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Registration of CCSU

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GARGI TYAGI
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46 views2 pages

Registration of CCSU

Uploaded by

GARGI TYAGI
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Under-Graduate (UG) Admission Registration Form


SESSION 2022 - 2023
Registration # 22G0160726 Reg. Date : 21 September, 2022 07:18
PM

1. Candidate Name : GARGI TYAGI


2. Father's Name : LT NAVEEN RAJ TYAGI
3. Mother's Name : MANISHA TYAGI
4. Date of Birth : 02-Jun-2005 5. Gender : FEMALE
6. Caste/Category : Unreserved 7. Reservation : Girls
8. Caste Certificate #: 9. Income Grp : Less than 1 Lac per
annum
10. Domicile : Uttar Pradesh 11. Religion : Hindu
12. Domicile Cert. #: 13. Is Minority : NO
14. Nationality : INDIAN 15. Other Cat. : Not Applicable

16. Sports Quota Opted: No 17. EWS Status : Not Applicable

L
18. Address for Correspondance : 19. Permanent Address :
Village+Post- Basantpur sainthli,Muradnagar,Ghaziabad Village+Post- Basantpur sainthli,Muradnagar,Ghaziabad
Ghaziabad Ghaziabad
Uttar Pradesh Uttar Pradesh
NA
PIN Code : 201206 PIN Code : 201206

20. Mobile : 9639210575 21. Email : gargirajtyagi11@gmail.com

22. Weightages Claimed :


Weightage Add %

23. Academic Record :


FI

Examination Year Max Obt. Roll No. Stream Board %


Highschool 2020 500 452 21194927 N/a Central Board of Secondary Edu. 2, Co... 90.4
Subjects: English, Hindi, Sst, Science, Maths ,Compute...

Intermediate 2022 600 526 21671918 PCB Central Board of Secondary Edu. 2, Co... 87.6
Subjects: HINDI CORE,ENGLISH CORE,BIOLOGY,PH...
Additional Exam 2022 100 80 Roll: 21671918 Physical Education Central Board of Secondary Edu. 2, Community

24. College Application Details :


Pref. College Degree Subject/Group

Printed: Wednesday, September 21, 2022 08:23 PM Page: 1/2


CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
Under-Graduate (UG) Admission Registration Form
SESSION 2022 - 2023
Registration # 22G0160726 Reg. Date : 21 September, 2022 07:18
PM

25. 10th Marksheet #: 1716155 26. 10th Roll No. : 21194927

27. 12th T/c Number: 28. 10th Passing Year: 2020


29. AADHAAR No.: 720546542245 30. AADHAAR Enroll # :
31. Payment Details: Paid Rs.115.00 on 21/9/2022 PayU# 15891492465 Bank Ref: UPI - 226494168513
32. Other Qualifications :

L
NA
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
Recent Passport Sized Photograph Scanned Signature
Domicile (for other state) Certificate for Kashmiri Resident
FI

Certificate for Horz./Reservation Category Certificate for Vert./Caste Category

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 me. If 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
Brochure.

Furthermore I also declare that if my application is found to contain incorrect/false information regarding my
Name, Birth Date, Gender, Religion, 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.

Signature of Parent/Guardian Signature of Candidate


Date: Date:

Printed: Wednesday, September 21, 2022 08:23 PM Page: 2/2

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