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Online Application Form - 2019

Section 'A' Query Number: 71855

  :   Pay Online:Net Banking/Cards (Rs.1400/-)
Father's Name  Kanaram kumavat
Mother's Name  Sangeeta kumavat
Affix coloured Date of Birth  25/02/2000
passport size
photograph Sex  Male      Email Rahulkumavat021@gmail.com
Religion  HINDU   Category: OBC
Do not Pin / Staple the
Mailing Address  Samdariya City madhv nagar katni m.p,Samdariya City madhv
nagar Katniss m. P Katni
State  Madhya Pradesh     Pin : 483504      
Phone No  9826871941-9907034466
Selected Programme  All Undergraduate Programmes  Payment Details 1400 Date : . . . . . . . . .
Subject Group Code COM DD / Bank Details   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
 1st. Allahabad, 2nd. Allahabad,  
Test Center 3rd. Allahabad
Particulars of Exam Passed / Appeared

Passing Obt / Max % of

Examination Board/University Name of Institution Subjects Mark
year Marks

High School  M.P board  RS MAMORIAL H. S SCHOOL  Maths science  2016 321/600  53.5

Intermediate  M.p Board  RS MAMORIAL H. S SCHOOL  Commerce  2019 362/500  72.4

Graduation  -  -  -  - -/-  -

Postgraduation  -  -  -  - -/-  -

B.Ed  -  -  -  - -/-  -

Extra curricular activities :- Achievements :    

 ( Football, badminton and etc ) 
DECLARATION : We the undersigned hereby declare that the statements made
above are true to our knowledge and belief. We fully understand that any wrong
statement made in this application will result in cancellation of the candidature
or termination of admission at any stage at our own risk.
  We further declare that we have carefully gone through all the details in the  
Admission Procedure, and we agree to abide by all eligibility requirements and
condition laid down therein.

Signature of the Father/                                                

Guardian (if father is not alive)                                    Signature of the Candidate
19UGPGET/ADCJAF/ 71855/14543820190520
Online Application Form - 2019
Section 'B' (Please keep this copy with you for further reference)
1. Query No  71855 

2. Query Code    ADCJAF


4. Selected Programme  All Undergraduate Programmes

5. Subject Group Code  COM || Test Center: 1st. Allahabad, 2nd. Allahabad, 3rd. Allahabad
Payment options:
Online Payment (Net Banking / Debit or Credit Card) : Enter your Query No. and Query Code, Click Sumit, Select
I Payment Geteway, Select payment category etc../ :  Take a printout of successfully completed payment page
1 with Reference No.
Demand Draft:  Make a Demand Draft of Rs.1400 in favor of The Registrar, SHUATS, Payable at Prayagraj

I. Upload passport size photograph  (maximum size 100 kb)

II. Affix a Photograph on the printout of Online Application Form and fill Payment Details.
Mention your Query Number, Name and Contact Phone Number on the reverse of the Demand Draft or Online
Payment printout.
Send Online Application Form (Section 'A' only) along with Payment details (DD or Online  payment printout)
4 through registered post to The Registrar, Sam Higginbottom University of Agriculture, Technology and Sciences,
Prayagraj (Allahabad)- 211007, Uttar Pradesh .
Your online Application Form will be accepted after receiving the completed form. This would help us to generate
Application Form Number and Admit Card

The Admit Card will be available on the website of SHUATS only (www.shuats.edu.in) from May 15, 2019 The
applicant is required to print the Admit Card from the University website at www.shuats.edu.in. However, he/ she is
required to bring a Passport size photograph (similar to that pasted on the application form) along with the admit
card to the entrance test center for verification.

The ENTRANCE TEST for the various Undergraduate, Postgraduate, B.Ed., and M. Ed. programmes will be
conducted on the following date at all the Centers listed in the prospectus under two sessions as applicable to the
1. Undergraduate Programmes-
Date: May 29, 2019 (Morning Session)  Time : 9:00am. to 11:00 a.m.
2. Postgraduate, B.Ed. and M. Ed. Programmes-
Date: May 29, 2019 (Evening Session)  Time : 02:00 p.m. to 04:00 p.m.
30 Minutes for additional section of B.Ed./ M.Ed.(i.e. 04:00 p.m to 04:30 p.m)

8 Last Date for Receiving for On-line Applicants with payment details  May 20,   2019

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