Beruflich Dokumente
Kultur Dokumente
IUET
IntegralUniversityEntranceTest(IUET2016)
RegistraonForm
CourseApplied
B.P.Th.
Papers
NA
FormNumber
2016012172
RollNumber
NotApplicable
PersonalDetails
Name
SHAMAPARVEEN
Gender
Female
DateofBirth
30/09/1999
PlaceofBirth
AZAMGARH
Domicile
UTTARPRADESH
Naonality
Indian
BloodGroup
NotKnown
Religion
Muslim
Mobile
8057559003
Landline
PhysicallyHandicapped
No
UploadPhoto
UploadSignature
Parents'Details
Father'sDetails:
Father's/Husband'sName
SHAHALAM
EducaonalQualicaon
8THSTANDARD
Occupaon
BUSINESS
Designaon
OWNER
OrganizaonName
SHAHEENTEXTILES
Father'sContactNo.
(Landline)
Father'sContactNo.
(Mobile)
9889070450
Father'sEmailAddress
Mother'sDetails:
http://iuet.iul.ac.in/PrintApplication.aspx?email=azmiamh1993@gmail.com&formnumber=2016012172
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IUET
Mother'sName
SUFIYANABANO
EducaonalQualicaon
Occupaon
HOMEMAKER
Designaon
OrganizaonName
8THSTANDARD
Mother'sContactNo.
(Landline)
Mother'sContactNo.
(Mobile)
9889070440
Mother'sEmailAddress
FamilyIncome
1to5Lacs
ContactDetails
ResidenceStatus
City/Town
CurrentAddress
SHAHEENTEXTILES
POSTLALGANJ
PermanentAddress
SHAHEENTEXTILES
POSTLALGANJ
CurrentState
UttarPradesh
PermanentState
UttarPradesh
CurrentCity
Azamgarh
PermanentCity
Azamgarh
CurrentPincode
276202
PermanentPincode
276202
OtherInformaons
CampusAppliedfor
LucknowCampus
HostelAccommodaon
required
Yes
QualifyingExam.Details
HighSchool:
Exam.Name
HighSchool
RollNumber
3132674
Board/University
UPBOARD
SchoolName
NAZMAGIRLSHIGHSCHOOLDAUNALALGANJAZAMGARH
SchoolCity
ObtainedMarks
451
MaxMarks
600
Percentage
75.2
YearofPassing
2014
Intermediate/Diploma:
http://iuet.iul.ac.in/PrintApplication.aspx?email=azmiamh1993@gmail.com&formnumber=2016012172
AZAMGARH
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IUET
Exam.Name
Intermediate
RollNumber
2385926
SchoolName
NAZMAGIRLSINTERCOLLEGEDAUNALALGANJAZAMGARH
SchoolCity
ObtainedMarks
N/A
MaxMarks
N/A
Percentage
N/A
YearofPassing
2016
Graduaon:
Exam.Name
N/A
Board/University
RollNumber
Board/University
School/CollegeName
School/CollegeCity
ObtainedMarks
MaxMarks
Percentage
YearofPassing
PostGraduaon:
Exam.Name
N/A
RollNumber
Board/University
School/CollegeName
School/CollegeCity
ObtainedMarks
MaxMarks
Percentage
YearofPassing
QualifyingExamStatus
Appearing
UPBOARD
AZAMGARH
Subjectsin10+2
PCB
MiscellaneousInformaon
Howdidyougettoknow
aboutIntegralUniversity
Friends
Isanyofyourfamily
memberassociatedwith
IntegralUniversity
None
Nameofthefamilymember
Course(IfStudent/Alumni)/
Designaon(Ifemployee)
Duraon
Haveyoupreviouslyapplied
http://iuet.iul.ac.in/PrintApplication.aspx?email=azmiamh1993@gmail.com&formnumber=2016012172
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IUET
foradmissiontoIntegral
University?
Coursepreviouslyapplied
for
PreviousFormNo.
Year
Wereyouselected?
No
2015IntegralUniversity
http://iuet.iul.ac.in/PrintApplication.aspx?email=azmiamh1993@gmail.com&formnumber=2016012172
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