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    ConfirmationPage 210310444655

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    Naman Kapoor
    Naman Kapoor has applied for JEE(Main) 2021 to take the exam in Lucknow, Uttar Pradesh in April. He has applied for B.E./B.Tech programs only and wants the question paper in English. He has paid Rs. 650 through SBI bank and uploaded his photograph and signature as required.

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    Download as PDF, TXT or read online from Scribd

    ConfirmationPage 210310444655

    Uploaded by

    Naman Kapoor
    67 views1 page
    Naman Kapoor has applied for JEE(Main) 2021 to take the exam in Lucknow, Uttar Pradesh in April. He has applied for B.E./B.Tech programs only and wants the question paper in English. He has paid Rs. 650 through SBI bank and uploaded his photograph and signature as required.

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    ConfirmationPage_210310444655 (1)

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    Naman Kapoor has applied for JEE(Main) 2021 to take the exam in Lucknow, Uttar Pradesh in April. He has applied for B.E./B.Tech programs only and wants the question paper in English. He has paid Rs. 650 through SBI bank and uploaded his photograph and signature as required.

    Copyright:

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

    ConfirmationPage 210310444655

    Uploaded by

    Naman Kapoor
    Naman Kapoor has applied for JEE(Main) 2021 to take the exam in Lucknow, Uttar Pradesh in April. He has applied for B.E./B.Tech programs only and wants the question paper in English. He has paid Rs. 650 through SBI bank and uploaded his photograph and signature as required.

    Copyright:

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

    JEE(Main) 2021

    Confirmation Page

    Application No. 210310444655 C


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

    Personal Details
    Candidate's Name NAMAN KAPOOR Candidate Date of Birth 03-08-2002
    Mother's Name NIMISHA KAPOOR Category General
    Father's Name NIKHAR KAPOOR Gender Male
    If you are a PwD Candidate, do you have No Nationality Indian
    benchmark disability (40% or more /
    “Severe” where percentage is not defined)
    ?
    Place of Residence Urban State/ UT from where 12th/ UTTAR PRADESH
    Equivalent Passed/ Appearing
    Are You Diabetic? NO Mode of Preparation Self Study
    Medium of Schooling in Qualifying English
    Examination

    Applied For
    Apply For B.E./B.Tech. Only Question Paper Medium English
    Session(s) of Exam Apply For April Exam State/ City-1st choice UTTAR PRADESH - LUCKNOW
    Exam State/ City-2nd choice UTTAR PRADESH - MORADABAD Exam State/ City-3rd choice UTTAR PRADESH - ALLAHABAD/PRAYAGRAJ
    Exam State/ City-4th choice UTTAR PRADESH - BAREILLY

    Additional Details
    Are you a Twin No

    Present Address
    Address SS II/1530 SECTOR D1 Locality LDA COLONY
    City/Town/Village LUCKNOW Country India
    State UTTAR PRADESH District LUCKNOW
    Pin Code 226012 Email Address nam************@gmail.com
    Mobile Number 930****778 Alternate Contact No. 9336838429

    Fee Payment Details


    Payment Mode: Pay through SBI Transaction ID: CPAANRIOS8
    Exam Fee: 650 /- Date of Transaction: 06/01/2021 11:39:26
    Fee Submitted On: 06/01/2021
    DECLARATION
    I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the time
    of admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. In
    case I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein.

    Images Uploaded by Candidate


    Photograph Signature

    List of Document Uploaded


    Photograph (with 80% face without mask),Signature

    IP Address : 103.157.194.47 Date of Downloading : 09/07/2021 10:56:53 AM

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