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