MOHANLAL SUKHADIA UNIVERSITY, UDAIPUR

Eligibility Form : 2016 - 2017

34-UNIVERSITY COLLEGE OF SCIENCE, UDAIPUR
Submitted Date:28/06/2016 15:52:31

Last Updated Date : 28/06/2016 16:24:17

Print Date & Time : 28/06/2016 16:32:42

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Challan No. : A961-000087

1. College Name
2. College Code

Class with faculty

Enrollment No./Eligibility No.

...........
to be filled by College

...........
to be filled by College

3. Full Name (High school/Secondary Certificates)

PRASOON AWASTHI

4. Father's Name

RAM KISHOR AWASTHI

5. Mother's Name

SUSHMA AWASTHI

6. Date of Birth (As per High school/Sr. Secondary Certificates)

26 Jul 1996

7. Whether the candidate belongs to Gen./SC/ST/OBC

GEN ( GENERAL)

8.(a) Original Migration Certificate & T.C

:
:
:

No

9. Permanent Full Postal Address

H.NO- 22 GOKULPURI GARHI ROAD MELA MAIDAN

LAKHIMPUR KHERI

10. Mobile No.

9554202717

11. Signature of the Candidate

(b) Attested copy of qualifying exam Mark Sheet

(c) Date of Birth Certificate

No

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