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    NSCB-Registration Final Print

    Uploaded by

    Anushika Srivastava
    This document is a student registration form for Priyanshi Srivastava for the academic year 2021-2022. It provides her personal details like name, date of birth, family details, religion, category, address, contact details, educational qualifications and declaration. She is registering for a BCOM course as a first year student with an annual family income of Rs. 72,000 and has secured over 80% marks in her high school and intermediate exams from the UP Board. The form was printed on November 13, 2021.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NSCB-Registration Final Print

    Uploaded by

    Anushika Srivastava
    51 views2 pages
    This document is a student registration form for Priyanshi Srivastava for the academic year 2021-2022. It provides her personal details like name, date of birth, family details, religion, category, address, contact details, educational qualifications and declaration. She is registering for a BCOM course as a first year student with an annual family income of Rs. 72,000 and has secured over 80% marks in her high school and intermediate exams from the UP Board. The form was printed on November 13, 2021.

    Original Title

    NSCB-Registration Final Print (1)

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    This document is a student registration form for Priyanshi Srivastava for the academic year 2021-2022. It provides her personal details like name, date of birth, family details, religion, category, address, contact details, educational qualifications and declaration. She is registering for a BCOM course as a first year student with an annual family income of Rs. 72,000 and has secured over 80% marks in her high school and intermediate exams from the UP Board. The form was printed on November 13, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views2 pages

    NSCB-Registration Final Print

    Uploaded by

    Anushika Srivastava
    This document is a student registration form for Priyanshi Srivastava for the academic year 2021-2022. It provides her personal details like name, date of birth, family details, religion, category, address, contact details, educational qualifications and declaration. She is registering for a BCOM course as a first year student with an annual family income of Rs. 72,000 and has secured over 80% marks in her high school and intermediate exams from the UP Board. The form was printed on November 13, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Student Registration Final Print, Academic Year 2021-2022

    Final Registration Form


    Registration No. 59210301291
    Course BCOM - 1st Year
    Subjects COMMERCE
    Student's Name,
    PRIYANSHI SRIVASTAVA , 28/12/2003
    D.O.B.
    Father's Name,

    SANJEEV KUMAR SRIVASTAVA , 72000/-


    Annual Income
    Father's Occupation PRIVATE JOB
    Mother's Name NITIMA SRIVASTAVA
    Local Guardian's
    SANJEEV KUMAR SRIVASTAVA, 7905696157
    Name, Mobile
    Religion, Category,
    Hindu, UR-GEN, FEMALE
    Gender
    Applicable EWS,
    NO, Less than 8 Lac
    Income Criteria
    Specified Category Not Applicable
    Marital Status, Birth
    SINGLE, LUCKNOW
    Place
    HOUSENO. 616 BY 90, AZIZ NAGAR COLONY, NEAR MADIYAON POLICE STATION,
    Permanent Address
    MOHIBULLAPUR, SITAPUR ROAD, LUCKNOW, UTTAR PRADESH, PIN CODE - 226021
    HOUSENO. 616 BY 90, AZIZ NAGAR COLONY, NEAR MADIYAON POLICE STATION,
    Local Address
    MOHIBULLAPUR, SITAPUR ROAD, LUCKNOW, UTTAR PRADESH, PIN CODE - 226021
    District, State LUCKNOW, Uttar Pradesh
    Aadhar 548807887826
    Mobile, E-mail of
    7905696157, [email protected]
    Student
    Qualification Details
    Qualification Board Year Marks Percentage Result
    UP
    Highschool 2019 495/600 82.50% Passed
    BOARD
    UP
    Intermediate 2021 409/500 81.80% Passed
    BOARD
    I, solemnly declare that all the information provided in the form are true to the best of my
    knowledge and belief. If any information
    herewith is found to be untrue / false / incorrect, my candidature / admission / examination is liable to be
    cancelled and no claim of
    its fee refund would be raised by me. If in future, any of this information is found untrue / false / incorrect, the University
    may cancel
    my degree.
    Print Date: 11/13/2021 12:51:32 PM

    Place: Lucknow Singnature of Student

    For Office Use Only (59210301291)


    Admission Recommended Not Recommended
    Subject Alloted: 1. ....................................... 2. ....................................... 3. .......................................
    Fee Amount:
    Signature Admission Incharge

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