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Applicant Details: Application For PET-2021

This document contains an application form for PET-2021 submitted by Rahul Philips Kujur for the LL.M. course. It includes his personal details like name, father's name, date of birth, category, address etc. It also contains details of his test center preference and confirmation that he has read the information bulletin and agrees to the terms and conditions.

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Ankit Yadav
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27 views2 pages

Applicant Details: Application For PET-2021

This document contains an application form for PET-2021 submitted by Rahul Philips Kujur for the LL.M. course. It includes his personal details like name, father's name, date of birth, category, address etc. It also contains details of his test center preference and confirmation that he has read the information bulletin and agrees to the terms and conditions.

Uploaded by

Ankit Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Welcome to Admission Committee CHANGE PASSWORD

SIGNOUT (HTTPS://BHU1.UCANAPPLY.COM/COUNSELLINGADMISSION2021/ADMIN/ENTRANCE/LOGOUT.PHP?APP-ID=UELZMDAWMJAZMQ==)

Applicant Details
Exam Roll Number:

UP18015986

Search

213110061239

13121993

Application for PET-2021


APPLICATION NO:
213110061239

Course Name:
(475) LL.M.
पाठयक्रम का नाम :
Candidate Name:
RAHUL PHILIPS KUJUR
आवेदक का नाम :
Father's Name:
RAJESH KUJUR
पिता का नाम :
Mother's Name:
ANGELINE KUJUR
माता का नाम:
Father's / Mother's Mobile 9905308789
Number:

पिता / माता का मोबाइल नंबर :


Date of Birth:
13. December .1993
जन्म तिथि :

Sex/लिंग: MALE Category/वर्ग: ST


Blood Group:
O+ Do you claim Reservation for No
ब्लड ग्रुप : Economically Weaker Section (EWS) ?
Physically Challenged:
NO Employee's Ward:
NO
शारीरिक विकलांगता: कर्मचारी पुत्रपुत्री :
Nationality/राष्ट्रीयता : Indian Sports Seat:
NO
Religion/धर्म: N/A स्पोर्ट्स सीट :
Do you belong to "BHU Student YES
Category"?:

क्या आप बी.एच.यू विदयार्थी की श्रेणी मैं हैं

Address For Correspondence  पत्राचार का पता Permanent Address  स्थायी पता


Name:
RAHUL PHILIPS KUJUR Guardian's Name (If
आवेदक का नाम Applicable)
Address (पता ) : VILLAGE MUNDAL TOLI POST KONBEGI THANA RENGARIH Address (पता ) : VILLAGE MUNDAL TOLI POST KONBEGI THANA RENGARIH
   

   
District (जिला): SIMDEGA District (जिला): SIMDEGA
State (राज्य): Jharkhand State (राज्य): Jharkhand
Pin (पिन) : 835235 Pin (पिन) : 835235

Ph. No. with STD Code Ph. No. with STD Code
Mobile No. (मोबाइल नंबर ) 9905308789 Fax No.
Email 213110061239 Mobile No. (मोबाइल नंबर) 9905308789

Annual Income of your RS. 100001 -200000


Parents/Guardians in Rs.
Test Center
Welcome Preference  परीक्षा
to Admission Committee के न्द्र वरियता
CHANGE PASSWORD
Preference - 01 ( UP18 ) - Varanasi Preference - 04 ( JH04 ) - Ranchi
SIGNOUT (HTTPS://BHU1.UCANAPPLY.COM/COUNSELLINGADMISSION2021/ADMIN/ENTRANCE/LOGOUT.PHP?APP-ID=UELZMDAWMJAZMQ==)
Preference - 02 ( UP03 ) - Prayagraj (Allahabad) Preference - 05
Preference - 03 ( UP12 ) - Lucknow    

 
Signature Uploaded by
the candidate

अभ्यर्थी द्वारा अपलोडेड


हस्ताक्षर

It is hereby confirmed that I have carefully read the concerned Information Bulletin available on the BHU's Entrance Test Portal (www.bhuonline.in) before filling up the Application Form.
I hereby solemnly affirm that the information furnished in this Online Application Form is true and correct to the best of my lnowledge and belief and no material information has been concealed or
suppressed. If any information is found to be false, incorrect or misleading, the Banaras Hindu University shall have the authority to cancel my candidature / admission without any further enquiry
or notice.

I undertake that, if admitted, I shall abide by the UGC Regulations on Curbing the Menace of Ragging, 2009, Ordinances governing the discipline of students of banaras Hindu University and suc
other Rules, Ordinances and Regulations that may be framed by the Banaras Hindu University/ UGC from time to time.

I further undertake that the preference for the Test center, Courses, Domicile and the categories to which I belong as indicated by me in the online application form shall be irrevocable.

I CONFIRM THE ABOVE

PLEASE REVIEW THE ABOVE DETAILS CAREFULLY FOR ANY ERRORS BEFORE CONFIRMING SUBMISSION.

YOU WILL NOT BE ABLE TO MAKE ANY CHANGE AFTER CONFIRMATION OF SUBMISSION

THE FORM WOULD BE CONSIDERED SUCCESSFULLY SUBMITTED ONLY AFTER PAYMENT OF APPLICATION PROCESSING / ENTRANCE TEST FEE

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