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University Application Number Details

Ahmed N from Tirunelveli, India has applied for the BArch program. He has completed his 12th grade from Pushpalata Vidya Mandir in 2015 and is awaiting his results for the NATA entrance exam. He has paid an application fee of 600 rupees online and confirms that he meets the eligibility criteria for the program. In his application, he provides personal details like name, address, education qualifications and payment details. He also declares that the information provided is true and he understands the admission process.

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Ishhaq Ahmed
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0% found this document useful (0 votes)
29 views3 pages

University Application Number Details

Ahmed N from Tirunelveli, India has applied for the BArch program. He has completed his 12th grade from Pushpalata Vidya Mandir in 2015 and is awaiting his results for the NATA entrance exam. He has paid an application fee of 600 rupees online and confirms that he meets the eligibility criteria for the program. In his application, he provides personal details like name, address, education qualifications and payment details. He also declares that the information provided is true and he understands the admission process.

Uploaded by

Ishhaq Ahmed
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application Number:

2103966

PROGRAMS
Course Groups - [Courses]

Group ID-4 - [BArch]

Test Centers

BASIC INFORMATION
First Name

Ahmed

Email ID

ahmedisq@[Link]

Last name

Mobile Number

+919894191084

Parent's Name

[Link]

Phone Number

04622540050

Gender

Male

Address

60/3-sixty feet road


rahmath nagar
tirunelveli

Nationality

india

Student Photo

Student Signature

Pg 1 of 3

EDUCATION QUALIFICATION

University Name

Pushpalata Vidya
Mandir

Qualifying Exam

12th

Board/University

CBSE

Year of Passing

2015

ONLINE(CCAvenue)

Payment Amount

600

PAYMENT DETAILS

Payment Type

OTHER INFORMATION
Date of Completion of
Internship

Are you a diploma


holder?

I have appeared for NATA SCORE and am awaiting results.


Exam Name
Registration No:

NATA SCORE

Exam Score
Completion Year

I confirm that I fulfil the eligibility criteria for the course I am applying for.
I understand that no refund will be made on the application fee if I am not eligible for the programmes I am applying for.

Pg 2 of 3

DECLARATIONS

I hereby declare that all the particulars stated in this application form are true to the best of
my knowledge and belief. I have read and understood all provisions of admissions and agree
to abide by them. I also affirm that I fulfil the eligibility requirements for the course/s applied.
In the event of submission of fraudulent, incorrect or untrue information or suppression or
distortion of any fact, like educational qualification, marks, nationality etc. I understand that my
admission/degree is liable for cancellation. I further understand that my admission is purely
provisional subject to the verification of the eligibility conditions. NOTE: 1. Please keep a copy
of the filled in application for future reference. 2. Application number must be quoted in all future
correspondence. 3. Please mail the printed copy of the completed application form along with
the DD/Challan (if payment is not via Credit / Debit Card) to: The Director, Admissions, Manipal
University, Manipal - 576104

Pg 3 of 3

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