ANNEXURE-I Institution Id (e.g. AYU0331 Institution Name: Shivalik Ayurvedic Medical College S. No Name of Student Father’s Name Date of Birth Academic Fee Receipt Residential address Govt./ % of PCB in Category (Ge Year number and date Management 10+2 n./SC/ST/ Quota OBC) 1 Ankit Gupta Shri Rajesh Gupta 4/18/1992 2014-2015 01/30-11-2014 Katghar Lalganj Azamgarh (U.P.) Management Quota 69% OBC Aishwary Kumar Shri Ramakant Village Bharwalia Post 2 10/7/1996 2014-2015 02/30-11-2014 Management Quota 54% OBC Gupta Gupta Narayanpur District-Mahrajganj Shri Om Prakash 19/9 Raidopur Near Alwal Police 3 Anmol Prakash Singh 12/2/1995 2014-2015 03/30-11-2014 Management Quota 53% Gen. Singh Chawki Azamgarjh (U.P.) Shri Arun Kumar Road ways Front of Uttam Lodge 4 Apeksha Baranwal 3/28/1995 2014-2015 04/30-11-2014 Management Quota 44% OEC Barnawal Azamgarh (U.P.) Shri Ramesh Vill Tadtal Jafarabad JaunPur 5 Km Anjali Chaudhari 1/26/1996 2014-2015 05/30-11-2014 Management Quota 64.66% OBC Chaudhari (U.P.) Shri Chandra Dhari Vill Dharsan Post Kandhrapur 6 Km Asha Yadav 8/10/1992 2014-2015 06/30-11-2014 Management Quota 51.67% OBC Yadav District Azamgarh(U.P.) vill tarnabajar post shivpur dist 7 Abhay Kumar Sharma Shri Gopal Sharma 5/5/1981 2014-2015 07/30-11-2014 Management Quota 63.33% OBC varanashi Shri Shyam babu vill bhikhipur post rampur dist 8 Akash Kaushal 8/12/1995 2014-2015 08/30-11-2014 Management Quota 70.33% OBC Kaushal faizabad vill barahamadpur post 9 Km Durgesh Nandini Shri Virendra Kumar 10/30/1988 2014-2015 09/30-11-2014 Management Quota 58.33% ST mohammadabad dist Mau Shri sharaswan vill new colony pathkhauly post 10 Km Deepika Karoosh 7/12/1990 2014-2015 10/30-11-2014 Management Quota 61.33% SC kumar pathakhauly dist azamgarh Shri Ramanad Vill Chandauli ,Surapur ,Dist 11 Gulab Kumar 8/5/1990 2014-2015 11/30-11-2014 Management Quota 61.33% OBC Chauhan Ambedkar Nagar Shri Indra Bhushan vill batan post bajar gosashi dist 12 Himanshu Singh 8/25/1995 2014-2015 12/30-11-2014 Management Quota 59.00% Gen. Singh azamgarh Vill Rasulpur, Mudarakpur Tanda 13 Jitendra Singh Shri Beesham Singh 11/5/1978 2014-2015 13/30-11-2014 Management Quota 63.67% Gen. Ambedkar nagar U.P.) Vill Sapanahar rudrapur Post 14 Km Mahima Singh Shri Mahi Pal Singh 2/2/1993 2014-2015 14/30-11-2014 Dewaet Thana Mehnagar Management Quota 75.67% Gen. Azamgarh (U.P.) 15 Km. Sakshi Shri Subash 10/28/1997 2014-2015 15/01-12-2014 Bilariaganj District Azamgarh Management Quota 81.67% OBC h.no 225 rahul nagar madaya 16 Km. Mallika Singh Shri Brijesh Singh 7/3/1993 2014-2015 16/01-12-2014 Management Quota 76.66% Gen. dist azamgarh Shri Rajendra Danokuiya ,Tilauli Sidharth 17 Km. Nitika Chaudhary 7/10/1989 2014-2015 17/01-12-2014 Management Quota 66% OBC Prasad Chaudhary Nagar (U.P.) Shri Pankaj Kumar vill chitauri post baburi dist 18 Km. Parul Srivastava 3/29/1994 2014-2015 18/01-12-2014 Management Quota 77.00% Gen. Srivastava chandauli Shri Radheshyam Jagdishpur, Jahanganj. 