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Registration Form

Siddhi Kumari has applied for the Bachelor of Technology program at Dr. A. P. J. Abdul Kalam Technical University for the 2024-25 academic year, with a payment of 1000 made on September 11, 2024. She has completed her Class X with an 86% and Class XII with a 71.20% from recognized institutions. Her preferred branches include Computer Science and Business System, and she is a general category applicant with no prior enrollment at AKTU.

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sidharthkumarshivam
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7 views

Registration Form

Siddhi Kumari has applied for the Bachelor of Technology program at Dr. A. P. J. Abdul Kalam Technical University for the 2024-25 academic year, with a payment of 1000 made on September 11, 2024. She has completed her Class X with an 86% and Class XII with a 71.20% from recognized institutions. Her preferred branches include Computer Science and Business System, and she is a general category applicant with no prior enrollment at AKTU.

Uploaded by

sidharthkumarshivam
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Dr. A. P. J.

Abdul Kalam Technical University Uttar


Pradesh, Lucknow
Pre-Registration Against Vacant Seats and Management
Quota:- 2024-25
Bachelor of Technology(B.Tech)
Form Number: PREERN240021134
National Level Admission Test: NOT APPLICABLE
Score Obtained on National Level Admission Test: 0.00
Percentage Obtained on National Level Admission Test:
0
National Level Admission Application No: 0
Transaction Details
Payment/Submission Status : Paid Payment/Submission Date : 2024-09-11 13:02:28
Transaction ID : 240911196533222 Amount: 1000

Personal Details
Full Name of the Applicant : SIDDHI KUMARI Applicant's Gender : Female
Date of Birth : 5 March 2006
Category : General
Age as on : Jul 1, 2024: 18 Years 3 Months 26 days
Blood Group : O-
Are you citizen of India ? Indian
Applicant's Registered Email: [email protected] Registered Mobile Number : 9334709187
Alternate Email: [email protected] Alternate Mobile Number (Parent's/Guardian's): 8873901897
Permanent Address : Alpha 2, Greater Noida , Noida , Uttar Pradesh, GAUTAM BUDDHA NAGAR Correspondence Address : Alpha 2, Greater Noida , Noida , Uttar Pradesh,
-201310, India GAUTAM BUDDHA NAGAR -201310, India

Place of Birth Details


Village/Town/City : Sitamarhi Country : India
State : Bihar District : Sitamarhi

AKTU, Lucknow registration details (if applicable)


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

Family Details
Mother's Name : Rinki Devi Father's Name : Sanjeev Kumar
Mother's Qualification : Not Provided Father's Qualification : Post Graduation
Mother's Occupation : Home Maker Father's Occupation : Business
Mother's Mobile Number : 9334709187 Father's Mobile Number : 8873901897
Mother's Office Address : Sitamarhi Father's Office Address : Sitamarhi
Emergency Contact Number : 8873901897
Combined Family Income : Up to 4,00,000

Other Additional Detail


Person with Benchmark Disabilities (PwBD) Category : Not Applicable
Do you have any illness which requires
No
continuous or emergency medical attention?
Do you have NCC Certificate? No
Have you participated in National Service
No
Scheme (NSS) Camp?
Language Proficiency (Reading/Writing/Speaking)
English Reading Writing Speaking
Hindi Reading Writing Speaking

Options chosen for Bachelor of Technology(B.Tech)

Preference/Choice Branch
1 Computer Science And Business System
2 Computer Science and Engineering
3 Computer Science Information Technology
4 Information Technology
5 Computer Science

Academic Details
Selected Eligibility Criteria: Passed 10+2 examination and Obtained at least 45% marks (40% marks in case of candidates belonging to SC/ST category) in the subjects taken
together. OR Passed D.Voc. Stream in the same or allied sector.

Qualification Details - X or Equivalent


Class X Result Status Passed
Class X Year of Passing 2022
Class X Percentage (If your mark is in CGPA, please convert to
86.00
equivalent percentage as per your CGPA score and CGPA Scale)
Class X Name of the Institution DHRUBASHA PUBLIC SCHOOL
Class X Board/University CENTRAL BOARD OF SECONDARY EDUCATION
Class X Subject Combination ENGLISH SANSKRIT MATHEMATICS SCIENCE SOCIAL SCIENCE
Class X Division FIRST
Class X Roll/Registration Number 22249689
Qualification Details - XII or Equivalent
Class XII Qualification Status Passed
XII Year of Passing Final Examination 2024
Class XII Percentage (If your mark is in CGPA, please convert to
equivalent percentage as per your CGPA score and CGPA Scale) 71.20
(Best of the five subjects)
Class XII Name of the Institution R O S PUBLIC SCHOOL
Class XII Board/University CENTRAL BOARD OF SECONDARY EDUCATION
Class XII Subject Combination ENGLISH CORE MATHEMATICS PHYSICS CHEMISTRY PAINTING
Class XII Division First
XII Score Card
Name of the Subject Total Marks Obtained Marks
ENGLISH CORE 100.00 83.00
MATHEMATICS 100.00 68.00
PHYSICS 100.00 53.00
CHEMISTRY 100.00 59.00
PAINTING 100.00 93.00

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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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