GGSIPU Examination Form 2017 https://www.digialm.com/EForms/BillDeskWithHMACAfter...

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Form214904which can be used for all future
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Amount: 1000.00
Payment Transaction No: LHMP6216680630

PPlleeaassee NNoottee::
AAddm miitt CCaarrdd w
wiill l bbee aavvaaiillaabbllee aafftteerr iitt iiss ppuubblliisshheedd bbyy tthhee U
Unniivveerrssiittyy ffoorr tthhee ccoouurrssee..

IInnssttrruuccttiioonnss ttoo ddoowwnnllooaadd tthhee AAddm miitt CCaarrdd::

11)) CClliicckk oonn ""AAddm miitt CCaarrdd"" TTaabb aanndd tthheenn cclliicckk oonn ""PPlleeaassee cclliicckk hheerree ttoo ddoow
wnnllooaadd AAddm miitt CCaarrdd""..
22)) AAddm miitt CCaarrdd iinn PPD DFF ffoorrmmaatt wwiill l bbee ooppeenneedd..
33)) TTaakkee 22 ccooppiieess pprriinntt oouutt ooff tthhee AAddm miitt CCaarrdd aanndd ttaakkee tthheem m ttoo tthhee EExxaammiinnaattiioonn H
Haallll..

Applicant Profile

Login Id : 268486

Password : 04/08/2000

Application Sequence Number 131268486

Name of the Applicant: Prabhat

Region/state from where last/qualifying

Outside Delhi
exam passed:

Category: General

M
Maaiilliinngg AAddddrreessss

Address: A-131, Sec-80

City: NOIDA

State: Uttar Pradesh

Pin Code: 201305

Email Address: prabhatscientist@gmail.com

Mobile: 919810571560

C
Coouurrssee D
Deettaaiillss

Exam Type: Engineering/Professional/PG Diploma

Course Code: 131

Course Name: B.Tech

EExxaam
mDDeettaaiillss

Exam Date: 13/05/2018

Exam Time: 11 AM to 1.30 PM

Center Choice 1: Delhi

Center Choice 2: Dehradun

PPaayym
meenntt D
Deettaaiillss

Payment Transaction No: LHMP6216680630

Payment Amount: 1000.00

Payment Date: 12/04/2018

D
Deeccllaarraattiioonn

1 of 2 4/12/18, 9:15 PM
GGSIPU Examination Form 2017 https://www.digialm.com/EForms/BillDeskWithHMACAfter...

I solemnly affirm that the information furnished above is true and correct in all respects. I have not concealed any information.I realize that if any information
furnished herein is found to be incorrect or untrue, I shall be liable to criminal prosecution and also forgo my claim to the seat in the University/Istitution.
Further , that my candidature for Examination / Selection and admission to the programme is liable to be cancelled at any stage. I agree to abide by the Rules
and Regulations of the University.

Version 13.03.01

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