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University Of Kashmir
Application Form

Form No: ENT-5691

Bachelor Of Technology
Personal Details
Name: ZAID ZAHOOR BULLA ZAHOOR AHMED BULLA YES Date of Birth 27-07-1994 Email Id zaid.bulla@yahoo.com District: BARAMULLA

Fathers Name:

Wheteher Permanent Resident of J & K Gender: MALE Phone No: 9419038741 Address: NEW COLONY SOPORE Registration No: N09441900146

Programme(s) Applying For

Order Of Prefrences

1. BACHELOR OF TECHNOLOGY(OM) [Prefrences: 1. Kashmir University(Electronics & Communications) 2.North Campus Delina(Computer Science) 3.Not Specified 4.Not Specified 5.Not Specified 6.Not Specified]

Accademic Record
Examination 12TH CLASS DETAILS
JEE SCORE

Roll No

Year of Passing

Subjects Offered PHY, MATH, CHEM,

Marks Obtd. 445

Maximum Marks 500

% age of marks 89

University/ Institution B.O.S.E

306240 2013

Roll No

Total Score Date of Examination 07/04/2013

83209441 64.04 Declaration

I declare that the entries made by me above are correct to the best of my knowledge & belief. Signature of the candidate
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RECIEPT OF APPLICATION FORM

Recieved Application Form ENT-5691 from ZAID ZAHOOR BULLA Dated ..............for the course BTECH Admission 2013

S ignature of the Dealing Official

Payment Receipts

Date 7/18/2013 Form no ENT-5691 Depositors Name ZAID ZAHOOR BULLA Parentage ZAHOOR AHMED BULLA Address NEW COLONY SOPORE Purpose Entrance Examination fee A/C No. 0007010100002609 J&K Bank,Hazratbal Srinagar Branch Amount(in figure) 300 Amount(in words)__________ __________________________ Signature of Depositor ______________ Contact No 9419038741

Date 7/18/2013 Form no ENT-5691 Depositors Name ZAID ZAHOOR BULLA Parentage ZAHOOR AHMED BULLA Address NEW COLONY SOPORE Purpose Entrance Examination fee A/C No. 0007010100002609 J&K Bank,Hazratbal Srinagar Branch Amount(in figure) 300 Amount(in words)__________ __________________________ Signature of Depositor ______________ Contact No 9419038741

Date 7/18/2013 Form noENT-5691 Depositors Name ZAID ZAHOOR BULLA Parentage ZAHOOR AHMED BULLA Address NEW COLONY SOPORE Purpose Entrance Examination fee A/C No. 0007010100002609 J&K Bank,Hazratbal Srinagar Branch Amount(in figure) 300 Amount(in words)__________ __________________________ Signature of Depositor ______________ Contact No 9419038741

Bank Seal and Signature

Bank Seal and Signature

Bank Seal and Signature

-------------------------------------- Instructions ---------------------------------------------------1. A candidate is required to deposit the entire amount of fee chargeable (for all programmes s/he is applying @ Rs. 300/= per programme(plus Rs. 10/= as bank charges))through one and the same Pay-in-Slip at any branch of the J&K Bank Ltd. 2. Candidates seeking admission under reserved categories shall carry their original category certificate along with them at the time of deposition of application form and show it to the concerned official on demand. However, Original Certificates need not to be attached with the application Form in any case

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