UG Admissions 2024

Application No: GCOPUG24101855

Applicant Details
Course Details
Entry Type REGULAR Select Campus GCOP Preference 1 B. PHARMA
Preference 2 Preference 3
Personal Details
Title MR First Name NITIN Middle Name
Last Name KUMAR Mobile Number +91-8800458898 Email Address [email protected]
Date of Birth 21/12/2006 Blood Group Gender MALE
Do you have EWS
Nationality INDIAN Category OBC(NON CREAMY)
certificate?
Aadhar Number 927366224227 Religion

Parents Details
Father Details
Father Mobile
Father Title MR Father Name HANSRAJ YADAV +91-9971458478
Number
Father Email Address Father Occupation
Mother Details
Mother Mobile
Mother Title MRS Mother Name ROSHNI DEVI +91-7409256733
Number
Mother Email Address Mother Occupation

Address Details
Address for Correspondence
Country INDIA State UTTAR PRADESH District ETAH
City ETAH Address Line 1 VILL. NAGLA KALU Address Line 2 TEH. ALIGANJ
Is Permanent Address
Pincode 207247 Same As Address For YES
Communication?
Permanent Address
Country INDIA State UTTAR PRADESH District ETAH
City ETAH Address Line 1 VILL. NAGLA KALU Address Line 2 TEH. ALIGANJ
Pincode 207247

Academic Details
Educational Qualifications
10th Academic Details

Institute Name Board Year of Passing Marking Scheme Obtained Percentage/CGPA

10th B.S.D PUBLIC SCHOOL CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) 2021 PERCENTAGE 65.8

After 10th
12TH
Qualification
Others Courses

Institute Name Course Name Year of Passing Result Status Marking Scheme Obatined Percentage/CGPA
Other

12th Result Status DECLARED

12th Academic Details

Institute Name Board Year of Passing Marking Scheme Obtained Percentage/CGPA

12th B.S.D PUBLIC SCHOOL CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) 2023 PERCENTAGE 61.6

12th Subject Wise Details

Subject Obtained Marks Maximum Marks Percentage

1. PHYSICS 60 100 60
2. CHEMISTRY 50 100 50
3. MATHS 45 100 45
4. ENGLISH 66 100 66
5. HINDI 73 100 73
Total 294 500 58.8

PCM/PCB
51.67
Percentage
Diploma Details

Institute Name Course Name Year of Passing Result Status Marking Scheme Obtained Percentage/CGPA
Diploma

Diploma Year/
Diploma Exam
Semester Wise
Type
Marks
PLEASE UPLOAD THE MARK SHEET RECEIVED TILL LAST SEM/ YEAR.

Have you done

NO
any other Course?
Other Course Details

Institute Course Year of Result Marking Obtained

Type Year/Semester Wise
Name Name Passing Status Scheme Percentage/CGPA
Other
Course

Entrance Exam CUET

JEE Mains Details

Roll Number Exam Year Result Status Rank Score/Percentile Application No

JEE Mains

CUET Details

Roll Number Exam Year Result Status Rank Score/Percentile Application No

CUET 2024 AWAITED 243550057993

Work Experience Details

Working Professional

Company Name Company Address Designation Department Experience (years) Experience (Months) Salary(LPA) Job Type
1
2
3

Upload Documents
Upload your Documents
Please upload the mark sheet received till last Sem/ Year)

Upload Your Recent Upload Your Upload Your 10th

YES
Photograph : Signature : Marksheet :

Marksheet received
Upload Your 12th Upload Your Diploma
YES NO till last sem/year NO
Marksheet : Marksheet :
(Percentage/ CGPA) :

Upload Your
Upload Aadhar Card Upload Your Transfer
YES Character Certificate NO NO
(Both Sides) : Certificate :
:

Upload Your
Upload Your Domicile Upload EWS
Migration Certificate NO NO NO
Certificate : Certificate :
:

Upload JEE Mains Upload JEE Mains Upload CUET

NO NO NO
Scorecard : Admit Card : Scorecard :

Upload CUET Admit Work Experience

YES NO
Card : letter :

Declaration
Declaration
I HEREBY DECLARE THAT THE PARTICULARS GIVEN IN THE APPLICATION FORM ARE TRUE AND CORRECT AND THEY WILL BE SUPPORTED BY ORIGINAL DOCUMENTS WHEN ASK FOR I AM ALSO
FULLY AWARE THAT IN THE GIVEN INFORMATION BEING FOUND INCORRECT OR MISLEADING, MY CANDIDATURE SHALL BE LIABLE TO CANCELLATION BY INSTITUTE AT ANY TIME.

Applicant Name NITIN KUMAR Parent Name HANSRAJ YADAV Date 01/05/2024