Application Form
Application Form
2470176991S
Programme Details
Programme Type BACHELOR Programme BSCM: Bachelor of Science Mode Of Study ODL
Regional Center PATNA Study Center Code J.P. UNIVERSITY (509) State Code BIHAR
Medium HINDI IGNOU Student ? No
Fee Details
Description Amount(₹)
Development Fee 200.00
Registration Fee 300.00
Total amount 500.00
Payment Details
Transaction Number : Transaction Amount : Order Number : Date : 2024-06-30
pay_OT1fE1SagqXylH 500 order_OT1f2DfVC4XMon 15:43:23
Personal Details
Full Name : ABHISHEK KUMAR Father Name : NANDJEE SAH Gender : A1: Male
Nationality : A1: India DOB : 2005-06-28
Area : B2: Rural Marital Status : A1: Single Religion : I9: Other
Mobile Number [1] :
Email [1] : abhishekkumar3592005@gmail.com
8051346113
Mobile Number [2] :
Email [2] : abhishekkumar350407359@gmail.com
9262303918
Correspondence Address : Vill- Rohra Khurd, P/O - Kailgarh , P/S- Employement Status : A1:
Barharia, District- Siwan, Siwan , GOPALGANJ, , 841438 Unemployed
Social Status : C3: Not
CATEGORY DETAILS OF C3: ST Minority : B2: No
Applicable
THE APPLICANT
PwD Applicable : B2: No
Scholarship Amount: Scholarship Department: ----- Family Income: Below Poverty Line: -----
Qualification Details
HINDI, ENGLISH, MATHEMATICS,
10+2 WITH SCIENCE
Qualification Main Subjects SCIENCE, OTHER
SUBJECTS/EQUIVALENT
Other Specify: Chemistry
Year of Passing 2023 Division First
9999 : XXXX : NOT LISTED IN THIS LIST
Percent of Marks (rounded
63 Board Code Other Specify: Bihar School Examination
off)
Board, Patna
Board Roll Number 23010061 NAD Details ,
Upload Details
PHOTO Uploaded
SIGNATURE Uploaded
MATRICULATION MARKSHEET OR CERTIFICATE Uploaded
10+2 MARKSHEET / CERTIFICATE Uploaded
CATEGORY CERTIFICATE (ST) Uploaded
Income Certificate for income less then Rs 2.5 lakh per annum Uploaded
Self Declaration
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek
admission. To the best of my knowledge and belief, I fulfill the minimum eligibility criteria and I have provided necessary
information and relevant documents with this application. I further undertake that I have not concealed or distorted any
other information and in the event of any information or uploaded documents being found to be incorrect, false or
misleading, my candidature shall be liable for cancellation by the University at any time and I shall have no claim of any
nature including refund of any fee paid by me and all the benefits availed by me shall be summarily withdrawn. I do
undertake that I have carefully studied the rules of the University as given in the prospectus and I accept them in totality
and shall not raise any dispute over the same. I do understand that the university can amend or change any rules without
advance intimation and I will be abiding by them.
I further declare that in the event of admission being granted to me and my obtaining a degree/diploma/certificate from
IGNOU based on concealment of any relevant information or incorrect/misleading information related to Age, Qualification
and Eligibility provided by me, I shall be solely responsible for the consequence(s) arising out of such concealment of
information or providing incorrect/misleading information; and that, the University shall not be responsible in any manner.
ABHISHEK KUMAR
2470176991S