UG AYUSH ADMISSION- 2018 http://ugcounselling.loginoffice.com/print.

aspx

UG AYUSH CANDIDATE REGISTRATION FORM

Student Details -
Registration No : 111528
Challan No & Amount & Date Received From Bank : DUA3604560, Rs.2000.00/-, 01 Dec 2018
Candidate's Name : BRIJESH LAL PATEL
Father's Name : MULACHANDRA PATEL
Mother's Name : DEOKALI DEVI
Gender : Male

Candidate Details -
Date of Birth : 05 Jul 1988 Email ID :
Mobile Number : 9984284349 District : Varanasi
Alternate mobile number : NA Communication Address : VILL FAKIRPUR AMAULIYA POST LAMAHI DIST VARANASI
Permanent Domicile Certificate Details -
Are you domicile of Uttar Pradesh ? : YES
Reference no. of Domicile certificate : Date of Issue :
Place of issuing officer : Designation of issuing officer :
Enter Designation of issuing Authorised officer : Class : NIL
Handicapped Type : NIL Percentage : NIL
Permanent Category / Caste Certificate Details -
Category : OBC Do you have Category/Caste Certificate ? : Yes
Reference no. of category certificate 672173068281 Date of Issue : 22 Sep 2017
Place of issuing officer : SADAR TEHSILDAR Designation of issuing officer : Nayab Tehsildar
Qualifying Exam Detail (10+2) -
Do you want admission in BUMS(Bachelor of Unani Medicine & Surgery) course ? No

Subject Name Obtained Marks Total Marks Pass/Fail

Urdu
Do you have passed 12th class exam with English, Physics, Chemistry and Biology subject ? Yes
12th Grand Obtained Marks : 349 12th Grand Total Marks : 500 Subject Group Physics/Chemistry/Biology
Subject Name Obtained Marks Total Marks Pass/Fail
English 53 100 Yes
Physics 70 100 Yes
Chemistry 79 100 Yes
Biology 65 100 Yes
Total marks obtained
214 300 71.33 %
in Physics, Chemistry and Biology
High School Passed From Uttar Pradesh Intermediate Passed From Uttar Pradesh

Right Thumb Signature

Please bring following original documents (whichever is applicable) along with registration receipt at the time of verification:-

Mark sheets of 10+2 (Xth and XIIth)

Proof of date of birth
Original/Internet mark sheet of entrance examination
Bonafide resident certificate
Caste certificate .
Physically handicapped certificate
Freedom fighter certificate
Certificate of district sainik welfare officer / officer commanding for military personnel cadre

1 of 1 08-Dec-18, 5:55 PM