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Programme Enrolled For BBA (Hons./Hons. with Resea
Academic Session 2025-2029
Admission Category NS
Full Name of the Student STUTI NAGORI
Father's Name ANUJ NAGORI
Father's Mobile No 910000000000
Father's Occupation Not Alive
Mother's Name TRAPTI NAGORI
Mother's Mobile No 910000000000
Mother's Occupation
Nationality Indian
Date of Birth 14/11/2005
Gender Female
Category GEN
Emergency Contact No 8319602826
Address NAV PRABHAT PRESS, PAD
City GWALIOR
State Madhya Pradesh
Country India
Pin 474001
Tel 8962305573
Fax
Mobile 8962305573
Email stutinagory@[Link]
Address NAV PRABHAT PRESS, PAD
City GWALIOR
State Madhya Pradesh
Country India
Pin 474001
Tel. 8962305573
Fax
Local Guardian(s) to be contacted in emergency
Full LG Name Trapti Anuj Nagori
Address Nav Prabhat
City Gwalior
State Madhya Pradesh
Pin 474002
Tel. 8962305573
Mobile No 8319602826
Email traptinagori13@[Link]
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Place of stay during this Semester (Non-Hostellers)
Address Nav Prabhat Shastri Market P
City Gwalior
Pin 474002
Telephone 8962305573
Mobile
Name of Qualifying Ex
Xth
XIIth
Any type of sickness that you are prone to and the line of treatment
Any particular Doctor to be contacted in case of your sickness
Full Dr Name None None None
Address None
City None
State None
Pin 474002
Tel. 00
Mobile No 00
Email none@[Link]
Your Blood Group B+ve
Upload Signature
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Verify Contact Details
User Type Mobile No Alternate Contact No. Email-Id
Mother 7489474376 +91 6260978883 traptinagori13@[Link]
Student 8962305573 +91 8319602826 stutinagory@[Link]
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I hereby solemnly affirm and declare that the information made and furnished by me in the Registration-cum-Enrollment Form is true and correct. Furth
I shall not hold the Institution / University responsible for any gaps in my understanding about the same. In the event of suppression or distortion of any
I have full knowledge of the fact that in case my attendance in any course is below than the required attendance as per University Policy/relevant Regula
presence/online active presence in the class will be considered as attendance. I have also understood the importance of marks associated with attendance
I have uploaded/submitted all requisite documents which are to be verified by the Institution. I have gone through the rules of provisional registration an
cancelled
Verified that the contents of this undertaking are true to the best of my knowledge and nothing which has been stated is false and nothing has been co
Date : 29/09/2025
Date______________________
Place______________________
Office Seal
Date______________________
Enrolment no. allotted
Date______________________
Place______________________
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