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LU Application Form

The document is an application form for the University of Lucknow Registration Number (LURN) for Siddhesh Patel, with LURN ID LURNS2500104186. It includes personal details such as name, contact information, and addresses, as well as payment details for the registration fee of ₹100. The applicant declares that the information provided is true and acknowledges responsibility for any inaccuracies.

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Siddhesh Patel
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94 views1 page

LU Application Form

The document is an application form for the University of Lucknow Registration Number (LURN) for Siddhesh Patel, with LURN ID LURNS2500104186. It includes personal details such as name, contact information, and addresses, as well as payment details for the registration fee of ₹100. The applicant declares that the information provided is true and acknowledges responsibility for any inaccuracies.

Uploaded by

Siddhesh Patel
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. LURNS2500104186

PERSONAL DETAILS

Applicant's Name Siddhesh Patel LURN ID LURNS2500104186

siddheshpatel007@gmail.co
Email ID Father's Name Vijay Kumar Verma
m

Mother Name Munni Verma Gender: Male

Category General

Nationality Yes Date of Birth 18/8/2007

Blood Group B+ Religion Hinduism

Mobile No 7392947416 Country India

EWS NO Alternate Mobile No: 9721947416

PERMANENT ADDRESS DETAILS

Permanent Address Birsingpur ,Dhaurahra , Isanagar , Lakhimpur Kheri, Uttar Pradesh, KHERI -261502, India

State /Union Territory Uttar Pradesh District KHERI

CIty Lakhimpur Kheri PIN Code: 261502

CORRESPONDENCE ADDRESS DETAILS

Correspondence Address B-1/34, Sector G, Aliganj , Lucknow, Uttar Pradesh, LUCKNOW -226024, India

State /Union Territory Uttar Pradesh District LUCKNOW

CIty Lucknow PIN Code: 226024

REGISTRATION FEE PAYMENT DETAILS

Registration Fee ₹ 100.00

2025-26XProfile
Transaction Status Success Order Number
RegistrationX138196

Tue Jun 03 16:32:19 IST


Transaction Number pay_Qcn3cqmKOo7E1U 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 24-Jun-2025 12:51:26 PM

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