Pin code: 461990 Pin code: 462026

Family And Income Details:

Father/Guardian Mahesh Pat el Mother/Guardian Krant i Pat el

Name: Name:

Father/Guardian 7354777974 Mother/Guardian 8435628216

Mobile No: Mobile No:

Father/Guardian Self Employed Mother/Guardian Home Maker

Occupation: Occupation:

Father/Guardian Farmer Mother/Guardian

Designation: Designation:

Father/Guardian 50,000 - 1,00,000 Mother/Guardian

Annual Income: Annual Income:

Family Annual 50,000 - 1,00,000

Income:

Institute Details:

(I) Course Details:

Admitted To: Degree

Course 4 Date Of 2019-07-26

Duration(in years): Admission:

(II) Basic Institute Details:

AICTE Institute 1-5800621 Admission Yes

Permanent ID: through CCP:

Institute Name: LAKSHMI NARAIN COLLEGE OF T ECHNOLOGY

Institute Approved by AICT E Type of Institute: Privat e

Category:

Course Name: COMPUT ER SCIENCE Affiliating Rajiv Gandhi Proudyogiki

AND ENGINEERING University: Vishwavidyalaya, Bhopal

Institute State: Madhya Pradesh Institute District: BHOPAL

Institute Address: KALCHURI NAGAR RAISEN ROAD BHOPAL 462021

Institute Website:
(III) Contact Person Details:

Name of KAILASH SRIVASTAVA Institute lnct bhopal@lnct .ac.in

Principal/Director: Principal/Director
E-mail id:

Contact No. of 9752466688

Principal/Director:

(IV) Fee Details:

Fee type: Semest er

Tution fee paid for 63000 Tution fee paid 0

fi rst semester: for second
semester:

Total tution fee: 63000

Education Details

Higher Secondary School (10+2)th

School Name: Saraswat i Vidhya Mandir

School Address: Saraswat i Colony , Bankhedi , Dist rict Hoshangabad, Madhya Pradesh

State: Madhya Pradesh District: Hoshangabad

City: Bankhedi Pincode: 461990

Date of Passing 2019-05-15 Marks System: Marking Syst em

(DD-MM-YYYY):

Marks Obtained: 413 Total Marks: 500

Percentage(%): 82.6

Board Name: St at e Board Other Board of

Board/State secondary
Board: educat ion,
Madhya Pradesh,
Bhopal

Registration A-15/672064/116 Roll No.: 296728653

No.:

12th Marksheet Details

Sr No.: Subject Name (As per 12th Marks Obtained: Maximum Marks:
Marksheet):

1 Hindi (Special) 87 100

2 English (General) 86 100

3 Mat hemat ics 90 100

4 Physics 80 100

5 Chemist ry 70 100

Senior Secondary School (10th)

School Name: Saraswat i Vidhya Mandir

School Address: Saraswat i Colony , Bankhedi , Dist rict Hoshangabad, Madhya Pradesh

State: Madhya Pradesh District: Hoshangabad

City: Bankhedi Pincode: 461990

Date of Passing 2017-05-12 Marks System: Marking Syst em

(DD-MM-YYYY):

Marks Obtained: 561 Total Marks: 600

Percentage(%): 93.5 Division: 1st Division

Board Name: St at e Board Other Board of

Board/State secondary
Board: educat ion,
Madhya Pradesh,
Bhopal

Registration A-15/672064/116 Roll No.: 176730723

No.:

10th Marksheet Details

Sr No.: Subject Name (As per 12th Marks Obtained: Maximum Marks:
Marksheet):

1 Hindi (Special) 90 100

2 English (General) 88 100

3 Sanskrit (General) 99 100

4 Mat hemat ics 99 100

5 Science 96 100

6 Social Science 89 100

7
8

Bank Details:

(I) Saving Bank Account Details

Account Holder Somya Pat el Bank Name: STAT E BANK OF INDIA

Name
(Candidate):

Bank Branch Bankhedi Branch Code: 2826

Name:

Bank IFSC Code: SBIN0002826 Bank Account 33683511128

Number:

Bank Address: Bankhedi, Dist rict

Hoshangabad, Madhya
Pradesh, 461990

Attachments:

Attachment Name Uploaded Preview

SSC Marksheet
(10th)Std.:  
(at t achment Modal.php?
t ype=sscMarksheet &st udent Id=2019004605)

HSC
Marksheet(12th)Std.:  
(at t achment Modal.php?
t ype=hscMarksheet &st udent Id=2019004605)

Annual Family Income

Certifi cate:  
(at t achment Modal.php?
t ype=annualFamilyIncomeCert ificat e&st udent Id=20190046

Admission letter to
Degree/Diploma  
courses: (at t achment Modal.php?
t ype=admissionLet t er&st udent Id=2019004605)

Bank Pass Book:

 
(at t achment Modal.php?
t ype=bankPassBook&st udent Id=2019004605)
 Certifi cate Issued by
the  
Director/Principal/HOD: (at t achment Modal.php?
t ype=cert ificat eIssuedByDPH&st udent Id=2019004605)

Declaration by Parents:
 
(at t achment Modal.php?
t ype=declarat ionByParent s&st udent Id=2019004605)

Certifi cate issued by

competent authority(if  
PH): (at t achment Modal.php?
t ype=cert ificat eIssuedByCA&st udent Id=2019004605)

Caste Certifi cate:

 
(at t achment Modal.php?
t ype=cast eCert ificat e&st udent Id=2019004605)

Aadhar Card:
 
(at t achment Modal.php?
t ype=aadharCard&st udent Id=2019004605)

Candidate Photo:
 
(at t achment Modal.php?
t ype=candidat ePhoto&st udent Id=2019004605)

Candidate Signature:
 
(at t achment Modal.php?
t ype=candidat eSignat ure&st udent Id=2019004605)

DBT details:

For Attachment Name Amount Uploaded Preview

Year

2019- Tution Fee 63000

20  
(at t achment Modal.php?
t ype=Tut ionFee&st udent Id=2019004605)

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