19 Praveen Jaiswal 12/15/1997 2014-2015 19/01-12-2014 Management Quota 84% OBC Jaisawal Azamgarh(U.P.) vill & post hasanpur dist 20 Prabhakar Singh Shri Banshi Lal Singh 4/15/1983 2014-2015 20/01-12-2014 Management Quota 45.33 Gen. kausambi Prateek Kumar Shri Ram Bachan Vill Dhanwal Post 21 6/29/1987 2014-2015 21/01-12-2014 Management Quota 64% OBC Yaduvanshi Yadav Narwe,Azamgarh Shri RamDayal Moden Dental Clinic 22 Km. Preeti Maurya 5/8/1992 2014-2015 22/01-12-2014 Management Quota 70.33% OBC Maurya Harbanshpur Azamgarh (U.P.) Vill katghar Post goplapur 23 Km. Raginee Pal Shri Kailash Nath Pal 7/4/1989 2014-2015 23/01-12-2014 Management Quota 80% OBC Azamgarh (U.P.) Shri Ram Chandra vill ramgarh post katihari ps 24 Rahul Singh 8/21/1993 2014-2015 24/01-12-2014 Management Quota 69.33% Gen. Singh dohrighat dist mau vill kothiya post farittunpur ps 25 Radhe Shyam Bahadur 12/1/1979 2014-2015 25/01-12-2014 Management Quota 49.00% SC saraimeer dist azamgarh Rajpalace Haqiqatpura Post Shri Rishikeshwar 26 Km. Shalini Singh 4/1/1995 2014-2015 26/01-12-2014 maunath Bhanjan District mau Management Quota 91.33% Gen. Singh (U.P.) Shri Mahendra Vill Sethkauli Post Baizbari 27 Shashi Kant 7/9/1996 2014-2015 27/01-12-2014 Management Quota 73.33% OBC Chauhan District Azamgarh(U.P.) House No-205 Krishna nagar Shri Surendra 28 Shivam Shrivastava 9/20/1995 2014-2015 28/01-12-2014 Colony Post Dewkali District Management Quota 77% Gen. Kumar Shrivastava Faizabad Vill Gobardhanpur Post 29 Saurabh Pathak Shri Ajay Pathak 7/10/1995 2014-2015 29/01-12-2014 SardahaBazar ,District Management Quota 66.33% Gen. Azamgarh (U.P.) Sri. Hari Mangal Vill- Bhorajppur Khurd Post- 30 Ambuj Singh 5/10/1996 2014-2015 30/01-12-2014 Management Quota 74.66% Gen. Singh Atraulia Distt- Azamgarh 223223 Shri Rajmani vill railway station dist 31 Sandeep Chaursia 3/17/1997 2014-2015 31/01-12-2014 Management Quota 58.00% OBC Chaursaia Azamgarh Shri Rama Shanker vill surajpur post surajpur dist 32 Sandhya Rai 1/1/1982 2014-2015 32/01-12-2014 Management Quota 61.66% Gen. Rai Mau Shri Hari Prasad vill & post maubojh thana 33 Km. Sima Singh 7/5/1982 2014-2015 33/01-12-2014 Management Quota 56.66% Gen. singh ghoshi dist Mau vill Bhareriya post mundwar dist Shri Sheetala Prasad azamgarh 34 Satya Prakash yadav 3/1/1993 2014-2015 34/01-12-2014 Management Quota 70% OBC Yadav Km. Upasana Gorshar Jahanganj Azamgarh 35 Shri Vijay bahadur 7/10/1996 2014-2015 36/01-12-2014 Management Quota 81.33% Gen. Chaubey (U.P.) Vill & Post Chirayakot District - 36 Zaeem malik Mohammad Razi 12/11/1995 2014-2015 36/02-12-2014 Management Quota 83% Gen. Mau (U.P.) Vill- Apadiya Post- Ghotha Distt- 37 Shivendra Pratap Ray Sri Arun Kumar Ray 8/10/1994 2014-2015 37/02-12-2014 Management Quota 67.33% Gen. Mau Pin 275303 Shri Nandkishor