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Registration Form

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rickykhaidem085
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0% found this document useful (0 votes)
45 views2 pages

Registration Form

Uploaded by

rickykhaidem085
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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University of Delhi Under Graduate Application 2021

Registration Form Generated On: 09-08-2021 16:51:10

21185878
MODES MERIT ENTRANCE SPORTS ECA NCWEB
OBC Non
CATEGORIES
Creamy
SCHOLARSHIPS
XII BOARD COUNCIL OF HIGHER SECONDARY EDUCATION, MANIPUR Passed Y - 2021 Roll Number (12766)
PAYMENT Order ID : Transaction Number : Transaction Date :
Transaction Amount : 250
DETAILS 1086367 210809101045396 2021-08-09 16:51:05

Full Name : RICKY


Gender : Male DOB : 1 March 2004
KHAIDEM
National of India : Yes Aadhar : 782297112641 State of Domicile : Manipur
Email [1] : rickykhaidem085@gmail.com Mobile Number [1] : 9612026865
Email [2] : Mobile Number [2] :
Permanent Address :
Correspondence Address : KEISHAMPAT THIYAM LEIKAI, Imphal,
KEISHAMPAT THIYAM LEIKAI,
Manipur - 795001, India
Imphal, Manipur - 795001, India
OBC Non Creamy
• State : Manipur
• Community : Meitei, Meetei (including Meitei Brahmin,
PwD Category : Not Applicable
Meitei/Meetei Sanamahi and Rajkumar)
CATEGORY DETAILS • Annual Family Income only for OBC (2018-19) : Less than
OF THE APPLICANT 1,00,000
Children/Widows of the eligible
Kashmiri Migrant
Armed Forces Personnel Category : Minority : Not Applicable
Category : Not Applicable
Not Applicable

Name : KHAIDEM BIMOLA DEVI Name : KHAIDEM ANANDKUMAR SINGH


Mobile Number : Mobile Number :
Mother's Details Father's / Guardian's Details
Occupation : Home Maker Occupation : Business
Office Address : Office Address :

Board of Education : COUNCIL OF HIGHER SECONDARY EDUCATION,


Examination Board Roll Number : 12766
MANIPUR
Details
Result Status : Passed Year of Passing : 2021
Type of School : Private Name of School Last Attended : COMET SCHOOL CHANGANGEI
Additional
Academic Details Hindi Language Studied Upto :
School Location : Other Medium of Study : English
Upto Class VIII

MARKS IN SENIOR SECONDARY BOARD EXAMINATION


Theory Marks Practical Marks Total Marks
Subject Name Subject Percentage After Proration *
Maximum Obtained Maximum Obtained Maximum Obtained
ENGLISH 100.00 94.00 0.00 0.00 100.00 94.00 94.00
MANIPURI 100.00 92.00 0.00 0.00 100.00 92.00 92.00
PHYSICS 70.00 58.00 30.00 30.00 100.00 88.00 88.00
CHEMISTRY 70.00 64.00 30.00 30.00 100.00 94.00 94.00
BIOLOGY 70.00 65.00 30.00 30.00 100.00 95.00 95.00
MATHEMATICS 100.00 94.00 0.00 0.00 100.00 94.00 94.00

Subject Studied (Yes/no) Class studied upto Marks


Bengali No
Punjabi No
Language Courses Sanskrit No
Urdu No
Arabic No
Persian No

University of Delhi 2021 Page 1 of 2 PnS,IIC,UDSC


University of Delhi Under Graduate Application 2021
Registration Form Generated On: 09-08-2021 16:51:10
Ward Quota Details
Applied for University of Delhi Ward Quota : No

Merit Courses Selected

Your application will be considered for all merit based courses for all colleges, subject to the eligibility. Please read bulletin
of information for details.

Sports

Applied Under Sports Category: No

ECA

Applied under ECA Category : No

Uploads
PERSONAL DETAILS UPLOAD
Photo View
Signature View
Date of Birth View
Category View
Kashmiri Migrant Not Applicable
CW Category Not Applicable
PwD Category Not Applicable
WARD Quota Not Applicable

Name of Account Holder : NETCOMP Account Number : 504220110000481


Bank Details for Refund
Name of Bank : BANK OF INDIA IFSC Code : BKID0005042

Declaration by the Applicant

I do hereby solemnly declare that all the information/particulars/documents/ provided by me are correct to the best of my
knowledge and belief. If any information/particulars/documents is found to be incorrect, I understand that my admission
may be cancelled and penal action as applicable under the law shall be carried out against me.

RICKY KHAIDEM

University of Delhi 2021 Page 2 of 2 PnS,IIC,UDSC

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