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LU Application Form

The document is an application form for the University of Lucknow Registration Number (LURN) for an applicant named Pawan Chauhan. It includes personal details, permanent and correspondence addresses, and payment information for the registration fee. The applicant declares that all provided information is accurate and acknowledges responsibility for any discrepancies.

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0% found this document useful (0 votes)
40 views1 page

LU Application Form

The document is an application form for the University of Lucknow Registration Number (LURN) for an applicant named Pawan Chauhan. It includes personal details, permanent and correspondence addresses, and payment information for the registration fee. The applicant declares that all provided information is accurate and acknowledges responsibility for any discrepancies.

Uploaded by

sc811568706681
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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University of Lucknow

LU Registration Number (LURN) Generation System

Application Form for University of Lucknow Registration No. LURNS2500128055

PERSONAL DETAILS

Applicant's Name PAWAN CHAUHAN LURN ID LURNS2500128055

Email ID pawan941538@gmail.com Father's Name MITHTHULAL CHAUHAN

Mother Name RAJ KUMARI DEVI Gender: Male

Category OBC-NCL

Nationality Yes Date of Birth 9/7/2001

Blood Group B+ Religion Hinduism

Mobile No 7355027535 Country India

EWS NO Alternate Mobile No: 8115687066

PERMANENT ADDRESS DETAILS

Permanent Address MISRAULIA, BATULAHI, DEORIA, Uttar Pradesh, DEORIA -274201, India

State /Union Territory Uttar Pradesh District DEORIA

CIty DEORIA PIN Code: 274201

CORRESPONDENCE ADDRESS DETAILS

Correspondence Address MISRAULIA, BATULAHI, DEORIA, Uttar Pradesh, DEORIA -274201, India

State /Union Territory Uttar Pradesh District DEORIA

CIty DEORIA PIN Code: 274201

REGISTRATION FEE PAYMENT DETAILS

Registration Fee ₹ 100.00

2025-26XProfile
Transaction Status Success Order Number
RegistrationX174103

Sun Jun 15 16:04:27 IST


Transaction Number pay_QhWzdm0a4RkMrv Transaction Date
2025

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

Printed on 15-Jun-2025 09:35:35 PM

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