vill parsipur post parsipur dist 38 Akash Chauhan 7/7/1994 2014-2015 38/02-12-2014 Management Quota 59.00% OBC Chauhan bhadohi vill semmara post kathesar dist 39 Abdul Haleem Shri Abdul Waheed 5/10/1991 2014-2015 39/02-12-2014 Management Quota 51.00% Gen. Chanduli Belwa Barhalganj , Gorakhpur 40 Brijesh Shri Shyamlal 8/15/1995 2014-2015 40/02-12-2014 Management Quota 69.67% OBC (U.P.) Vill- damodarpatti, Post- Pankaj Kumar Shri Rajkumar 41 20.07.1991 2014-2015 41/02-12-2014 Maddhupur, Dist- Ambedkar Management Quota 54.66% OBC Sharma Sharma Nagar, (U.P), 224125 Shri Ramesh vill kolpandey post shanti nagar 42 Divyanshu Sharma 7/5/1995 2014-2015 42/02-12-2014 Management Quota 66.33% OBC Chandra Sharma bhawarnath dist azamgarh Vill & post azmatgarh dist 43 Deepak Jaisawal Shri Amulya Kumar 2/15/1990 2014-2015 43/02-12-2014 Management Quota 82.00% OBC Azamgarh Vill & Post- Meahnagar Distt- 44 Smt. Sunita Sri. Bharat Gautam 7/1/1982 2014-2015 44/02-12-2014 Management Quota 88% SC Azamgarh Pin 276204 Shri basdev vill bahapur post maltari maltari 45 Manish Chaurasiya 6/20/1994 2014-2015 45/02-12-2014 Management Quota 65.66% OBC Chaurasiya dist Shri Rambadan vill kakhbhar post bheembar dist 46 Pavan Yadav 9/3/1992 2014-2015 46/02-12-2014 Management Quota 62.00% OBC Yadav azamgarh Vill Gontha Post Gonta District 47 Rambachan Shri Brijraj Paswan 5/5/1993 2014-2015 47/02-12-2014 Management Quota 77.67% SC Mau (U.P.) Vill Gujar Pur Mubarakpur 48 ShivPrakash Shri basdev 7/1/1995 2014-2015 48/02-12-2014 Management Quota 75.33% SC Azamgarh (U.P.) Shri Ishtiyak Barauna ,Barauna , District 49 Shahfahad 10/17/1990 2014-2015 49/02-12-2014 Management Quota 46.33% OBC Ahamad azamgarh(U.P.0 Km. Sadhana Bhaktwarganj Maunathbhanjan 50 LaL- Bihari Prajapati 7/1/1991 2014-2015 50/02-12-2014 Management Quota 51.33% OBC Prajapati Mau (U.P.) Satish Chandra Vill & Post Sitaram kallu ka 51 R J Verma 4/13/1975 2014-2015 51/02-12-2014 Management Quota 95% OBC Verma maidan Azamgarh (U.P.) vill zameen rasoolpur tahshil 52 Tauseef Alam Naseem Ahmad 6/4/1993 2014-2015 52/02-12-2014 Management Quota 69.00% OBC sagdi dist Azamgarh Sri Veerendra Kumar Baramadpur (Mansurpur) 53 Km. Vineeta Gond 09.02.1994 2014-2015 53/02-12-2014 Management Quota 71.67% ST Gond Mohamadabad , Mau Shri Uday Narayan Vill Soghagra Post Soghara Distt 54 Km Mamta Singh 2/15/1979 2014-2015 54/02-12-2014 Management Quota 66.66% Gen. Singh Siwan, Bihar Saurabh Kumar Vill-Post-KalanderPur PS- 55 Sri. Lal Mani 7/14/1994 2014-2015 55/02-12-2014 Management Quota OBC Rawat Gambhirpur Distt-Azamgarh JD NagarColony Ramrepur 56 Piyush Kumar Pandey Shr. Baldev Pandey 12/10/1988 2014-2015 56/02-12-2014 Management Quota 65.00% Gen. ,Paharia, Varanasi Pin 221007 Bajrang Nagar Colony Pandey 57 YUVRAJ SINGH Shr. Sanjay Kumar Singh12/19/1997 2014-15 57/02-12-2014 Management Quota 66.00% Gen. pur Varanasi (U.P)- 221002 Vill.