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Kriya Sharir

The document is an enrollment form for Mahayogi Guru Gorakhnath AYUSH University for the session 2024-25, detailing the applicant's personal information, transaction details, and educational background. The applicant, Kajal Rao, is applying for a B.A.M.S course at the Apex Institute of Ayurvedic Medicine and Hospital in Mirzapur, Uttar Pradesh. The form includes a declaration of the accuracy of the information provided and notes on the consequences of false information.

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kumarianjali4800
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48 views3 pages

Kriya Sharir

The document is an enrollment form for Mahayogi Guru Gorakhnath AYUSH University for the session 2024-25, detailing the applicant's personal information, transaction details, and educational background. The applicant, Kajal Rao, is applying for a B.A.M.S course at the Apex Institute of Ayurvedic Medicine and Hospital in Mirzapur, Uttar Pradesh. The form includes a declaration of the accuracy of the information provided and notes on the consequences of false information.

Uploaded by

kumarianjali4800
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 - Enrollment Form For Session


(2024-25)

Applicatnts Photograph & Signature

Transaction Details

Application Number: 22082020489 Application Status:

Enrollment Fee + GST : 250 Transaction Amount : 250

Transaction ID : 041531004250824624 Transaction Mode : UPI

Transaction Date : 2025-04-10 20:53:15

College & Course Details

Admission Receipt
3318 Admission Receipt Date: 2024-10-08
Number:

Apex Institute of Ayurvedic


College Name: Course Name: B.A.M.S
Medicine and Hospital

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

College City: MIRZAPUR

Personal Details

First Name KAJAL Middle Name:

Last Name RAO Date of Birth: 1998-10-08

Father's Name: KANHAIYA LAL Gender: Female

Mother's Name: SHASHI KALA DEVI Marital Status: Unmarried

Husband Name: Nationality: Indian

Category: SC

Relegion: Hinduism Domicile: Uttar Pradesh

Local Address
LOCO COLONY Q.No-416 /CD
Address: District: CHANDAULI
NEAR BICHUAA MANDIR

PANDIT DEEN DAYAL


City: State: UTTAR PRADESH
UPADHAYA

Pin: 232101

Permanent Address

BESIDE ARYA SAMAJ


Address: MANDIR,KERAR District: JAUNPUR
KOT,JAUNPUR

City: JAUNPUR State: UTTAR PRADESH

Pin: 222001

Other Details:

Phone number: 9794843699 Mobile Number: 7348222649

Email: kajalrao00097@gmail.com

Highschool Details:

Roll Number: 5152975 Board: CBSE

Obtained Marks: 64 CGPA Passing Year: 2014

SG PUBLIC SCHOOL
Percentage: 64 College Name: RAVINAGAR MUGHULSARAI
CHANDAULI,UP

Intermediate Details:

Roll Number: 5624778 Board: CBSE

Obtained Marks: 324 Passing Year: 2016

SRB PUBLIC SCHOOL RPF


Percentage: 64.8% College Name: COLONY MUGHULSARAI
CHANDAULI,UP

Under Graduate Details:

Last Exam passed: Board:

Appearing Year: Migration:

Percentage: NEET Roll Number: 4430020074


Declaration : I hereby declare that the information is filled by me is true and complete as per my knowledge. If any
information provided by me is found false or incorrect then I shall be disqualified by the university

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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