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    Ict and Ict Tool

    Uploaded by

    Jatin Singh
    This document is a confirmation page for Jyoti Singh's registration for the Joint Entrance Examination (Main) in April 2020. It provides her personal details like name, date of birth, category, gender, nationality, state of eligibility, medium of prior education. It also lists the exam cities selected, fee payment details, and documents uploaded like photograph and signature. Jyoti has applied for B.E./B.Tech. programs and will take the exam in Hindi.

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    Ict and Ict Tool

    Uploaded by

    Jatin Singh
    26 views1 page
    This document is a confirmation page for Jyoti Singh's registration for the Joint Entrance Examination (Main) in April 2020. It provides her personal details like name, date of birth, category, gender, nationality, state of eligibility, medium of prior education. It also lists the exam cities selected, fee payment details, and documents uploaded like photograph and signature. Jyoti has applied for B.E./B.Tech. programs and will take the exam in Hindi.

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    ICT AND ICT TOOL

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    This document is a confirmation page for Jyoti Singh's registration for the Joint Entrance Examination (Main) in April 2020. It provides her personal details like name, date of birth, category, gender, nationality, state of eligibility, medium of prior education. It also lists the exam cities selected, fee payment details, and documents uploaded like photograph and signature. Jyoti has applied for B.E./B.Tech. programs and will take the exam in Hindi.

    Copyright:

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

    Ict and Ict Tool

    Uploaded by

    Jatin Singh
    This document is a confirmation page for Jyoti Singh's registration for the Joint Entrance Examination (Main) in April 2020. It provides her personal details like name, date of birth, category, gender, nationality, state of eligibility, medium of prior education. It also lists the exam cities selected, fee payment details, and documents uploaded like photograph and signature. Jyoti has applied for B.E./B.Tech. programs and will take the exam in Hindi.

    Copyright:

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

    JOINT ENTRANCE EXAMINATION (Main) - APRIL 2020

    Confirmation Page

    Application No. 200310229617 -


    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 JYOTI SINGH Candidate's Date of Birth 03-03-2003
    Mother's Name PHULAN SINGH Category OBC- NCL (Central List)
    Father's Name JAYDEEP SINGH Gender Female
    In case of Girl candidate, Are you only girl NO If you are a PwD Candidate, No
    child of your parents? do you have benchmark
    disability (40% or more /
    “Severe” where percentage is
    not defined) ?
    Nationality Indian Place of Residence Rural
    State Code of Eligibility MADHYA PRADESH Are You Diabetic? NO
    Medium of Instructions/Study - Physics, Hindi Mode of Preparation Self Study
    Chemistry and Mathematics in Class
    11th/12th/equivalent

    Apply For
    Apply For B.E./B.Tech. Only Question Paper Medium Hindi
    Exam City 1st MADHYA PRADESH - REWA Exam City 2nd MADHYA PRADESH - SATNA
    Exam City 3rd MADHYA PRADESH - SAGAR Exam City 4th MADHYA PRADESH - JABALPUR

    Additional Details
    Are you a Twin No

    Contact Details
    Address VILL POST DEVMAU DALDAL Locality RAMPUR BAGHELAN
    City/Town/Village DEVMAU DALDAL District SATNA
    State MADHYA PRADESH Pin Code 485111
    Email Address jat***********@gmail.com Mobile Number 881****632
    Land Line No. with --
    STD code or any
    other Contact No.

    Fee Payment Details


    Payment Mode: Pay through HDFC Bank Transaction ID: 9855257767
    Exam Fee: 325 /- Date of Transaction: 14/02/2020 08:10:34
    Fee Submitted On: 14/02/2020
    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. No
    Candidate should adopt any unfair means, or indulge in any unfair examination practices. If at any stage, it is found that the candidate has submitted multiple
    Applications and/or appeared in more than one date/shift, then the candidature will be cancelled and legal action will be taken including debarring in all future
    examinations conducted by NTA

    Images Uploaded by Candidate


    Photograph Signature

    List of Document Uploaded


    Photograph,Signature,12th Admit Card/Marksheet/Certificate

    IP Address : 106.66.19.180 Date of Downloading : 14/02/2020 08:15:10 PM

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