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    SMT0002539 1718103456

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    abhiexam775

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    © All Rights Reserved
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    SMT0002539 1718103456

    Uploaded by

    abhiexam775
    9 views2 pages

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    SMT0002539_1718103456

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    9 views2 pages

    SMT0002539 1718103456

    Uploaded by

    abhiexam775

    Copyright:

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

    Mahatma Gandhi Kashi Vidyapith, Varanasi

    ADMISSION-2024-25
    B.Mus.
    Form Number: SMT0002539
    Study Centre/OU : FACULTY OF HUMANITIES
    Transaction Details
    Payment/Submission Status : Paid Payment/Submission Date : 2024-06-11 16:23:39
    Transaction ID : 240611186959459 Amount: 850

    Personal Details
    Full Name of the Applicant : PREM CHANDRA Gender : Male
    Category : OBC
    Date of Birth : 1 July 2004 Certificate Number : 691243004688
    Age as on : Jul 1, 2024: 20 Years 0 Months 0 days Certificate Issuing Date : 2024-01-08
    Sub Category: NA
    Blood Group : Not Known Religion : Hinduism
    Nationality: Indian
    Registered Email : premchandrassc2023@gmail.com Registered Mobile Number : 6394863939
    Alternate Email : Not Provided Alternate Mobile : 9369894480
    Permanent Address : Tarkapur, Shitla Mandir ke pas, mahuaria, Sadar mirzapur, Mirzapur , Uttar Correspondence Address : Tarkapur, Shitla Mandir ke pas, mahuaria, Sadar
    Pradesh, MIRZAPUR -231001, India mirzapur, Mirzapur , Uttar Pradesh, MIRZAPUR -231001, India

    MGKVP registration details (if applicable)


    Have you enrolled in MGKVP before? : No Enrolment/Registration number: Not Provided
    Name of MGKVP School/Department/Faculty/College : Not Provided Programme registered in : Not Provided

    Family Details
    Mother's Name : Ramaval Devi Father's Name : Shyam Kanhaiya
    Parent/Guardian Contact Number : 8756899613

    Other Category/Quota
    Person with Benchmark Disabilities (PwBD) Category : Not Applicable
    Are you a member of dependent freedom fighter? : No

    Are you ward of University Employee (Father / Mother working in Mahatma


    Department Name (Only for Staff Quota): , Designation Name (Only for Staff Quota): ,
    Gandhi Kashi Vidyapith, Varanasi)?
    Employee ID (Only for Staff Quota): , Staff Quota Employee Mobile:
    National Cadet Core (NCC)/National Service Scheme (NSS)/Scout and
    to the candidate who received the National award for Scout and Guide or Rovers/ Rangers
    Guide/Rovers and Rangers Candidates (Only any one of the mentioned activities
    (15 Marks)
    from 1-8 will be considered for weightage)
    Dependents of Soldiers No
    Language Proficiency (Reading/Writing/Speaking)
    English NA
    Hindi Reading Writing Speaking

    Academic Details
    Selected Eligibility Criteria: 1) वष 2022 के पूव इटरमीिडएट/समक परीा उीण अयथ िकसी भी नातक का (विवपोिषत और यावसाियक पायमों को छोड़कर) म स 2024-25 म पवेश हेत ु पा नही ं होंगे। 2) पवेश
    के समय अयथ की आयु 1 जुलाई, 2024 को 22 वष से अिधक नही ं होनी चािहए 3) कसी भी मायता पात संथा से इटरमीिडएट तर मे संगीत (गायन वादन-िसतार) न होने पर अधोिलिखत-पयाग संगीत सिमित से चार वषय जूिनयर िडलोमा
    (गायन/िसतार)

    Qualification Details - X or Equivalent


    Class X Result Status Passed
    Class X Year of Passing 2019
    Class X Percentage (If your mark is in CGPA, please convert to
    57.16
    equivalent percentage as per your CGPA score and CGPA Scale)
    Class X Name of the Institution ASJ INTER COLLEGE RAMAIPATTI MIRZAPUR
    Class X Board/University UP BOARD
    Class X Subject Combination Hindi, English, Mathematics, Science, Social Science, Drawing
    Class X Division SECOND
    Class X Roll/Registration Number NA
    Qualification Details - XII or Equivalent
    Class XII Qualification Status Passed
    XII Year of Passing Final Examination 2021
    Class XII Percentage (If your mark is in CGPA, please convert to
    equivalent percentage as per your CGPA score and CGPA Scale) 65.28
    (Best of the five subjects)
    Class XII Name of the Institution ASJ INTER COLLEGE RAMAIPATTI MIRZAPUR
    Class XII Board/University UP Board
    Class XII Subject Combination Hindi, English, Physics, Chemistry, Biology, Moral Education
    Class XII Division Fist
    Class XII Roll/Registration Number NA

    Uploads
    Document Upload Status
    Photo Uploaded
    Signature Uploaded
    OBC Category Certificate Uploaded
    National Cadet Core (NCC)/National Service Scheme (NSS)/Scout and Guide/Rovers and Rangers Candidates Uploaded
    Class X (Scan both marksheet and certificate in a single file and upload)] Uploaded
    Class XII (Scan both marksheet and certificate in a single file and upload) Uploaded
    "I do hereby declare that all the statement made in the application are true, complete and correct to the best of my knowledge and belief. I am duly aware that in the event of any particulars
    or information furnished by me is found to be false/incorrect/incomplete or if i am found indulging in some unlawful act at any time during the course period, my candidature is liable to be
    summarily rejected/cancelled."Additionally undertaking for students whose results are awaited: "I, having been permitted to be provisionally admitted to University hereby undertake to
    produce the proof of having successfully qualified in the final qualifying examination with requisite percentage of marks if failing, I shall forthwith vacate the seat and shall have no claim for
    refund of fees already paid."

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