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Payment Receipt

The document contains a web registration form and e-payment receipt for Rajkumar, who is applying for admission to a B.Sc. course at Dr. Bhimrao Ambedkar University, Agra for the 2023-24 session. The form provides his personal details like name, father's name, date of birth, contact information and address. The receipt acknowledges an online payment of Rs. 250 made on June 21, 2023 for his application number AU23022019.

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RAJ SHARMA
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78 views1 page

Payment Receipt

The document contains a web registration form and e-payment receipt for Rajkumar, who is applying for admission to a B.Sc. course at Dr. Bhimrao Ambedkar University, Agra for the 2023-24 session. The form provides his personal details like name, father's name, date of birth, contact information and address. The receipt acknowledges an online payment of Rs. 250 made on June 21, 2023 for his application number AU23022019.

Uploaded by

RAJ SHARMA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Printed At: 01/07/2023 09:33 AM

W
DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA
डॉ. भीमराव अम्बेडकर विश्वविद्यालय, आगरा
Web Registration Form

Web Registration No. : -   AU23022019


Application
AU23022019 Dated 21/06/2023
No.
Father's
Name RAJKUMAR JYOTI PRASAD
Name
Course B.Sc.
Session 2023-24 D.O.B. 06/04/2005
Mobile 9286509421 Email rajkumarvermaverma52@gmail.com
Address GAYATRI TENT HOUSE KE PAS ANURAG NAGAR BALKESHWAR

W
DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA
डॉ. भीमराव अम्बेडकर विश्वविद्यालय, आगरा
e-Payment Receipt

Web Registration No. : -   AU23022019


Application
AU23022019 Dated 21/06/2023
No.
Father's
Name RAJKUMAR JYOTI PRASAD
Name
Course B.Sc. D.O.B. 06/04/2005
Amount Paid 250 Payment Date 21/06/2023
Reference Transaction
AU23022019002 237202106230804446
No. Id
(For office use only)

Signature

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