए ।
    Printed: Saturday, August 24, 2019 12:01 PM Page: 2/3
    Chhatrapati Shahu Ji Maharaj University, Kanpur
    Under-Graduate (UG) Admission Registration Form
    SESSION 2019 - 2020
    RegNo # 19G0055051 Reg. Date : 25 June, 2019 09:00 AM

    · ककसी भी महापवदयालय में प्रवेश लेते समय अभयथि्थी के ददए गए रसज्टर्ड मोबाइल िंबर पर एक OTP (One Time
    Password) भेजा जायेगा जो कक महापवदयालय दवारा कंपयूटर में फीर करिे के उपरांत ही अभयथि्थी का प्रवेश समपतुषट
    (Confirm) होगा । अतः सम्त अभयथथि्डय्रों को यथिा सूथचत ककया जाता है कक वे प्रवेश के समय रसज्टर्ड मोबाइल िंबर
    के साथि ्वयं महापवदयालय में उपस्थित रहें ।

    Printed: Saturday, August 24, 2019 12:01 PM Page: 3/3

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