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    Patliputra University, Patna: Under-Graduate (UG) Admission Application Form 24G0066273

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    mahabodhicollege3

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    Patliputra University, Patna: Under-Graduate (UG) Admission Application Form 24G0066273

    Uploaded by

    mahabodhicollege3
    16 views2 pages

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    24G0066273

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    16 views2 pages

    Patliputra University, Patna: Under-Graduate (UG) Admission Application Form 24G0066273

    Uploaded by

    mahabodhicollege3

    Copyright:

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

    Patliputra University, Patna

    Under-Graduate (UG) Admission Application Form


    SESSION 2024
    UAN # 24G0066273 Appl. Date : 13 May, 2024 07:58 PM

    1. Candidate Name : SHIVAM KUMAR


    2. Father's Name : PINTU KUMAR
    3. Mother's Name : SONI DEVI
    4. Date of Birth : 21-Jan-2006 5. Gender : MALE
    6. Category : General 7. Sub Category : Not Applicable

    8. Other Category : Not Applicable 9. AADHAAR : 67*******159


    10. Domicile : Bihar 11. Dom. Cert. : BRCCO/2023/1026916
    12. Religion : Hindu 13. Minority : NO
    14. Nationality : INDIAN 15. EWS Status: Not Applicable/No EWS

    16. Address for Correspondance : 17. Permanent Address :


    VILL+POST-MAHURI DIST+P.S.-NALANDA STATE- VILL+POST-MAHURI DIST+P.S.-NALANDA STATE-
    BIHAR BIHAR
    Nalanda Nalanda
    Bihar Bihar
    PIN Code : 803111 PIN Code : 803111

    18. Mobile : 8674950237 19. Email : [email protected]


    20. Payment Details: Paid Rs.600.00 on 15/5/2024 Ref# 8555657653339 Bank Ref: UPI - 413666025987
    21. Qualifications

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


    72309210010
    Highschool Bihar School Exam. Board, Sinha Library Road, Patna 2021 500 385
    1
    12017230103
    Intermediate Bihar School Exam. Board, Sinha Library Road, Patna 2023 500 373
    31
    Subjects/Stream : Science

    Subject Obtained Marks Max Marks Percentage %


    English 70 100 70.00
    Hindi 79 100 79.00
    Physics 74 100 74.00
    Chemistry 70 100 70.00
    Mathematics 80 100 80.00
    Other Qualifications

    22. Quota Selection

    23. College/Course Chosen (in order of preference)

    Pref# College Degree Subject


    1 [415] Maha Bodhi College, Nalanda B.Sc. Physics (Major) Physics
    2 [214] Nalanda College, Biharsharif B.Sc. Physics (Major) Physics
    3 [223] S.P.M College, Nalanda B.Sc. Physics (Major) Physics
    4 [210] Kisan College, Nalanda B.Sc. Physics (Major) Physics
    Printed: Saturday, June 15, 2024 04:12 PM Page: 1/2
    Patliputra University, Patna
    Under-Graduate (UG) Admission Application Form
    SESSION 2024
    UAN # 24G0066273 Appl. Date : 13 May, 2024 07:58 PM

    Pref# College Degree Subject


    5 [418] P.M.S. College, Paharpura B.Sc. Physics (Major) Physics
    6 [410] K.S.T. College, Sohsarai B.Sc. Physics (Major) Physics
    7 [454] B.R.Degree College,Deepnagar,Nalanda B.Sc. Physics (Major) Physics
    8 [231] Government Degree College, Rajgir, Nalanda B.Sc. Physics (Major) Physics
    9 [413] Lal Singh Tyagi Gramin College, Nalanda B.Sc. Physics (Major) Physics
    10 [423] R.L.S.Y. College, Biharsharif, Nalanda B.Sc. Physics (Major) Physics
    11 [432] Snatak College, Islampur, Nalanda B.Sc. Physics (Major) Physics
    12 [433] Vardhman Mahavir College, Pawapuri B.Sc. Physics (Major) Physics
    13 [475] S.P.VERMA COLLEGE RAJAKUAN,BIHARSHR... B.Sc. Physics (Major) Physics
    14 [231] Government Degree College, Rajgir, Nalanda B.Sc. Chemistry (Major) Chemistry
    15 [223] S.P.M College, Nalanda B.Sc. Chemistry (Major) Chemistry
    16 [415] Maha Bodhi College, Nalanda B.Sc. Chemistry (Major) Chemistry
    17 [454] B.R.Degree College,Deepnagar,Nalanda B.Sc. Chemistry (Major) Chemistry
    18 [475] S.P.VERMA COLLEGE RAJAKUAN,BIHARSHR... B.Sc. Chemistry (Major) Chemistry
    19 [231] Government Degree College, Rajgir, Nalanda B.Sc. Mathematics (Major) Mathematics
    20 [418] P.M.S. College, Paharpura B.Sc. Mathematics (Major) Mathematics

    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, June 15, 2024 04:12 PM Page: 2/2

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