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File Created on : November 25, 2021, 7:51 pm

CLUSTER UNIVERSITY OF JAMMU


Established By Govt. of Jammu & Kashmir
ONLINE APPLICATION FORM
POST GRADUATION
SESSION 2021 - 2022

Application No.: 210324371


Course Applied For: Post Graduation
Qualifying Stream: B.Sc. Math (Hons)
Candidate Name: Anil Singh
Gender: Male
D.O.B: 14-05-2000
Father Name: Rajinder Singh
Mother Name: Renu Bala
Email:
Mobile: 0
Marital Status: Single
Blood Group: B+ve
Religion: Hinduism
Domicile of JK(UT) or
JK UT
Ladakh(UT):
Family Annual
Below 3Lakh
Income::

Present Address Permanent Adddress


Vill. Panjtoot P.O. Vill. Panjtoot P.O.
Address: Address:
Pallanwala Pallanwala
Block: Panjtoot Block: Panjtoot
State: Jammu Kashmir State: Jammu Kashmir
Distt: Jammu Distt: Jammu
Pincode: 181204 Pincode: 181204
Contact: 7889842280 Contact: 7889842280

10th Class Academic Details


(JKBOSE) Jammu and
10th Board Roll
10th Class Board: Kashmir State Board 2404026
No.:
of School Education
10th Board
N14104450012 10th Passing Year: 2016
Registration No.:
10th Maximu 10th Obtained
500 457
Marks: Marks:

Cluster University of Jammu - Online Application Form - Post Graduation - (2021 -2022) - Page No.:1
File Created on : November 25, 2021, 7:51 pm

10th CGPA
10th Obtained
Conversion Criteria 0 0
CGPA:
:
10th Percentage: 91.40 % 10th Passing Grade: A1
ENGLISH,
10th Passing 10th Marksheet
MATHEMATCIS, View Marksheet
Subjects: File:
HINDI, SCIENCE

12th Class Academic Details


(JKBOSE) Jammu and
12th Board Roll
12th Class Board: Kashmir State Board 2507748
No.:
of School Education
12th Board
N14104450012 12th Passing Year: 2018
Registration No.:
12th Maximu 12th Obtained
500 457
Marks: Marks:
12th Percentage: 91.40 % 12th Passing Grade: A1
12th Marksheet
View Marksheet
File:

UG Academic Details
Cluster University of
University: University Roll No.: 18010530020
Jammu
University
18010530020 Passing Year: 2021
Registration No.:
Maximu Marks: 3800 Obtained Marks: 2932
Percentage: 77.16 Passing Grade: A
Subjects: Mathematics

Subject Preferences
Maximum Obtained
College: Subjects Combinations: Subject Result:
Marks: Marks:
MAM College Mathematics 3800 2932 Passed
GGM Science
English 0 0
College

Category Deatails
Category Status
Do you belongs to SC Category: No
Do you belongs to ST Category: No
Do you belongs to OBC/Weak and Under-privileged(Social Castes)
No
Category:
Do you belongs to RBA Category: No
Do you belongs to Actual Line of Control ALC/IB Category: Yes
Do you belongs to EWS Category: No
Do you belongs to Physical Challenged Category: No
Do you belongs to Defence Service Personnel Category: No

Cluster University of Jammu - Online Application Form - Post Graduation - (2021 -2022) - Page No.:2
File Created on : November 25, 2021, 7:51 pm

Do you belongs to Pehari Speaking Category: No


Do you belongs to Single Girl Category: No
Do you belongs to Kashmiri Migrant Category: No
Do you belongs to Sports Category: No
Persons who have excelled In Cultural & Literary Activities
No
(Cultural) Category:
Persons who have participated with distinction in NCC activities
No
(NCC) Category:
National Service Scheme/Bharat Scouts & Guides Activity (NSS)
No
Category:
Are you willing to be a consider for Self Financing Seat : No

I, declare that the information furnished above is true, correct and complete. In the event of any
information found false, incorrect or incomplete, my application is liable to be rejected without any
notice.

..................................................
Full Signature of the Applicant

Date: .............................

.....................................................................
Verified by Admission Committee Member I

.....................................................................
Verified by Admission Committee Member II

Note:Attach payment receipt with the form. Fee payment is subject to approval of Bank MIS report.

Cluster University of Jammu - Online Application Form - Post Graduation - (2021 -2022) - Page No.:3

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