10/23/24, 9:35 PM Examination Form | NPGC
National Post Graduate College
An Autonomous, CPE and NAAC Grade 'A'
College of Lucknow University
FACULTY OF ARTS
UNIVERSITY OF LUCKNOW
ENROLMENT FORM
Enrolment No : .........................(for Office Use) Student Roll No : 424934
1. (a) Name (in Full in English BLOCK Letters)
ANIKET CHAURASIA
(b) Name (in Full in Hindi) : Passport size
photograph
2. Father Name : GHANSHYAM CHAURAASIYA facing Camera
3. Mother Name : KRISHNA DEVI
4. Date of Birth : 20/02/2001
5. Gender : MALE
6. Whether belonging to SC/ST/OBC (if yes give details) : ........................................................
7. Local Address :
8. Permanent Address :
9. Requirement of Transfer / Migration Certificate from last institution attended.
10 Academic Record - (At the time of Enrolment)
Sl. No. Class Year Passed Board / University
1. High School or Equivalent (give name)
.............................................................
2. Intermediate or Equivalent (give name)
.............................................................
3. B.A./B.Sc./B.Com.
4. M.A./M.Sc./M.Com.
5. Any Other Examination
......................................
11. Have you been enrolled earlier in LUCKNOW UNIVERSITY (including associated /affiliated
/constituent colleges). If yes, state below the class, year, college and enrolment no
.......................................................................................................................
12 Class and college in which admission has been taken now.
Class: M.A. (GEOGRAPHY) College: NATIONAL POST GRADUATE COLLEGE
13. Gap period if any .............................................................................................
Sign. of the Principal Sign. of the Controller of Signature of the Student
with Seal Exam. with Seal
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