Patliputra University, Patna
Under-Graduate (UG) Admission Application Form
SESSION 2024
UAN # 24G0048518 Appl. Date : 9 May, 2024 08:07 PM
1. Candidate Name : AKASH KUMAR
2. Father's Name : GOPAL KUMAR
3. Mother's Name : KANCHAN DEVI
4. Date of Birth : 06-Apr-2005 5. Gender : MALE
6. Category : BC-I 7. Sub Category : Not Applicable
8. Other Category : Not Applicable 9. AADHAAR : 20*******258
10. Domicile : Bihar 11. Dom. Cert. :
12. Religion : Hindu 13. Minority : NO
14. Nationality : INDIAN 15. EWS Status: Not Applicable/No EWS
16. Address for Correspondance : 17. Permanent Address :
VILL RAJESH NAGAR PO MALPUR PS MARANCHI VILL RAJESH NAGAR PO MALPUR PS MARANCHI
Patna Patna
Bihar Bihar
PIN Code : 803301 PIN Code : 803301
18. Mobile : 7261854858 19. Email : [email protected]
20. Payment Details: Paid Rs.600.00 on 9/5/2024 Ref# 5211065906135 Bank Ref: UPI - 413047727575
21. Qualifications
Examination Board/University Year Roll No. Max. Mrk. Obt. Mrk.
71182200011
Highschool Bihar School Exam. Board, Sinha Library Road, Patna 2020 500 273
5
17006220303
Intermediate Bihar School Exam. Board, Sinha Library Road, Patna 2022 500 320
02
Subjects/Stream : Arts and Humanities
Subject Obtained Marks Max Marks Percentage %
English 45 100 45.00
Hindi 56 100 56.00
History 90 100 90.00
Political Science 63 100 63.00
Psychology 66 100 66.00
Other Qualifications
22. Quota Selection
23. College/Course Chosen (in order of preference)
Pref# College Degree Subject
1 [219] Ram Ratan Singh College, Mokama, Patna B.A. History (Major) History
2 [219] Ram Ratan Singh College, Mokama, Patna B.A. Hindi (Major) Hindi
3 [219] Ram Ratan Singh College, Mokama, Patna B.A. Political science (Major) Political Science
4 [403] Sri Bhuwaneshwari Raja Mahavidyalaya, Barh B.A. History (Major) History
Printed: Thursday, May 23, 2024 07:56 PM Page: 1/2
Patliputra University, Patna
Under-Graduate (UG) Admission Application Form
SESSION 2024
UAN # 24G0048518 Appl. Date : 9 May, 2024 08:07 PM
Pref# College Degree Subject
5 [403] Sri Bhuwaneshwari Raja Mahavidyalaya, Barh B.A. Hindi (Major) Hindi
6 [403] Sri Bhuwaneshwari Raja Mahavidyalaya, Barh B.A. Political science (Major) Political Science
7 [202] A.N.S. College, Barh B.A. History (Major) History
8 [202] A.N.S. College, Barh B.A. Hindi (Major) Hindi
9 [202] A.N.S. College, Barh B.A. Political science (Major) Political Science
10 [453] Shri Ram Narayan College,Parsawan,Barh,Patna B.A. History (Major) History
11 [453] Shri Ram Narayan College,Parsawan,Barh,Patna B.A. Hindi (Major) Hindi
12 [453] Shri Ram Narayan College,Parsawan,Barh,Patna B.A. Political science (Major) Political Science
13 [216] R.L.S.Y. College, Bakhtiarpur B.A. Hindi (Major) Hindi
14 [216] R.L.S.Y. College, Bakhtiarpur B.A. History (Major) History
15 [216] R.L.S.Y. College, Bakhtiarpur B.A. Political science (Major) Political Science
16 [448] Nunuwati Jagdeo Singh Mahavidyalaya,Bakhtiya... B.A. History (Major) History
17 [448] Nunuwati Jagdeo Singh Mahavidyalaya,Bakhtiya... B.A. Hindi (Major) Hindi
18 [448] Nunuwati Jagdeo Singh Mahavidyalaya,Bakhtiya... B.A. Political science (Major) Political Science
19 [428] S.K.M.V. College, Fatuha B.A. Hindi (Major) Hindi
20 [201] A.N. College, Patna B.A. History (Major) History
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:
Document Checklist
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
Certificate for Category Certificate for Sub-Category
Documents for Claiming Weightage Other Certificate/Document
Printed: Thursday, May 23, 2024 07:56 PM Page: 2/2
