Candidate Details JEE (Main) Application number 240310052561 Date of Birth 02-08-2006 Candidate's Name GALAM SAI ROHITH Category OBC-(NCL) As Per Central List Mother's Name GALAM SAILAJA Person with Disability (PwD) as per No JEE(Main) Father's Name GALAM YEDU KONDALU Nationality INDIAN Complete Mailing Address Address VENKATA RAMANA COLONY, 2ND LINE Country India State ANDHRA PRADESH District Guntur Locality GUNTUR Mobile Number 91 709****099 City/Town/Village NA Email Address GAL***********286@GMAIL.COM Pin Code / Postal Code 522006 Alternate Mobile number 91 938****268 Land Line Number Alternate Email Address gal****du1@gmail.com Academic details of Class XII (or equivalent) examination Year of Passing or Appearing 2024 School Board ANDHRA PRADESH BOARD OF INTERMEDIATE EDUCATION Roll Number NA Name of the School / College NARAYANA JUNIOR COLLEGE Address of the School / College BRUNDAVAN GARDENS ,GUNTUR OBC-NCL Certificate details Do you have a Valid OBC-NCL I have not been able to collect the said State / UT issuing the OBC Certificate Certificate? certificate as of now. I will upload the Declaration in Lieu of OBC-NCL Certificate. OBC-NCL certificate will be uploaded by reporting at the time of JoSAA. OBC-NCL Caste / Community Entry No. of OBC-NCL Caste / 0 Community JEE (Main) Paper 1 Score Physics: 84.0381246 Chemistry: 95.0350928 Maths: 96.8875455 Total: 94.0133696 Remarks : Eligible for JEE (Advanced) 2024. Furnished Information for JEE (Advanced) 2024 Do you have disability and having No difficulty in writing Need scribe/reader No Do you want to avail compensatory time No as of GoI guidelines/ memorandum? Class XIIth (or equivalent)/ Qualifying India Year of first appearance in Class XII 2024 Exam (QE) Passed From Exam Year of first attempt in JEE (Advanced) 2024 Color Blindness No One Eyed Vision No Eligible for DS Seats No Examination City for JEE (Advanced) 2024 1st Choice of Exam City ANDHRA PRADESH-GUNTUR 2nd Choice of Exam City ANDHRA PRADESH-VIJAYAWADA 3rd Choice of Exam City ANDHRA PRADESH-NARASARAOPET 4th Choice of Exam City ANDHRA PRADESH-MACHILIPATNAM 5th Choice of Exam City ANDHRA PRADESH-GUDLAVALLERU 6th Choice of Exam City ANDHRA PRADESH-MYLAVARAM 7th Choice of Exam City ANDHRA PRADESH-ELURU 8th Choice of Exam City ANDHRA PRADESH-ONGOLE Payment Details Payment Mode EPG Transaction ID ZAX61956882883 Registration Fee INR 3200 Date of Transaction 2024/05/02T20:38:12 DECLARATION I hereby declare that all the particulars stated in this Registration Form are true to the best of my knowledge and belief. I understand that, if any of the information provided by me is found to be false / incorrect at any later time, my candidature will be cancelled and I shall be debarred from writing JEE (Advanced) 2024. I understand that an exam city not mentioned in my preferred choices may be allotted to me under exceptional circumstances and any request for the change of the exam city will NOT be entertained. This is my first/second attempt in JEE (Advanced). In case, it is found that I am ineligible to appear for JEE (Advanced) 2024 at any stage, I agree that my candidature will be cancelled and registration fee will be forfeited. I understand that the data from JEE (Advanced) 2024 including personal details may be shared with other Government-funded institutes such as IISc, IISER etc. Certificates uploaded Class-X or Birth Certificate Uploaded Class-XII (or equivalent) Mark Sheet Uploaded Declaration by the candidate in lieu of Uploaded OBC-NCL Certificate
