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    JEE (Main) AcknowledgementPage PDF

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    This document is an acknowledgement page from the Central Board of Secondary Education (CBSE) for Ankit Agrawal's application to the Joint Entrance Examination (Main) - 2018. It provides personal details of Ankit such as his name, date of birth, gender, category, state of eligibility. It also lists the examination details including the paper he has applied for, mode of examination, choice of exam centers. Academic details like year of passing class 10th and 12th, type of institution, percentage of marks are also mentioned. Payment details such as mode of payment and transaction details are given.

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    JEE (Main) AcknowledgementPage PDF

    Uploaded by

    Hey
    51 views1 page
    This document is an acknowledgement page from the Central Board of Secondary Education (CBSE) for Ankit Agrawal's application to the Joint Entrance Examination (Main) - 2018. It provides personal details of Ankit such as his name, date of birth, gender, category, state of eligibility. It also lists the examination details including the paper he has applied for, mode of examination, choice of exam centers. Academic details like year of passing class 10th and 12th, type of institution, percentage of marks are also mentioned. Payment details such as mode of payment and transaction details are given.

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    This document is an acknowledgement page from the Central Board of Secondary Education (CBSE) for Ankit Agrawal's application to the Joint Entrance Examination (Main) - 2018. It provides personal details of Ankit such as his name, date of birth, gender, category, state of eligibility. It also lists the examination details including the paper he has applied for, mode of examination, choice of exam centers. Academic details like year of passing class 10th and 12th, type of institution, percentage of marks are also mentioned. Payment details such as mode of payment and transaction details are given.

    Copyright:

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

    JEE (Main) AcknowledgementPage PDF

    Uploaded by

    Hey
    This document is an acknowledgement page from the Central Board of Secondary Education (CBSE) for Ankit Agrawal's application to the Joint Entrance Examination (Main) - 2018. It provides personal details of Ankit such as his name, date of birth, gender, category, state of eligibility. It also lists the examination details including the paper he has applied for, mode of examination, choice of exam centers. Academic details like year of passing class 10th and 12th, type of institution, percentage of marks are also mentioned. Payment details such as mode of payment and transaction details are given.

    Copyright:

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

    Joint Entrance Examination (Main) - 2018

    CENTRAL BOARD OF SECONDARY EDUCATION


    ACKNOWLEDGEMENT PAGE

    Application No. 80427491


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

    Personal Details
    Name: ANKIT AGRAWAL Date of Birth: 14/05/2000
    Mother's Name: SAPANA AGRAWAL Category GENERAL
    Caste Name NA Father's Name: DILIP KUMAR AGRAWAL
    Person with Disability(PwD): NO State of Eligibility: MADHYA PRADESH
    Percentage of Disability: -- Gender: MALE
    Are you Diabetic :: NO Nationality: INDIAN
    Place of Residence: URBAN You need scribe/reader ?: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: PEN AND PAPER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam Centre: GWALIOR 2nd Choice of Exam Centre: JHANSI
    3rd Choice of Exam Centre: AGRA 4th Choice of Exam Centre: DELHI

    Academic Details
    Year of passing class 10th: 2016 Place of 12th class schooling: TOWN
    Year of Passing or Appearing class 12th/Qualifying Exam: 2018 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    School Board of class 12th/Qualifying Exam: MADHYA PRADESH BOARD OF SECONDARY EDUCATION
    Name of the Qualifying Examination passed / appearing: Any Public School/ Board/ University examination in India or in any foreign country recognized as equivalent to
    the 10+2 system by the Association of Indian Universities (AIU).
    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 Examination of
    Improvement Examination:
    Name and Address of the School/College from where Vasudeo English Medium Higher Secondary School Nazar Bagh, Datia , M.P 475661
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: MADHYA PRADESH
    District: DATIA Address: 313, Dall Mill
    Locality: KunjanPura City/Town/Village: Datia
    Pin Code: 475661 Email Address: ank****com
    Mobile Number: 756****790

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: GRADUATE BUSINESS RS. 300001 -400000
    Mother's: GRADUATE OTHERS UPTO 100000

    Payment Details
    Provider Name: ICICI Bank Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 1000 /-
    Transaction ID: 421118328 Date of Transaction: 14-12-2017 22:50:18
    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 both
    JEE(Main) and JEE(Advanced) - 2018. I shall abide by the terms and conditions thereon.

    Images Uploaded by Candidate


    Candidate Photograph Candidate Signature Parent/Guardian Signature

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