CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY, KANPUR

Online Application Form for Entrance Test-2016

Course:D.C.A. - [ Serial No. : 51 ]

Through Debit/Credit Card

Print Date & Time :

10/05/2016

8:48 pm

1100127826

Transacton ID :

Submitted On :

10/05/2016 8:43:50PM

PERSONAL DETAILS
Registration No

: 1016010738

Name

: RANJANA TRIPATHI

Father's Name

: MARKANDEY TRIPATHI

Mother's Name

: URMILA DEVI TRIPATHI

Correspondence Address

: EWS 387 SHATABDI NAGAR RATANPUR COLONY PANKI

Permanent Address

: EWS 387 SHATABDI NAGAR RATANPUR COLONY PANKI

District

: KANPUR NAGAR

Entrance Fees Paid

: 600.00

Pincode

: 208020

Date of Birth

: 09/09/1998

Contact No.

: 9208436530

Gender

: Female

Domicile of UP

: Yes

Handicapped

: No

University Employee Ward

: No

Category

: GEN

EDUCATIONAL DETAILS
Year of Qualifying Exam

: 2016

Roll No. of Qualifying Exam

: 1187725

Qualifying Course Board/Univ.

: U.P. BOARD

Course of Qualifying Exam

: Intermediate or Equivalent

Subjects of Qualifying Exam

: HINDI ENGLISH ART EDUCATION ECONOMICS

Percentage of Marks in Qualifying Exam :

0.00

Declaration ()
1. / , /
2. / - / /

Enclosures:

4Photocopy of Marksheet of Qualifying Exam

4Photocopy of Caste Category Certificate (for other than General Candidates)
:

Candidate's Signature