BHU School Entrance Test Registration 2024

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2/22/24, 8:07 PM BHU School Entrance Test Registration 2024

Application for SCHOOL : For Class XI (Math)


SESSION-2024
Application Id:
BHU0223735103
1. Personal Information:
Name: PARITOSH KUMAR Date of Birth: 01 September 2009
Registered Mobile No. : 9693807503 Registered Email Id : paritoshkr3291@gmail.com
Gender: Male Category : EWS
Physically Challenged: No NCC Certificate: No
Father's Name: Pakaj Kuamr Mother's Name: Pragya Rani
BHU Employee Ward: No Employee Id: N/A
2. Permanent Address:
Address Line 1: Je-007-0088, Sikandarpur, Nayagaon,, Near S.p Sinha Hospital Nayagaon Jamalpur , Jamalpur
PIN Code: 811214 State: Bihar
Alternate Mobile No: 8789194068
3. Communication Address:
Address Line 1: Je-007-0088, Sikandarpur, Nayagaon,, Near S.p Sinha Hospital Nayagaon Jamalpur , Jamalpur
PIN Code: 811214 State: Bihar
Alternate Mobile No: 8789194068
4. Bank Details:
Bank Name: UNION BANKA OF INDIA Branch Name: JAMALPUR
Bank A/C No: 695202010003820 Bank IFSC Code: UBIN0569526
Account Holder Name: PRAGYA RANI
5. Payment Details:
Order ID: order_Ndxb2CgAOktWxm Payment Date Time: 22-02-2024 08:06 PM
Amount: 800 Payment ID: pay_NdxbluxglbMk4k
Declaration/ Undertaking by the Candidate:
I hereby declare that all the particulars given in this application form by me are true and no fact has been suppressed or tempered. I have read the information
bulletin for the School Admission 2024 and the terms and conditions given therein and satisfied myself that I fulfill all the admission eligibility requirements. In case
any information furnished by me is found wrong, my candidature for the admission test be cancelled outright without giving any opportunity and further that any
disciplinary action be also taken against me.

Countersigned by the Parent/ Guardian : Full Signature of the candidate :

Date: 22-02-2024, Application Last Edited on: 22-02-2024 19:58:56

Printed on : 22-02-2024 08:06 PM

https://bhuschool1.ucanapply.com/univer/public/preview_and_confirm?app_id=UElZMDAwMDA4NQ==&sub_id=MTAxMDM= 1/1

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