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    Print Application Ramaiah University of Applied Sciences, Bangalore

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    apple taksh
    This document is an admission application form for Taksh Sharma to pursue a B.Tech in Electronics and Communication Engineering. It includes personal details like name, date of birth, contact information, education qualifications including 10th and 12th grades, family details of father and mother, address, and a declaration signed by the applicant and parent.

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    Print Application Ramaiah University of Applied Sciences, Bangalore

    Uploaded by

    apple taksh
    21 views4 pages
    This document is an admission application form for Taksh Sharma to pursue a B.Tech in Electronics and Communication Engineering. It includes personal details like name, date of birth, contact information, education qualifications including 10th and 12th grades, family details of father and mother, address, and a declaration signed by the applicant and parent.

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    Print Application Ramaiah University of Applied Sciences, Bangalore

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    This document is an admission application form for Taksh Sharma to pursue a B.Tech in Electronics and Communication Engineering. It includes personal details like name, date of birth, contact information, education qualifications including 10th and 12th grades, family details of father and mother, address, and a declaration signed by the applicant and parent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views4 pages

    Print Application Ramaiah University of Applied Sciences, Bangalore

    Uploaded by

    apple taksh
    This document is an admission application form for Taksh Sharma to pursue a B.Tech in Electronics and Communication Engineering. It includes personal details like name, date of birth, contact information, education qualifications including 10th and 12th grades, family details of father and mother, address, and a declaration signed by the applicant and parent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ADMISSION APPLICATION FORM

    APPLICATION NO : msruas/20/16678

    Course

    Program B.Tech  

    Specialization Electronics and Communication Engineering  

    Personal Details

    Title Mr  

    First Name TAKSH

    Middle Name  

    Last Name SHARMA

    Email Address appletaksh@outlook.com

    Gender Male  

    Date of Birth 29/10/2002

    Mobile Number +91-8219881850

    Blood Group A+  

    Place of Stay-Type  

    Nationality Indian  

    Category General  

    Aadhaar Card Number 414631987550

    Religion HINDUISM  

    State Of Domicile Himachal Pradesh  

    Are You the First Person to go for  


    Higher Studies from Your Family?
    /
    Source  
    Father's Details

    Title Mr  

    Father’s Name PREM DUTT SHARMA

    Father’s Email Address  

    Father’s Mobile +91-9418042017

    Father’s Occupation Government Sector  

    Father’s Income RS. 100001 -200000  

    Mother's Details

    Title Mrs  

    Mother’s Name SUREKHA SHARMA

    Mother’s Email Address  

    Mother’s Mobile +91-9805037188

    Mother’s Occupation Homemaker  

    Local Guardian's Details

    Title  

    Local Guardian’s Name  

    Local Guardian’s Email Address  

    Local Guardian’s Mobile  

    Local Guardian’s Occupation  

    Address for Correspondence

    Country India  

    State Himachal Pradesh  

    District Shimla  

    City Shimla  

    Address Line 1 20/1A VIL. SALAVAKRA, POST OFFICE DEEM ,

    Address Line 2 TEH JUBBAL, DISTT SHIMLA

    Pincode 171205

    Is Permanent Address Same As Yes /


    Address For Communication?
    Academic Details
    10th Academic Details

    10th Academic Details

    Year of Marking Obtained CGPA /


    Institute Name Board
    Passing Scheme Percentage

    BD DAV PUBLIC Central Board Of Secondary Education  


    10th 2018 Percentage   86
    SCHOOOL (CBSE)

    12th/Diploma Academic Data

    12th/Diploma Result Status Passed  

    12th/Diploma Academic Data

    Year of Marking Obtained CGPA /


    Institute Name Board
    Passing Scheme Percentage

    BD DAV PUBLIC Central Board Of Secondary  


    12th/Diploma 2020 Percentage   90
    SCHOOL Education (CBSE)

    Entrance Exam Details


    Have you appeared in any entrance No  
    examination ?

    Extra-Curricular Activities and Achievements

    Extra-Curricular

    School Level State Level National Level

    Activities and Achievements      

    Upload Documents

    Upload Your 10th Certi cate Yes

    Upload Your 12th Certi cate Yes

    Declaration

    Applicant Name TAKSH SHARMA

    Parent Name PREM DUTT SHARMA

    Date 14/09/2020

    Signature Image /
    /

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