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Ishika Form

Ishika Keshari has submitted an examination form for the UG Ayurveda course at Mahayogi Guru Gorakhnath AYUSH University for the session 2023-24. The application includes personal details, transaction information, and educational background, confirming eligibility for examination. A declaration by the student and a certification by the principal are also included, affirming the accuracy of the provided information.

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0% found this document useful (0 votes)
64 views4 pages

Ishika Form

Ishika Keshari has submitted an examination form for the UG Ayurveda course at Mahayogi Guru Gorakhnath AYUSH University for the session 2023-24. The application includes personal details, transaction information, and educational background, confirming eligibility for examination. A declaration by the student and a certification by the principal are also included, affirming the accuracy of the provided information.

Uploaded by

nabhi0812
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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Mahayogi Guru Gorakhnath AYUSH

University - Examination Form For UG


(AYURVEDA) Session (2023-24)

Applicants Photograph & Signature

Transaction Details

Application Number: 22082017273 Enrollment Number: MA0852324049

Examination Fee + GST : 7500.0 Transaction Amount : 7500.0

Transaction ID : 384710303250345719 Transaction Mode : UPI

Transaction Date : Mar 3 2025 3:32PM

College & Course Details

Admission Receipt
20291 Admission Receipt Date: 2023-09-23
Number:

DOON AYURVEDIC
College Name: MEDICAL COLLEGE AND Course Name: UG (AYURVEDA)
HOSPITAL

Admission Type
Course Type (UG/PG): UG NEET
(NEET/Other):

College City: SAHARANPUR

Personal Details

First Name Ishika Middle Name:

Last Name Keshari Date of Birth: 2002-03-22

Father's Name: Dharmendra keshari Gender: Female

Mother's Name: Pratibha keshri Marital Status: Unmarried

Husband Name: Nationality: Indian

Category: General

Religion: Hinduism Domicile: Uttar Pradesh

Local Address

2/561/2 maccharhatta
Address: District: Varanasi
ward ramnagar

City: Varanasi State: Uttar Pradesh

Pin: 221008

Permanent Address
2/561/2 maccharhatta
Address: District: Varanasi
ward ramnagar

City: Varanasi State: Uttar Pradesh

Pin: 221008

Other Details:

Phone number: 8905577514 Mobile Number: 8905577514

Email: ikeshri345@gmail.com

Highschool Details:

Roll Number: 5188569 Board: CBSE

Obtained Marks: 343 Passing Year: 2018

Sunbeam academy
Percentage: 68.6 College Name:
samneghat

Intermediate Details:

Roll Number: 23721987 Board: CBSE

Obtained Marks: 408 Passing Year: 2020

Sunbeam academy
Percentage: 81.6 College Name:
samneghat

Under Graduate Details:

Last Exam passed: NA Board: NA

Appearing Year: Migration: 0245899

Percentage: NEET Roll Number: 4402070717

Subject Details:
Subject Code Subject Name Subject Type
AyUGKS Kriya Sharira-Practical Practical

AyUGKS01 Kriya Sharira-I Theory

AyUGKS02 Kriya Sharira-II Theory

AyUGPV Padartha Vigyan-Practical Practical

AyUGPV01 Padartha Vigyan-I Theory

AyUGPV02 Padartha Vigyan-II Theory

AyUGRS Rachana Sharira-Practical Practical

AyUGRS01 Rachana Sharira-I Theory

AyUGRS02 Rachana Sharira-II Theory

AyUGSA01 Samhita Adhyayan-I Theory

AyUGSA1 Samhita Adhyayan-Practical Practical

Samskritam Evam Ayurved


AyUGSNAI Practical
Ithihas-Practical

Samskritam Evam Ayurved


AyUGSNAI01 Theory
Ithihas-I

Samskritam Evam Ayurved


AyUGSNAI02 Theory
Ithihas-II

DECLARATION BY STUDENT

I Ishika Keshari S/o or D/o Dharmendra keshari hereby declare that information given in the
application form is true to the best of my knowledge and behalf. In case any information is
found false /untrue, cancel my admission /exam form for which no claim of refund of fee
would be raised by me, in future also, if any particular submitted are found to be untrue/
false, the university can cancel my degree.

Student Signature.....................

CERTIFICATE OF THE PRINCIPAL

S/o or D/o Dharmendra keshari has been registered for regular examination. All
Ishika Keshari
the entries in the exam form , mark sheet and other certificate attached have been duly
checked and this is certified that he/ she is eligible for examination as per university rule
and his/her examination form is being forwarded..

Principal Signature.....................
These details are fetched from the system and they are correct as per MGGAU. Any alteration in this information may
cause loss of application
Transaction Charge is not paid to the university

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