Patliputra University, Patna
Post-Graduate Traditional (PG-T) Admission Application Form
SESSION 2024
UAN # 24T0150492 Reg. Date : 2 July, 2024 04:51 PM
1. Candidate Name : AMRENDRA KUMAR
2. Father's Name : BHAGAN MURMU
3. Mother's Name : SUSHILA DEVI
4. Date of Birth : 03-Jul-2002 5. Gender : MALE
6. Category : S.T. 7. Sub Category : Not Applicable
8. Other Category : Not Applicable 9. AADHAAR : 98*******076
10. Domicile : Bihar 11. Dom. Cert. :
12. Religion : Hindu 13. Minority : NO
14. Nationality : INDIAN 15. EWS Status: Not Applicable/No EWS
16. Address for Correspondance : 17. Permanent Address :
KURJI MORE , PATNA VILL - KAJHA , P.O - MADARGANJ , P.S - AMDANDA ,
DIST - BHAGALPUR
Patna
Bhagalpur
Bihar
Bihar
PIN Code : 800001
PIN Code : 813204
18. Mobile : 6202998648 19. Email : kumaramrendra82017@[Link]
20. Payment Details: Paid Rs.600.00 on 2/7/2024 Ref# 3264034576637 Bank Ref: UPI - 491622957433
21. Qualifications PPUP Enrollment (if any) : 202120100834
Examination Board/University Year Roll No. Max. Mrk. Obt. Mrk.
Highschool C.B.S.E. (Central Board of Secondary Edu. 2, Commu... 2019 7153241 500 453
Intermediate C.B.S.E. (Central Board of Secondary Edu. 2, Commu... 2021 22633885 500 393
B.A. Political 22201212000
Patliputra University, Patna (State University) 2024 1500 949
science (Major) 21
Subjects/Stream : Political Science,History,English
Subjectwise Marks Distribution
Political Science
527/800 = 65.88%
Other Qualifications
22. Quota Selection
23. College/Course Chosen (by order of preference) M.A. Political Science
Pref# College Degree Subject
1 [201] A.N. College, Patna M.A. Political Science Political Science
2 [205] College of Commerce, Arts and Science, Patna M.A. Political Science Political Science
3 [118] POST GRADUATE DEPARTMENT OF PPU, PA... M.A. Political Science Political Science
4 [203] B.D. College, Patna M.A. Political Science Political Science
5 [204] B.S. College, Danapur M.A. Political Science Political Science
6 [209] Jagat Narayan Lal College,Khagaul, Patna M.A. Political Science Political Science
Printed: Tuesday, July 2, 2024 05:43 PM Page: 1/2
Patliputra University, Patna
Post-Graduate Traditional (PG-T) Admission Application Form
SESSION 2024
UAN # 24T0150492 Reg. Date : 2 July, 2024 04:51 PM
Declaration
I declare that I have never been convicted for any criminal act and that there is no case pending
against me in the court of law. I also declare that I have never been caught using Unfair Means or
any Disciplinary action has been taken against me. If I was charged for using Unfair Means, the
punitive duration is over and charges have been cleared. I have read carefully and have understood
all rules as mentioned in the University Rules and Admission Brochure. Furthermore I also declare
that if my application is found to contain incorrect/false information regarding my Name, Birth Date,
Gender, Religion, Domicile, Weightage, Caste, Horizontal Reservation, Marks obtained or any other
field, my application is liable to get cancelled, and I will have no objection in getting disqualified for
admission to the concerned course/college. I will follow the regulations on curbing the menace of
ragging in higher educational institutions, 2009.
Signature of Parent/Guardian Signature of Candidate
Date: Date:
Document Checklist
NOTE: Mark the number of documents ( Photocopy/Xerox) attached by the Candidate during form submission to the college
Xth Marksheet Xth Certificate
XIIth Marksheet Last Exam Passed Marksheet
Recent Passport Sized Photograph Scanned Signature
Domicile (for other state) Certificate for Kashmiri Resident
Certificate for Category Certificate for Sub-Category
Documents for Claiming Weightage Other Certificate/Document
Printed: Tuesday, July 2, 2024 05:43 PM Page: 2/2
