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CHHATTISGARH SWAMI VIVEKANAND

TECHNICAL UNIVERSITY, BHILAI

Acknowledgement for Admission into CSVTU, 2023-2024

Status:Paid | 1 | Application Fee : Paid

Application No. 1467999000985747

Programme Details

Computer Science & Engineering (Artificial

Course B.Tech Program
Intelligence)
College BHILAI INSTITUTE OF TECHNOLOGY - DURG

Student Details

Student Name (English) TARANA THAKUR

Gender Female
Student Name (Hindi) तराना ठाकु र
VANEE
Father's Name DAMAN LAL THAKUR Mother's Name
THAKUR
Mother’s
Father’s Qualification ITI Graduation
Qualification
Mother’s
Father’s Occupation Govt Service Homemaker
Occupation
Student Photo
Age as on 17 years 10
Date of Birth 10/09/2005
(31/07/2023) months 21 days
Admitted
Student Sign. Social Category ST ST
Category
Mobile
Email [email protected] 9131201675
Number
Person With Different
No Blood Group B+
Ability
Admission
Admission Year 2023-2024 18/08/2023
Date
Course Type Direct Exam Type Semester-1
DTE Registration No. BE230010626 Nationality Indian
CSVTU Enrollment No. ABC User Id 324772561416
Medium of
Nature of School Education
Navodaya Vidhyalaya School English
(HSCE/HSSCE)
Education
Alt. Mobile
Residential Type Sub-Urban Number
9406090971

Religion Hindu
`

Domicile Details

Domicile
Domicile State Chhattisgarh Domicile Tehsil
District
Domicile Issue Date 2023-08-26 Domicile Certificate No. 0707012322040833
Domicile Issuing Authority nayayalay tehsildar tehsil marri devri-bangala
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Caste Certificate Details

Caste Issuing Date 2014-06-30 Caste Certificate No. 4577

Caste Certificate Issuing Authority karyalay anuvibhagiy adhikari

Permanent Address Present Address

Address BALOD BALOD Address BALOD BALOD

Road/Street Name GANPATI NAGAR Road/Street Name GANPATI NAGAR
Landmark GANPATINAGAR Landmark GANPATINAGAR
Locality RAILWAY COLONY Locality RAILWAY COLONY
Panchayat/Village/City Panchayat/Village/City
Block/Taluka Block/Taluka
District Balod District Balod
State Chhattisgarh State Chhattisgarh
Pincode 491226 Pincode 491226

Academic Profile of Applicant

Name of Name of
Name of the
Exam the Board School / Year of Total Marks
No. Education Examination %
RollNo / Council, Institution / Passing Marks Secured
Passed
State College
High
1 12189249 BOARED CBSE J.N.V. DURG 2021 500 426 85.20
School
Higher
2 12608634 BOARED CBSE J.N.V. DURG 2023 500 390 78.00
Secondary

Other Information

1. Have you Enrolled earlier for any course in CSVTU? No

2. Do you have any gap in Educational Qualifications? No
3. Have you received Migration Certificate from other Board/University? Yes
Migration Certificate No. 126086342023 Migration Issue Date 2023-11-14
4. Do you have DTE Counselling Entrance Exam Score Card? Yes

Examination Roll No Name of Competitive Examination Passed Marks Scored (%)

31011087 cgpet 63.42

Qualifiaction Details

Sl. No. Name of Subject Total Marks Marks Secured %

1. MATHS 100 55 55.00
2. PHYSICS 100 85 85.00
3. CHEMISTRY 100 84 84.00

List of essential documents to be enclosed with the application

Select Document Name

Photocopy of Class-XII Mark Sheet
Orginal Migration Certificate
Photocopy of Caste Certificate
Photo Copy of Original Entrance Examination Score Card

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Any other Document
Student Declaration
I TARANA THAKUR,FemaleDAMAN LAL THAKUR
1. At Present I am not pursuing any other courses/studies in any Institute/University/Board as a regular student.
2. I am not employed in any Institute/Organization/Industry/any other place, discharging duties during class hours.
3. If any error or wrong information found by the institute my application for admission may be cancelled and whole responsibility of that will be
mine.

Place : Balod TARANA THAKUR

Application Date : 24/11/2023 Name of the Student
Principal Declaration
I , Certified that at the time of admission all the documents of the candidates have been verified as per the rules.
The entire responsibility of verification of the documents of the candidates will be of the concerned institution giving
admission. If any information is found to be false and incomplete, the institution will be responsible for cancellation
of admission of the student.

Place :
Approving Date : Name of the Principal

Payment Details

Application
1467999000985747 Application Date 24/11/2023
Number
Transaction ID 46723112400002634350 Transaction Date 24/11/2023
Transaction
5704.00 Payment Status Paid
Amount

Application History

Sl. No CreatedBy Designation CreatedOn Remarks Status

1 TARANA THAKUR Applicant 24/11/2023 Application Submitted Submitted

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