JNM College for Advance Studies & Technology
Khushaal Nagar, Sector-A Near, Natiniya Mai Mandir,
Bhojubeer - Basahi Road, Cantt,Varanasi
Uttar Pradesh-221002
Toll-Free : +91-9005816414, +91-8573993399
Email : jnmcollege2014@gmail.com
Application ID : JNM/2023/0082
Application Form
Registration Details
Name
Sourabh Saxena
Contact No.
+91-8800749808
Aadhaar Card Number
679640120293
Email ID
saxenasaurabh.dce@gmail.com
Date of Birth
1986-11-10
Gender
Male
Program
PG
Course
MSc-Math
Category
General
Nationality
Indian
Religion
Hindu
Address Details
Permanent Address
Present Address
Permanent Address Line 1
C-12, Pandav Nagar
Present Address Line 1
S-17/317B
Permanent Address Line 2
Near Mother Dairy
Present Address Line 2
Nadesar Cantt. area
Permanent Country
India
Country
India
Permanent State
Uttar Pradesh
Present State
Uttar Pradesh
Permanent City
Varanasi
Present City
Varanasi
Permanent PINCODE
110092
PIN Code
221002
Academic Details
10th Details
Class 10th Board
12th Details
CBSE
Class 12th Status
Declared - Passed
Maximum Marks/CGPA
500.00
Class 12th Board
CBSE
Obtained Marks/CGPA
434.00
Maximum Marks/CGPA
500.00
Year of Passing
2003
Obtained Marks/CGPA
462
Class 10th Board-Other
-
Year
2005
Stream
Science
Stream Other
-
Board Other
-
Graduation Details
Payment Details
UG-University Name
Delhi University
I agree to pay the application
Processing Fee
Yes
UG-Institute
Delhi College of Engineering
(Now DTU)
Application Fee Status
Unpaid
B.E.
Paid Application Amount
500
PASSED
Application Fee Transaction ID
320482124863
UG Programme - Others
-
Application Fee Transaction Date
-
UG Maximum Marks/CGPA
100.00
UG Obtained Marks/CGPA
79.00
UG Year of Passing
2009
UG-Programme
UG Status
Parents Details
Father's / Husband's Name
Sh. Satish Saxena
Mother's Name
Smt. Nishi Saxena
Guardian Details
Guardian's Name
Sh. Amit Srivastava
Guardian's Mobile Number
+91-9794861404
DECLARATION / TERMS & CONDITIONS
1. Certi ed that the information given above is correct and that
2. I agree with the basic values and methods of education of the college as and when they are modi ed from time to time I undertake to
adhere to the requirements of the college, regarding prompt payment of fees and others deposits, leave rules; clothing, settlement of
accounts in case of with drawls promotion and detention in college etc.
3. I am ready to abide by the rules/ regulations of the college, as I have read the registration form of the JNM College For Advance Studies
&Technology, thoroughly.
4. I certify that his/her date of birth as stated herein is correct. I agree to abide by the rules of college. I understand that
principal/Management has the nal authority either to accept or reject this application, and even to cancel his/her admission for any
misconduct or indiscipline by the student or guardian in mid-session as well.
5. I willingly agree to the following terms:
. For any sudden or natural incident, none from the Management, Principal, Teacher and non-Teaching staff etc. will be held responsible.
7. All disputes are subject to Varanasi court of jurisdiction.
. JNM College for Advance Studies and Technology will not be held responsible for any loss to life & property of a hostler/ day scholar in any
condition, not claim for any compensation would be entertained.
9. Money deposited once will not be return in any conditions.
10. I/we have read the rules and regulations for JNM College for Advance Studies and Technology, Varanasi. I/We/am /are fully satis ed and
willingly wish to admit my/our wad here and abide by all the rules and regulations.
11. Also, for any physical injury in playground, transportation, natural calamities or likewise unforeseen future eventuality amounting to
permanent disability or demise. I/We would never label any blame or liability thereof to the college and authority.
Applicant Name: Sourabh Saxena
Declaration Date: 2023-07-24
Declaration Place: Varanasi