Purnea University, Purnea (Bihar)
Post-Graduate (PG) Admission Application Form
SESSION 2022-2024
UAN# 22P000002141 Appl. Date:27-03-2023 11:47 AM
1. Candidate Name: NEELAM KUMARI .
2. Father Name: PREM LAL CHOUDHARY
3. Mother Name: SONA DEVI
4. Date of Birth: 31-12-1992 5. Gender: Female
6. Category: BC 7. Sub Category: Girls
8. Other Category: 9. AADHAAR: 321399249622
10. Domicile: Bihar 11. Dom. Cert ARARIA
12. Religion Hindu 13. Minority No
14. Nationality Indian 15. EWS Status No
Acknowledgement
16.
No
[Link] Selection
Quota Claimed: Quota Specialization:
[Link] for Correspondence: [Link] Address
C/O DEVENDRA PRASAD C/O DEVENDRA PRASAD
SHIVPURI, W.N-9 ARARIA SHIVPURI, W.N-9 ARARIA
(BESIDE NORTH WALL OF (BESIDE NORTH WALL OF
POWER POWER
Araria Araria
Bihar Bihar
854311 854311
20. Mobile 9471610364 21. Email neelamarari92@[Link]
22. Payment Details Paid Rs 1000.00 on 27-03-2023 Ref#11000158449539
[Link]
Examination Board/University Year Roll No. Max Mark obt. Mark Percentage
Bihar School Examination
10th 10-2009 094/0081 500 233 46.60
Board(BSEB)
Bihar School Examination
12th 06-2011 30126 500 353 70.60
Board(BSEB)
Bhupendra Narayan Mandal
Graduation 04-2015 45019 1500 973 64.87
University, Madhepura(BNMUM)
Graduation Qualification
Honours Name Honours Obtained Mark Honours MaxMark Percentage%
Home-Science 522 800 65.25
[Link]/Course Chosen
Prefernce# District College Degree Subject
1 Purnea P.G Department MA M.A in Home-science
2 Purnea Purnea Mahila College, Purnia MA M.A in Home-science
Declaration
I declare that i have never been convicted for any criminal act and that there is no case pending against me in the court of law.I also declare that i
have never been caught using Unfair Means or any Disciplinary action has been taken against [Link] i was charged for using Unfair Means,the
punitive duration is over and charges have been cleared.I have read carefully and have understood all rules as mentioned in the University Rules
and Admission [Link] i also declare that if my application is found to contain incorrect/false information regarding my Name,Birth
Date,Gender,Relligion,Domicile,Weightage,Caste,Horizontal Reservation,Marks obtained or any other field,my application is liable to get
cancelled,and I will have no objection in getting disqualified for admission to the concerned course/college.
Full Signature of the Aplicant
Options checked during Application
Document Checklist
Note: Mark the number of documents (Photocopy/Xerox) attached by the candidate during form submission to the college.
Xth Marksheet Xth Certificate
XIIth Marksheet Last Exam Passed Marksheet
Graduation Marksheet Graduation Certificate
Recent Pssport Size Photograph Scanned Signature
Domicile (for other state) Certificate for Kashmiri Resident
Certificate for Category Certificate for Sub-Category
Document for Claiming Weightage Other Certificate/Document