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    RegistrationForm 21014000979

    Uploaded by

    unnuubajpai88
    This document contains a college registration form for a student named Zara applying to Allenhouse Business School in Kanpur, India. The form includes personal details like name, DOB, address, education qualifications, declaration, and enclosures like anti-ragging affidavits.

    Copyright:

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

    RegistrationForm 21014000979

    Uploaded by

    unnuubajpai88
    4 views4 pages
    This document contains a college registration form for a student named Zara applying to Allenhouse Business School in Kanpur, India. The form includes personal details like name, DOB, address, education qualifications, declaration, and enclosures like anti-ragging affidavits.

    Original Title

    RegistrationForm_21014000979

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    © © All Rights Reserved

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    This document contains a college registration form for a student named Zara applying to Allenhouse Business School in Kanpur, India. The form includes personal details like name, DOB, address, education qualifications, declaration, and enclosures like anti-ragging affidavits.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views4 pages

    RegistrationForm 21014000979

    Uploaded by

    unnuubajpai88
    This document contains a college registration form for a student named Zara applying to Allenhouse Business School in Kanpur, India. The form includes personal details like name, DOB, address, education qualifications, declaration, and enclosures like anti-ragging affidavits.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ALLENHOUSE BUSINESS SCHOOL, KANPUR

    PLOT NO.- 176, KULGAON ROAD, ROOMA, KANPUR, UTTAR


    PRADESH

    COLLEGE REGISTRATION FORM - Institute Copy


    (Provisional, subject to the compliance of Rules/Regulation of CSJM University, Kanpur)
    BACHELOR OF BUSINESS ADMINISTRATION (PRE-ENROLLED STUDENTS): 2023-24

    IMPORTANT : Candidates should fill the entries very carefully.


    UNIVERSITY ROLL NO. (URN) : 21014000979

    Name of Course & Branch : Bachelor of Business Administration


    Year : 3
    Semester : 6
    Status of Student : Regular
    Name of Student: ZARA
    (As per High school Certificate in English)

    Name of Student: Zara


    (In Hindi)

    Father's Name : RASOOL BAKSH


    (As per High school Certificate)

    Occupation : self employed Annual Income : 100000.00


    Mother's Name : KILLO
    (As per High school Certificate)

    Date of Birth : 23-Jan-2003


    Category (GEN/OBC/SC/ST) : General
    Permanent Address : 308/289
    BAJAPI NAGAR
    KANPUR
    UTTAR PRADESH
    INDIA
    Pincode : 208010
    Local Address : 308/289
    BAJAPI NAGAR
    KANPUR
    UTTAR PRADESH
    INDIA
    Pincode : 208010
    Student Mobile No. : 8736804094
    Student Email Id : [email protected]
    Parents Mobile No. :
    Parents Email Id:

    Qualification Details
    S.No. Qualification Passing Year Board/Univers Institute/Colle Highest Percentage
    ity ge Qualification
    1 10th 2019 U.P. BOARD BAL N 80.12
    OF HIGH NIKETAN
    SCHOOL & DEFENCE
    INTERMEDI COLONY
    ATE
    EDUCATION
    2 12th 2021 U.P. BOARD BAL N 76.00
    OF HIGH NIKETAN
    SCHOOL & DEFENCE
    INTERMEDI COLONY
    ATE
    EDUCATION

    Declaration
    I ZARA hereby declare that all statements in this application are true, complete and correct to the best of
    my knowledge and belief. I shall be liable to a punishment in the event of providing any wrong
    information. Further, I shall obey all the rules and regulations of ALLENHOUSE BUSINESS SCHOOL,
    KANPUR.

    Date : 09-Feb-2024
    Place :

    (Signature of Student)

    (Authorized Signatory)
    ALLENHOUSE BUSINESS
    SCHOOL, KANPUR

    Enclosure :
    (1)Affidavit of Student for Anti-Ragging.
    (2)Affidavit of Parents for Anti-Ragging.
    ALLENHOUSE BUSINESS SCHOOL, KANPUR
    PLOT NO.- 176, KULGAON ROAD, ROOMA, KANPUR, UTTAR
    PRADESH

    COLLEGE REGISTRATION FORM - Student Copy


    (Provisional, subject to the compliance of Rules/Regulation of CSJM University, Kanpur)
    BACHELOR OF BUSINESS ADMINISTRATION (PRE-ENROLLED STUDENTS): 2023-24

    IMPORTANT : Candidates should fill the entries very carefully.


    UNIVERSITY ROLL NO. (URN) : 21014000979

    Name of Course & Branch : Bachelor of Business Administration


    Year : 3
    Semester : 6
    Status of Student : Regular
    Name of Student: ZARA
    (As per High school Certificate in English)

    Name of Student: Zara


    (In Hindi)

    Father's Name : RASOOL BAKSH


    (As per High school Certificate)

    Occupation : self employed Annual Income : 100000.00


    Mother's Name : KILLO
    (As per High school Certificate)

    Date of Birth : 23-Jan-2003


    Category (GEN/OBC/SC/ST) : General
    Permanent Address : 308/289
    BAJAPI NAGAR
    KANPUR
    UTTAR PRADESH
    INDIA
    Pincode : 208010
    Local Address : 308/289
    BAJAPI NAGAR
    KANPUR
    UTTAR PRADESH
    INDIA
    Pincode : 208010
    Student Mobile No. : 8736804094
    Student Email Id : [email protected]
    Parents Mobile No. :
    Parents Email Id:

    Qualification Details
    S.No. Qualification Passing Year Board/Univers Institute/Colle Highest Percentage
    ity ge Qualification
    1 10th 2019 U.P. BOARD BAL N 80.12
    OF HIGH NIKETAN
    SCHOOL & DEFENCE
    INTERMEDI COLONY
    ATE
    EDUCATION
    2 12th 2021 U.P. BOARD BAL N 76.00
    OF HIGH NIKETAN
    SCHOOL & DEFENCE
    INTERMEDI COLONY
    ATE
    EDUCATION

    Declaration
    I ZARA hereby declare that all statements in this application are true, complete and correct to the best of
    my knowledge and belief. I shall be liable to a punishment in the event of providing any wrong
    information. Further, I shall obey all the rules and regulations of ALLENHOUSE BUSINESS SCHOOL,
    KANPUR.

    Date : 09-Feb-2024
    Place :

    (Signature of Student)

    (Authorized Signatory)
    ALLENHOUSE BUSINESS
    SCHOOL, KANPUR

    Enclosure :
    (1)Affidavit of Student for Anti-Ragging.
    (2)Affidavit of Parents for Anti-Ragging.

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