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Application No. 6146625

Abhishek Bhattacharya has applied for WBJEEM-2016 engineering entrance exam. He is a 19 year old male from West Bengal with 83.66% marks in 10th grade and 74% marks in 12th grade. He has provided details of his educational qualifications, personal information, exam center preferences, contact information and payment of the 500 rupee application fee through an Allahabad bank eChallan paid on February 24, 2016. He has declared that all information provided is true.

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kaushik
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43 views1 page

Application No. 6146625

Abhishek Bhattacharya has applied for WBJEEM-2016 engineering entrance exam. He is a 19 year old male from West Bengal with 83.66% marks in 10th grade and 74% marks in 12th grade. He has provided details of his educational qualifications, personal information, exam center preferences, contact information and payment of the 500 rupee application fee through an Allahabad bank eChallan paid on February 24, 2016. He has declared that all information provided is true.

Uploaded by

kaushik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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West Bengal Joint Entrance Examinations Board

e-Admission System for WBJEEM-2016


Confirmation Page

Application No. 6146625 E


DO NOT SEND THIS PAGE TO WBJEEB.
CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Name: ABHISHEK BHATTACHARYA Date of Birth: 07-12-1996
Mother's Name: SHELLEY BHATTACHARYA Category: General
Father's Name: DEBASISH BHATTACHARYA Person with Disability(PwD): No
Gender: Male Nationality: Indian
Have you applied in JEE(Main) - 2016 ? : No Place of Residence: Municipality/Corporation
Home District: KOLKATA Religion : Hindu
TFW : Yes Income Category : Below 2.5 Lakhs
Domicile: WEST BENGAL

Course Apply Details


Applying For: Engineering
1st Choice of Exam Centre: Kolkata - Behala 2nd Choice of Exam Centre: Kolkata - Taratala
3rd Choice of Exam Centre: Kolkata - Tollygunje

Educational Details
Qualification Pass Course/Stream Name Board/University Name Year Of Marks (%) Roll No. Institute Name, Address & Pincode
Status Passing
10th or Passed 10th INDIAN COUNCIL OF 2013 83.66 T/4720/066 Vivekananda Mission School,Vivek
equivalent SECONDARY EDUCATION, Ville,Joka,Kolkata-700104
INDIA
12th or Passed (10+2)/I.Sc/Equivalent INDIAN SCHOOL 2015 74 5519028 Vivekananda Mission School,Vivek
equivalent examination passed CERTIFICATE Ville,Joka,Kolkata-700104

Communication Details
Address: GOVT HOUSING ESTATE,AJANTA QUATER,D.H City/Town/Village: KOLKATA
ROAD,BEHALA
District: KOLKATA State: WEST BENGAL
Pin Code: 700038 Email Address: [email protected]
Mobile Number: 9038340641 Land Line Number: 9038340641

Fee Payment Details


Payment Mode: Using eChallan of Allahabad bank Transaction ID: 30331
Exam Fee: 500 /- Date of Transaction: 2/24/2016 12:00:00 AM
Fee Submitted On: 24/02/2016
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 WBJEEM-2016
procedures. I shall abide by the terms and conditions thereon.

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