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    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Avdhoot Gautam
    1) The document is a confirmation page for AVDHOOT KUMAR GAUTAM's registration for the Joint Entrance Examination (Main) 2019. 2) It provides his personal details like name, date of birth, category, state of eligibility, as well as his academic details like the year and board for class 10 and 12. 3) It also lists the examination details selected by the candidate like the paper, mode, exam cities, and payment details including the transaction amount and date.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Avdhoot Gautam
    899 views1 page
    1) The document is a confirmation page for AVDHOOT KUMAR GAUTAM's registration for the Joint Entrance Examination (Main) 2019. 2) It provides his personal details like name, date of birth, category, state of eligibility, as well as his academic details like the year and board for class 10 and 12. 3) It also lists the examination details selected by the candidate like the paper, mode, exam cities, and payment details including the transaction amount and date.

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    JEE(Main)_ConfirmationPage.pdf

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    1) The document is a confirmation page for AVDHOOT KUMAR GAUTAM's registration for the Joint Entrance Examination (Main) 2019. 2) It provides his personal details like name, date of birth, category, state of eligibility, as well as his academic details like the year and board for class 10 and 12. 3) It also lists the examination details selected by the candidate like the paper, mode, exam cities, and payment details including the transaction amount and date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    899 views1 page

    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Avdhoot Gautam
    1) The document is a confirmation page for AVDHOOT KUMAR GAUTAM's registration for the Joint Entrance Examination (Main) 2019. 2) It provides his personal details like name, date of birth, category, state of eligibility, as well as his academic details like the year and board for class 10 and 12. 3) It also lists the examination details selected by the candidate like the paper, mode, exam cities, and payment details including the transaction amount and date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Joint Entrance Examination (Main) 2019

    NATIONAL TESTING AGENCY


    CONFIRMATION PAGE

    Application No. 190310363247


    DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY(NTA).
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name: AVDHOOT KUMAR GAUTAM Date of Birth: 26/09/2002
    Mother's Name: VIBHA RAI Category: GENERAL
    Caste Name: NA Father's Name: NITYANAND RAI
    Person with Disability(PwD): NO State of Eligibility: BIHAR
    Percentage of Disability: -- Gender: MALE
    Are you Diabetic: NO Nationality: INDIAN
    Place of Residence: RURAL Do you need scribe: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam City: VARANASI 2nd Choice of Exam City: PATNA
    3rd Choice of Exam City: ALLAHABAD 4th Choice of Exam City: AGRA

    Academic Details
    Year of passing class 10th: 2017 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2019 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    School Board of class 12th/Qualifying Exam: CENTRAL BOARD OF SECONDARY EDUCATION
    Name of the Qualifying Exam passed / appearing: The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central
    Board of Secondary Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi;
    etc.
    Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
    Appeared/Appearing for Improvement of Class NO Mode of preperation: COACHING
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Exam of --
    Improvement Exam:
    Name and Address of the School/College from where New Delhi Public School Veer Kumar Singh colony buxar
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: BIHAR
    District: BUXAR Address: Jail road sumeshwar sthan charitravan ,bxr
    Locality: Balliya City/Town/Village: Tutuwari
    Pin Code: 802101 Email Address: avd*******@gmail.com
    Mobile Number: 798****114

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: POST GRADUATE GOVERNMENT SERVICE --
    Mother's: POST GRADUATE OTHERS --

    Payment Details
    Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 500 /-
    Transaction ID: CPJ8370033 Date of Transaction: 15/09/2018 16:48:11
    DECLARATION
    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.
    Images Uploaded by Candidate
    Candidate Photograph Candidate Signature

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