0% found this document useful (0 votes)
87 views3 pages

Registration Form

This is expanding the topic

Uploaded by

Digu
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
0% found this document useful (0 votes)
87 views3 pages

Registration Form

This is expanding the topic

Uploaded by

Digu
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
You are on page 1/ 3

Ip Address : 14.139.111.

157 Date : 04/06/2024 08:11 PM

Gujarat State Agricultural Universities Common Admission 2024

Programme Category 1 ( B.Sc. (Hons.) Agriculture / B.Sc. (Hons.)


Horticulture / B.Sc. (Hons.) Forestry / B.Tech. (Bio Technology) )

1. Application Information

Application No : UGGSAUCA-B-01-24-1684

Applicant's Name as SOLANKI PARTH MAHESHKUMAR Challan Challan


2400003502 04/06/2024
per Challan : No: Date:

2. Applicant's Details

Applicant's Full Name Father Full Name Mother Full Name


(As Per 12th Marksheet) (As Per Adhar Card) (As Per Adhar Card)
SOLANKI PARTH MAHESHKUMAR SOLANKI MAHESHKUMAR ADESINH SOLANKI REKHABEN MAHESHKUMAR

3. Information of Bank

Bank Name : BANK OF BARODA


Account No : 43680100001734 ISFC Code : BARB0BADALP
Account Holder Name : PARTH MAHESHKUMAR SOLANKI

Bank Branch Name and Address : BOB BADALPUR,AT-BADALPUR,TA-BORSAD,DI-ANAND 388550

4. Board and Group


Board : GUJARAT SECONDARY AND HIGHER SECONDARY EDUCATION B Group : B

5. Std. XII (HSSCE) Info


Std.XII (HSSCE) Seat No : B-299154

Do you have English Subject in Std. XII(HSSCE) ? YES

Have you appeared in current year GUJCET (2023)?


YES
ચચલલ વરરનન GUJCET આપપલન હહવન જરરન છપ .
GUJCET Seat No. : E605584

6. Details of Examination

Year of Obtained Marks out of Total Marks


Examination Board
Passing
Obtained Marks Out of Marks
GUJARAT SECONDARY AND
HSSCE 2024 438 650
HIGHER SECONDARY EDUCATION
B

7. Details of marks of Science subjects and English obtained Without Gracing in Std.XII (HSSCE)

Particulars MARKS OF XII (HSSCE) Gujcet Gujcet


Marks Total
Theory Practical Marks Total
Subject Obtaine Marks
Obtaine Marks
Marks Out of Marks Out of

CHEMISTRY 67 100 46 50 113 150 17.50 40

PHYSICS 61 100 48 50 109 150 19.00 40

BIOLOGY 62 100 40 50 102 150 25.25 40

ENGLISH 44 100 0 0 44 100 0.00 0

Total 234 400 134 150 368 550 61.75 120


8. Applicant's Contact Details

8.1 Correspondence Address

Address : NISHAL VALU FALIYU Village/City : BADALPUR

Taluka : BORSAD District : ANAND

State : GUJARAT Pincode : 388550

8.2 Contact Info

Mobile : 8156016695 Alternate Mobile No. : 9484977638 Email : parthmsolanki10@gmail.com

9. Applicant's Personal Details

Gender : MALE Image:


Date of Birth : 10/01/2007
Blood Group :

Nationality : INDIAN

Are you Parsi ? : NO


Are you Ex-Service man/Defence Personnel ? : NO
Are you Domicile of Gujarat ? (ગલજરચત નચ રહપવચસન છહ ?) : YES
Category : SEBC
Non-creamylayer Certificate No. : 12700/2022
Date of Non-creamylayer : 17/06/2022
Are you Persons With Disabilities (PwD)? :NO

10.

(a)Have you participated at the International level Games/Competitions organized by Authorized Organization of Sport
Authority of india ? : NO
(b)Have you participated at the National level Games/Competitions organized by Authorized Organization of Sport Authority
of State ? : No
(c)Have you participated at the State level Games/Competitions organized by Authorized Organization of Sport Authority of
District ? : No
(d)Do you belong to farming community ? (શલ તમપ ખપડલત પરરવચરનચ છહ) ? : NO
(e)Have you passed standard XII examination with Agriculture subjects ? : NO
11. Offline Counselling Centre

Anand Agricultural University, Anand

12.

* ઓનલચઈન ફહમર ભરચર બચદ અપલહડ કરપલ અસલ પમચણપતહ સચથપ ફહમરનન ખરચઈ/ચકચસણન પણ ઓનલચઈન કરવચમચમ આવશપ.
* આ બચબતનહ મપસપજ જપ તપ વવદચથરએ ફહમરમચમ દશચરવપલ ઈમપલ/ફહન નમબર ઉપર મપસપજ આવન જશપ.
Declaration
I have gone through the entire Infomation Booklet for degree programmes along with all terms
and conditions mentioned in it. I have clearly understood the provision of forfeiting of fees and
conditions of cancellation for the candidature of admission as mentioned in Information Booklet.

I hereby confirm that the information given/submitted by me through this online application is
complete and true to the best of my knowledge and that I have made this application with the consent
and approval of my parents/guardian. In the event of my being admitted to the constituent college of
universities I undertake to abide by the disciplinary rules and regulations of the concerned university. I
also undertake to abide by the regulations regarding course curriculum and academic standards as may
be prescribed by the university from time to time.

Candidate's Sign

13. Document List

1.School leaving Certificate/ Birth Certificate


2.Non-creamylayer Certificate
3.Marksheet-1
4.GUJCET Marksheet
5.Applicant's Photo
6.Applicant's Signature
7.SEBC Caste Certificate
8.Bank Passbook

Confidential Details

Following details will be used to modify and print from again.

Application ID : UGGSAUCA-B-01-24-1684
Birth Date : 10/01/2007

Challan No : 2400003502
Secret Key : F5UIi8wB

વવશપર ખલબ અગતરનલ


* ઓનલચઈન ફહમર વપરરરફકપશન થરચ બચદ વવદચથરએ ફહમરમચમ દશચરવપલ ઈમપલ/ફહન નમબર ઉપર મપસપજ આવન જશપ તરચરબચદ વવદચથરએ કહલપજનન ચહઈસ રફલલગ
કરવન ફરવજરચત છપ .
* કહલપજ ચહઈસ રફલલગ કરચર બચદ કહલપજ ચહઈસ લહક કરવન ફરવજરચત છપ .
* જપ વવદચથરઓએ ચહઈસ રફલલગ કરપલ નહહ હહર તપઓનલમ નચમ મપરનટ લનસટમચમ સચમપલ કરવચમચમ આવશપ નહહ.

You might also like