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Maha ogi Guru Gorakhnath AYUSH University

Applicants Photograph & Signature

Transaction Details

Application Number: 22082004197 Enrollment Number: VA0092122037

Examination Fee + GST : 7500.0 Transaction Amount : 7500.0

Transaction ID : 947830803251275937 Transaction Mode : UPI

Transaction Date : Mar 8 2025 12:36PM

College & Course Details

Admission Receipt
3170 Admission Receipt Date: 2022-04-19
Number:

APEX Institute of
College Name: Ayurvedic Medicine & Course Name: UG (AYURVEDA)
Hospital

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

College City: Mirzapur

Personal Details

First Name KRISHNA Middle Name: KUMAR

Last Name GUPTA Date of Birth: 1993-11-17

LAKSHMI SHANKAR
Father's Name: Gender: Male
GUPTA

Mother's Name: KISHORI DEVI Marital Status: Unmarried

Husband Name: Nationality: Indian

Category: OBC

Religion: Hinduism Domicile: Uttar Pradesh

Local Address

Address: LOHTA BHATTI District: VARANASI

City: VARANASI State: UTTAR PRADESH

Pin: 221107

Permanent Address
Address: LOHTA BHATTI District: VARANASI

City: VARANASI State: UTTAR PRADESH

Pin: 221107

Other Details:

Phone number: 8922898441 Mobile Number: 8922898441

Email: kg663988@gmail.com

Highschool Details:

Roll Number: 2678755 Board: UP BOARD

Obtained Marks: 346 Passing Year: 2008

DEVVANI H S S
Percentage: 57.66 College Name:
CHHITAUNI VARANASI

Intermediate Details:

Roll Number: 1331256 Board: UP BOARD

Obtained Marks: 354 Passing Year: 2010

K S INT COLL LATHIA

Under Graduate Details:

Last Exam passed: Board:

Appearing Year: Migration:

Percentage: NEET Roll Number: 4411024038

Subject Details:

DECLARATION BY STUDENT

I KRISHNA KUMAR GUPTA S/o or D/o LAKSHMI SHANKAR GUPTA 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

KRISHNA KUMAR GUPTA S/o or D/o LAKSHMI SHANKAR GUPTA has been registered for
regular examination. All 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
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Transaction Charge is not paid to the universit