2/22/2019 SHUATS Online Application Form

Online Application Form - 2019

Section 'A' Query Number: 61553

Name ANJALI KUMARI

Father's Name MAHESH PRASAD
Mother's Name MRIDULA DEVI
Date of Birth 29/06/2000
Affix coloured
passport size Sex Female
photograph
Religion HINDU Category: OBC
Do not Pin / Staple the
photograph
Mailing Address LANE-2,EKTA NAGAR,JALALIPATTI,BHULLANPUR Varanasi

State Uttar Pradesh Pin : 221108

Email anjalibinddlw@gmail.com
Phone No 9415275009-9415275010
Selected Programme All Undergraduate Programmes Payment Details 1400.00/HDFC/723905114/22-02-2019
Subject Group Code PCB DD / Bank Details _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1st. Allahabad, 2nd. Lucknow, 3rd.
Test Center New Delhi
AADHAR No 915261339335 NAD ID:
Particulars of Exam Passed / Appeared
Passing Obt / Max % of
Examination Board/University Name of Institution Subjects Mark
year Marks
DLW INTER COLLEGE ENGLISH,HINDI,MATHEMATICS,SCIENCE,SOCIAL 332.5/500
High School CBSE 2016 7
VARANASI SCIENCE
DLW INTER COLLEGE ENGLISH,PHYSICS,CHEMISTRY,BIOLOGY,PHYSICAL 313/500
Intermediate CBSE 2018 62.2
VARANASI EDU
Graduation - - - - -/- -
Postgraduation - - - - -/- -
B.Ed - - - - -/- -
DECLARATION : We the undersigned hereby declare that the statements made above are true to
our knowledge and belief. We fully understand that any wrong statement made in this application
will result in cancellation of the candidature or termination of admission at any stage at our own
risk.
We further declare that we have carefully gone through all the details in the Admission
Procedure, and we agree to abide by all eligibility requirements and condition laid down therein.

Signature of the Father/

Guardian (if father is not alive) Signature of the Candidate
19UGPGET/AJDEAG/ 61553/10535020190222
---------------------------------------------X---------------------------------------------X---------------------------------------------

http://ald.shuats.edu.in/webwapp/admission2019/QryRegSlip.asp 1/2
2/22/2019 SHUATS Online Application Form

Online Application Form - 2019

Section 'B' (Please keep this copy with you for further reference)
1. Query No 61553

2. Query Code  AJDEAG

3. Name ANJALI KUMARI

4. Selected Programme All Undergraduate Programmes

5. Subject Group Code PCB || Test Center: 1st. Allahabad, 2nd. Lucknow, 3rd. New Delhi

Instructions
Payment options:
Online Payment (Net Banking / Debit or Credit Card) : Enter your Query No. and Query Code, Click Sumit,
1 Select Payment Geteway, Select payment category etc../ :  Take a printout of successfully completed payment page with Reference
I
No.
II Demand Draft: Make a Demand Draft of Rs.1400 in favor of The Registrar, SHUATS, Payable at Prayagraj (Allahabad).

I. Upload passport size photograph  (maximum size 100 kb)

2
II. Affix a Photograph on the printout of Online Application Form and fill Payment Details.

3 Mention your Query Number, Name and Contact Phone Number on the reverse of the Demand Draft or Online Payment printout.
Send Online Application Form (Section 'A' only) along with Payment details (DD or Online payment printout) through registered post
4 to The Registrar, Sam Higginbottom University of Agriculture, Technology and Sciences, Prayagraj (Allahabad)- 211007, Uttar
Pradesh .
Your online Application Form will be accepted after receiving the completed form. This would help us to generate Application Form
5
Number and Admit Card
The Admit Card will be available on the website of SHUATS only (www.shuats.edu.in) from May 15, 2019 The
applicant is required to print the Admit Card from the University website at www.shuats.edu.in. However, he/ she is
6
required to bring a Passport size photograph (similar to that pasted on the application form) along with the admit
card to the entrance test center for verification.
The ENTRANCE TEST for the various Undergraduate, Postgraduate, B.Ed., and M. Ed. programmes will be
conducted on the following date at all the Centers listed in the prospectus under two sessions as applicable to the
applicant.
1. Undergraduate Programmes-
7
Date: May 29, 2019 (Morning Session) Time : 9:00am. to 11:00 a.m.
2. Postgraduate, B.Ed. and M. Ed. Programmes-
Date: May 29, 2019 (Evening Session) Time : 02:00 p.m. to 04:00 p.m.
30 Minutes for additional section of B.Ed./ M.Ed.(i.e. 04:00 p.m to 04:30 p.m)
8 Last Date for Receiving for On-line Applicants with payment details May 20, 2019

Print Online Application Form

http://ald.shuats.edu.in/webwapp/admission2019/QryRegSlip.asp 2/2