This document contains an enrollment form for Vineet Kumar to attend Krishna Institute of Management in Meerut, India for an MBA program in the 2012-13 session. The form provides biographical information about Vineet such as his name, parents' names, date of birth, address, qualifying exam details. Vineet declares that the information provided is true. The form is certified by the head of the institution stating that Vineet has been registered for the MBA course and his documents have been verified.

1. COPY-A (Institute Copy)
Mahamaya Technical University, Noida (U.P.)
Enrollment Form (Session 2012-13)
Krishna Institute Of Management,Meerut ID No: 300081189 Admission Mode: Vacant Seats Rollno:0
1. Name of Candidate VINEET KUMAR
2. Father's Name RAJENDRA BAHADUR SINGH
3. Mother's Name SANTOSH DEVI
4. Date of Birth 7-2-1987
5. Nationality Indian
6. Gender Male
7. Category UPSC
8. Alloted Category SCOP
9. Parent Domicile U.P.
10. Parent Income 50,000 to 1 Lakh
11. College 540 : Krishna Institute Of Management,Meerut
12. Course MBA : Master of Business Administration
13. Qualifying Exam Graduation
14. Qualifying Exam Status Passed
15. Percentage of Marks 49.83%
16. Year of Qualifying Exam 2008
17. Board/University M.J.P. Rohilkhand University, Bareilly
18. School/College SAHU JAIN COLLEGE, NAJIBABAD, BIJNOR
19. Roll No. of Qualifying Exam 874906
20. Address: MOH- VISHNOI SARAI, NAGINA, BIJNOR
BIJOR
Uttar Pradesh
21. Phone/Mobile Number 9911238524
22. Pincode 246762
23. E-Mail Address vineet12_60@krishna.ac.in
DECLARATION
I VINEET KUMAR son/daughter of Mr. RAJENDRA BAHADUR SINGH do herby affirm that, all the information given in the application form are true to
the best of my knowledge and belief. If any of information is found or distorted at any stage. I shall have no objection in cancellation of my enrollment
by the University/College.
Signature of the candidate
Certificate by the Head of the Institution
VINEET KUMAR son/daughter of Mr. RAJENDRA BAHADUR SINGH is bonafide student of my institute and has been registered for above Branch
and its Course in Session 2012-13. All the above entries has been duly checked and verified with the Original documents. This is to certify that he/she
is eligible for the enrollment in above mentioned course.
Signature of Head of Institute with Seal
Name:
Designation:
Page 1

2. COPY-B (University Copy)
Mahamaya Technical University, Noida (U.P.)
Enrollment Form (Session 2012-13)
Krishna Institute Of Management,Meerut ID No: 300081189 Admission Mode: Vacant Seats Rollno:0
1. Name of Candidate VINEET KUMAR
2. Father's Name RAJENDRA BAHADUR SINGH
3. Mother's Name SANTOSH DEVI
4. Date of Birth 7-2-1987
5. Nationality Indian
6. Gender Male
7. Category UPSC
8. Alloted Category SCOP
9. Parent Domicile U.P.
10. Parent Income 50,000 to 1 Lakh
11. College 540 : Krishna Institute Of Management,Meerut
12. Course MBA : Master of Business Administration
13. Qualifying Exam Graduation
14. Qualifying Exam Status Passed
15. Percentage of Marks 49.83%
16. Year of Qualifying Exam 2008
17. Board/University M.J.P. Rohilkhand University, Bareilly
18. School/College SAHU JAIN COLLEGE, NAJIBABAD, BIJNOR
19. Roll No. of Qualifying Exam 874906
20. Address: MOH- VISHNOI SARAI, NAGINA, BIJNOR
BIJOR
Uttar Pradesh
21. Phone/Mobile Number 9911238524
22. Pincode 246762
23. E-Mail Address vineet12_60@krishna.ac.in
DECLARATION
I VINEET KUMAR son/daughter of Mr. RAJENDRA BAHADUR SINGH do herby affirm that, all the information given in the application form are true to
the best of my knowledge and belief. If any of information is found or distorted at any stage. I shall have no objection in cancellation of my enrollment
by the University/College.
Signature of the candidate
Certificate by the Head of the Institution
VINEET KUMAR son/daughter of Mr. RAJENDRA BAHADUR SINGH is bonafide student of my institute and has been registered for above Branch
and its Course in Session 2012-13. All the above entries has been duly checked and verified with the Original documents. This is to certify that he/she
is eligible for the enrollment in above mentioned course.
Signature of Head of Institute with Seal
Name:
Designation:
Page 2