University of Lucknow
LU Registration Number (LURN) Generation System
Application Form for Lucknow University Registration No. LU2400125384
PERSONAL DETAILS
Applicant's Name MOHAMMAD SHAVEZ LURN ID LU2400125384
Email ID mshavez031@gmail.com Father's Name IMAMUDDIN
Mother's Name SHABEENA BANO Date of Birth 07-11-2005
Gender Male Domicile UP
Caste Certificate
Caste OBC Non Creamy Layer 273233014981
Number
Nationality Indian Religion Islam
Blood Group ID Proof Aadhaar Card
Aadhar No. 296934185974
EWS No
ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS
592-gha/475-b Rajiv nagar ghosiyana 592-gha/475-b Rajiv nagar
Address Address
telibagh Lucknow ghosiyana telibagh Lucknow
Country India Country India
State / Union State / Union
Uttar Pradesh Uttar Pradesh
Territory Territory
District Lucknow District Lucknow
PIN Code 226002 PIN Code 226002
Alternate Mobile Alternate Mobile
8858719220 8858719220
Number Number
REGISTRATION FEE PAYMENT DETAILS
Registration Fee
(₹) 100.00
Paid
DECLARATION
I hereby declare that all the Information being provided by me in the Application Form are true and correct to the
best of my knowledge. I understand that if at any stage of the Admission process any of the provided information
is found to be wrong or incorrect I will be solely held responsible for it and my application or candidature shall be
liable for rejection.
Signature of Applicant
