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    PG Addmission

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    Røûshâñ Rãj Sîñgh

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    © All Rights Reserved
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    PG Addmission

    Uploaded by

    Røûshâñ Rãj Sîñgh
    26 views2 pages

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    26 views2 pages

    PG Addmission

    Uploaded by

    Røûshâñ Rãj Sîñgh

    Copyright:

    © All Rights Reserved
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    of 2

    Patliputra University, Patna

    Post-Graduate Traditional (PG-T) Admission Application Form


    SESSION 2022 - 2023
    UAN # 22T0153674 Reg. Date : 31 August, 2022 01:33 PM

    1. Candidate Name : CHHOTI PRIYA


    2. Father's Name : ABHAY KUMAR SINGH
    3. Mother's Name : SHIVMANI DEVI
    4. Date of Birth : 13-Apr-2000 5. Gender : FEMALE
    6. Category : General 7. Sub Category : Girls

    8. Other Category : Not Applicable 9. AADHAAR : 20*******205


    10. Domicile : Jharkhand 11. Dom. Cert. :
    12. Religion : Hindu 13. Minority : NO
    14. Nationality : INDIAN 15. EWS Status: Not Applicable/No EWS

    16. Address for Correspondance : 17. Permanent Address :


    VILL - HISRA BARWADIHPO - GAHAR PATHRAPS - VILL - HISRA BARWADIHPO - GAHAR PATHRAPS -
    PATAN PATAN
    Palamu Palamu
    Jharkhand Jharkhand
    PIN Code : 822123 PIN Code : 822123

    18. Mobile : 6205367469 19. Email : [email protected]


    20. Payment Details: Paid Rs.400.00 on 31/8/2022 Ref# 3104087572627 Bank Ref: NB - IGAOFHTDN2
    21. Qualifications PPUP Enrollment (if any) : 192252111107010

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

    Highschool Jharkhand Academic Council, Birsadin, Hawai Nagar,... 2016 310330007 500 407
    Intermediate Jharkhand Academic Council, Birsadin, Hawai Nagar,... 2018 3101410808 500 274
    B.Sc. Zoology 20225110700
    Patliputra University, Patna (State University) 2022 1500 904
    (Hons) 26
    Subjects/Stream : Zoology,Botany,Chemistry

    Subjectwise Marks Distribution


    Zoology
    487/800 = 60.88%
    Other Qualifications

    22. Quota Selection

    23. College/Course Chosen (by order of preference) M.Sc. Zoology

    Pref# College Degree Subject


    1 [225] T.P.S College, Patna M.Sc. Zoology Zoology
    2 [205] College of Commerce, Arts and Science, Patna M.Sc. Zoology Zoology
    3 [203] B.D. College, Patna M.Sc. Zoology Zoology
    4 [201] A.N. College, Patna M.Sc. Zoology Zoology
    5 [111] POST GRADUATE DEPARTMENT OF PPU, PA... M.Sc. Zoology Zoology

    Printed: Saturday, November 5, 2022 08:56 AM Page: 1/2


    Patliputra University, Patna
    Post-Graduate Traditional (PG-T) Admission Application Form
    SESSION 2022 - 2023
    UAN # 22T0153674 Reg. Date : 31 August, 2022 01:33 PM

    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

    Printed: Saturday, November 5, 2022 08:56 AM Page: 2/2

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