jee(main) acknowledgementpage
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JEE Mains is India's most prestigious Exam.All details pertaining to it are hereTRANSCRIPT
Joint Entrance Examination (Main) - 2015CENTRAL BOARD OF SECONDARY EDUCATION
ACKNOWLEDGEMENT PAGE
Application No. 50163338DO NOT SEND THIS PAGE TO CBSE.
CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.
Personal DetailsName: ANUP N Date of Birth: 22/08/1997
Mother's Name: GEETHA KUMARI A Category GENERAL
Father's Name: N NAVIN KUMAR Person with Disability(PwD): NO
State of Eligibility: KARNATAKA Percentage of Disability: --
Gender: MALE Are you the only child?: NO
Nationality: INDIAN Place of Residence: URBAN
Aadhaar Number (UIDAI): 709046931618 You need scribe/reader ?: NO
Examination DetailsApplying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
Choice of Online Exam Centre: MYSORE
Academic DetailsYear of passing class 10th: 2013 Place of 12th class schooling: CITY
Year of Passing or Appearing class 12th/Qualifying Exam: 2015 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
School Board of class 12th/Qualifying Exam: KARNATAKA BOARD OF PRE UNIVERSITY EDUCATION
Name of the Qualifying Examination passed / appearing: Intermediate or two-year Pre-University examination conducted by a recognized Board/ University.
Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
Appeared/Appearing for Improvement of Class12th/Qualifying Exam:
NO Mode of preperation: COACHING
Roll Number of Class 12th/Qualifying Examination ofImprovement Examination:
Name and Address of the School/College from wherepassed/appearing:
VIDHYA ASHRAM 12,Temple Road,Jayalakshmipuram,Mysore-12
Candidate's Mailing AddressAddress: 1369, 22nd cross, Hebbal 2nd stage Mysore-17 Locality: Hebbal 2nd stage
City/Town/Village: Mysore District: Mysore
State: KARNATAKA Pin Code: 570017
Email Address: [email protected] Mobile Number: 9449854401
Land Line Number: 08212302470
Guardian DetailsQualification Occupation Annual Income
Father's/Guardian's: OTHERS PRIVATE SERVICE RS. 500001-600000
Mother's: OTHERS PUBLIC SECTOR SERVICE RS. 500001-600000
Payment DetailsPayment Mode: Credit / Debit Card Transaction ID: ACMP3559547673
Exam Fee: 500 /- Date of Transaction: 18-11-2014 10:48:01
Card Type: VISA/Master Card -- --
Selected Date for Computer Based Examination of Paper-1Your selected date for Computer Based Examination: 10/04/2015
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the JEE procedures for bothJEE(Main) and JEE(Advanced) - 2015. I shall abide by the terms and conditions thereon.
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