UPSEE - 2014_ Confirmation Page for Application Number _402733

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Click Here to Print This Page CONFIRMATION PAGE : UPSEE - 2014 ( MBA / MCA / MAM / MCA (Lateral Entry ) ) Registration No. 402733 You have successfully submitted Application On-line. Kindly take the printout of this page. Paste your one passport size photograph and put your signature and thumb impression in the specified box. Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICAL UNIVERSITY, I.E.T.CAMPUS, SITAPUR ROAD, LUCK 226021, U.P. ” to reach latest by 07-04-2014. Place of Application Form FillingON LINE APPLICATIONS( OH) Candidate's Name MOHAMMAD MAROOF Date of Birth 02/03/1994 Father's Name GAFFAR HUSAIN Gender MALE Parent's Domicile U.P. Category UPGE Nationality INDIAN Sub-Category NOT APPLICABLE Qualifying Exam GRADUATION Qualifying Exam Passed From UTTAR PRADESH Year of Passing 2014 Whether passed 10+2 / Graduation with mathematics as a subject NO Seeking Admission For MBA Paper(s) to Appear PAPER-9 Examination Center 1ST : MORADABAD, 2ND : BAREILLY, 3RD : GHAZIABAD Subjects in qualifying examination GEOGRAPHY, SOCIOLOGY, ENGLISH LITERATURE DECLARATION I certify that the particulars given by me in this Application Form are correct to the best of my knowledge and belief and any mistake / misinformation detected at the ti me of counselling or at any stage will res cancellation of admission. I have carefully read the Information Brochure of UPSEE 2014 and agree to abide by the terms and conditions laid down therein.Further, it is entirely my responsibility to prove the elig admission to the 1st year of MBA / MCA / MAM / 2nd year of MCA course(s) in respect of qualification and entitlement for admission against reserved category, if claimed, to the satisfaction of the UPSEE 2014. undertake that I will be visiting the web site (http://upsee.nic.in, http://www.uptu.ac.in) regularly for any information and I declare that all the information regarding UPSEE-2014 provided on these websites will be served. Mailing Address: Name: MOHAMMAD MAROOF Address: VILLAGE MILAK HISAMPUR POST DINGARPUR TEHSIL BILARI THANA MAINATHER District: MORADABAD State: UTTAR PRADESH PinCode: 244301 Email ID: [email protected] Mobile No. 9720283202 Uploaded Signature Uploaded Thumb Impression Left Hand Thumb Impression Signature of the Candidate(Not in capital letters) Signature of Pare nt /Guardian UPSEE - 2014: Confirmation Page for Application Number :402733 https://upsee.nic.in/Online/PGConfirmationPage.aspx 1 of 2 3/20/2014 2:52 PM

Transcript of UPSEE - 2014_ Confirmation Page for Application Number _402733

Page 1: UPSEE - 2014_ Confirmation Page for Application Number _402733

Click Here to Print This PageCONFIRMATION PAGE : UPSEE - 2014 ( MBA / MCA / MAM / MCA (Lateral Entry ) )

Registration No. 402733

You have successfully submitted Application On-line. Kindly take the printout of this page. Paste your one passport size photograph and put your signature and thumb impression in the specified box.Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICAL UNIVERSITY, I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 07-04-2014.Place of Application Form FillingON LINE APPLICATIONS( OH)Candidate's Name MOHAMMAD MAROOF Date of Birth 02/03/1994Father's Name GAFFAR HUSAIN Gender MALEParent's Domicile U.P. Category UPGENationality INDIAN Sub-Category NOT APPLICABLEQualifying Exam GRADUATION Qualifying Exam Passed From UTTAR PRADESH

Year of Passing 2014 Whether passed 10+2 / Graduationwith mathematics as a subject

NO

Seeking Admission For MBA Paper(s) to Appear PAPER-9Examination Center 1ST : MORADABAD, 2ND : BAREILLY, 3RD : GHAZIABAD Subjects in qualifyingexamination GEOGRAPHY, SOCIOLOGY, ENGLISH LITERATURE

DECLARATIONI certify that the particulars given by me in this Application Form are correct to the best of my knowledge and belief and any mistake / misinformation detected at the time of counselling or at any stage will result in thecancellation of admission. I have carefully read the Information Brochure of UPSEE 2014 and agree to abide by the terms and conditions laid down therein.Further, it is entirely my responsibility to prove the eligibility foradmission to the 1st year of MBA / MCA / MAM / 2nd year of MCA course(s) in respect of qualification and entitlement for admission against reserved category, if claimed, to the satisfaction of the UPSEE 2014.Further, Iundertake that I will be visiting the web site (http://upsee.nic.in, http://www.uptu.ac.in) regularly for any information and I declare that all the information regarding UPSEE-2014 provided on these websites will be treated asserved.Mailing Address:

Name: MOHAMMAD MAROOF

Address: VILLAGE MILAK HISAMPUR

POST DINGARPUR TEHSIL BILARI THANA MAINATHER

District: MORADABAD

State: UTTAR PRADESH

PinCode: 244301

Email ID: [email protected]

Mobile No. 9720283202

Uploaded Signature

UploadedThumb Impression

Left Hand Thumb Impression

Signature of the Candidate(Not in capital letters)

Signature of Parent /Guardian

UPSEE - 2014: Confirmation Page for Application Number :402733 https://upsee.nic.in/Online/PGConfirmationPage.aspx

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Page 2: UPSEE - 2014_ Confirmation Page for Application Number _402733

Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), Uttar Pradesh TECHNICAL UNIVERSITY,I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 5 PM, 07-04-2014 .

Details of Transaction(Punjab National Bank).Transaction ID.: 3831341 Amount: 1014.01 Date of Transaction 20/03/2014Card Type : VISA/Mastercard

RegistraƟon No: 402733

Note : Please ensure that all the entries are filled up and transaction details of bank are available on the confirmation page, failing which your application is liable to be rejected.

UPSEE - 2014: Confirmation Page for Application Number :402733 https://upsee.nic.in/Online/PGConfirmationPage.aspx

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