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    Application - Form - QU2024 - QCARE-UG - 8211 Asmit Singh

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    asmitsingh504
    Hhj6hj

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    © All Rights Reserved
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    Application - Form - QU2024 - QCARE-UG - 8211 Asmit Singh

    Uploaded by

    asmitsingh504
    16 views2 pages
    Hhj6hj

    Original Title

    Application_form_QU2024_QCARE-UG_8211 asmit singh

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    Hhj6hj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views2 pages

    Application - Form - QU2024 - QCARE-UG - 8211 Asmit Singh

    Uploaded by

    asmitsingh504
    Hhj6hj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    UG Application Form 2024 (Q-Care Entrance cum Scholarship Exam)

    Application No: QU2024/QCARE-UG/8211

    Personal Details
    Course Details
    COMPUTER SCIENCE
    Course UG - ENGINEERING Specialization AND ENGINEERING Reference AJAY SIR-AAOPADHE 23AT071
    (CSE)
    Personal Details
    Title MR First Name ASMIT Middle Name
    Last Name SINGH Date of Birth 05/12/2006 Email Address ASMITSINGH504@GMAIL.COM
    Mobile Number +91-6306393760 Gender MALE Religion HINDUISM
    Blood Group Nationality INDIA Category GENERAL
    Entrance Cum
    Aadhaar Card
    609752607322 Scholarship Test(Q- YES Select Stream PCM
    Number
    CARE)
    Passport Details
    Passport Number Country Place of Issue
    Date of Issue Date of Expiry

    Address Details
    Address for Correspondence
    Country INDIA State UTTAR PRADESH District JAUNPUR
    MAKAAN NO 114,
    City JAUNPUR Address Line 1 SHAHPUR, SIKRARA Address Line 2
    JAUNPUR
    Is permanent address
    Pincode 222131 same as address for YES
    correspondence?
    Permanent Address
    Country INDIA State UTTAR PRADESH District JAUNPUR
    MAKAAN NO 114,
    City JAUNPUR Address Line 1 SHAHPUR, SIKRARA Address Line 2
    JAUNPUR
    Pincode 222131

    Parent Details
    Father's Details
    Father's Email
    Father's Title MR Father's Name SANJAY SINGH SANJAYSINGH202@GMAIL.COM
    Address
    Father's Mobile
    +91-9305783976
    Number

    Educational Details
    Educational Details
    10th Academic Details

    Obtained
    Year of Marks Maximum
    School/Institute Name Board Marking Scheme Percentage /
    Passing Obtained Marks
    CGPA
    U.P. BOARD OF HIGH
    SARVODYA INTERCOLLEGE
    10th SCHOOL AND 2022 PERCENTAGE 507 600 84.50
    SHAHPUR
    INTERMEDIATE EDUCATION

    12th Academic Details

    School/Institute Year of Result Marking Marks Maximum Obtained


    Board / University Stream
    Name Passing Status Scheme Obtained Marks Percentage/CGPA
    U.P. BOARD OF HIGH
    JANTA INTERCOLLEGE SCHOOL AND
    12th SCIENCE 2024 AWAITED
    KHAPARAH INTERMEDIATE
    EDUCATION

    GRADUATION DETAILS
    Graduation State Graduation University Graduation Institute
    Graduation Details
    Obtained Percentage /
    Degree Stream Year of Passing Result Status Marking Scheme Marks Obtained Maximum Marks
    CGPA
    UG

    Declaration
    Declaration
    I DO HEREBY DECLARE THAT THE INFORMATION AND RECORD(S) SUBMITTED AS INDICATED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO HEREBY AGREE
    THAT THE CANDIDATURE MAY BE REJECTED IN CASE OF ANY THE INFORMATION/RECORD(S) FURNISHED ABOVE FOUND TO BE INCORRECT OR FALSE AND I WILL ABIDE BY THE DECISION OF THE
    ADMISSION COMMITTEE IN REJECTING MY CANDIDATURE.

    Applicant Name ASMIT SINGH Parent Name SANJAY SINGH Date 17/04/2024

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