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Reap Application Form

The document contains an application form for REAP-2020 with personal details like name, father's name, date of birth, address, education qualifications, college preferences of the candidate Chirag Saraswat. The candidate has applied for various computer science, electronics, IT and mechanical branches in colleges in Rajasthan.

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Chirag Saraswat
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415 views2 pages

Reap Application Form

The document contains an application form for REAP-2020 with personal details like name, father's name, date of birth, address, education qualifications, college preferences of the candidate Chirag Saraswat. The candidate has applied for various computer science, electronics, IT and mechanical branches in colleges in Rajasthan.

Uploaded by

Chirag Saraswat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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9/25/2020

CENTRE FOR ELECTRONIC GOVERNANCE, JHALANA


DOONGRI, JAIPUR-302004
REAP-2020
Online Application Form
Date of Form
Form No : 2001457 : 8/2/2020
Submission
Transaction Transaction
: 597efbcb26bdfd6afa6a : 250/-(8/2/2020)
Number Amount & date
1. Name of Candidate: Chirag Saraswat
2. Father's Name: Ravindra Sharma
3. Mother's Name: Asha Sharma
4. Gender: Male

5. Category: GEN

6.Sub Category: NONE

7. Ex-Service Man No

8.TSP Area:
9. Date of Birth: 2002-11-28
B21 , Agrasen Nagar, Kalwar
10. Address: 11. Email [email protected]
Road,
12. Phone
9001918333 13. Mobile No:9001918333
No:
Exam. State Of Max. Marks
Passed/ROLLNO Board/University Year %
Details Study Marks Obt.
BOARD OF SECONDARY EDUCATION,
X PASSED RAJASTHAN 2018 600 522 87.00%
RAJASTHAN, AJMER
CENTRAL BOARD OF SECONDARY 80.20
XII 11643562 RAJASTHAN 2020 500 401
EDUCATION, DELHI %
Details of marks in XII
Subject Max Marks Obt Marks
Mathematics 100 67
Physics 100 84
Third Subject(Chemistry) 100 87
14. State of
Bonafide Residence:
RAJASTHAN --
15. Nationality : INDIAN 16. Religion: HINDU
17. Area of Residence URBAN 18. Domicile Distt. RAJASTHAN
19. Family Income from all Sources Less Than 8 Lakhs/Year

College Choice
College Name Branch Name
Number
COMPUTER SCIENCE &
1 Rajasthan Technical University, Kota
ENGG.(SFS)
ELECTRONICS AND
2 Rajasthan Technical University, Kota
COMM.(SFS)
INFORMATION
3 Rajasthan Technical University, Kota
TECHNOLOGY(SFS)
MECHANICAL
4 Rajasthan Technical University, Kota
ENGINEERING(SFS)
College of Technology and Engineering,
5 MINING(GAS)
Udaipur
Swami Keshvanand Inst. of Tech. Mgt. and COMPUTER SCIENCE &
6
Gramothan, Jaipur ENGG.(SFS)
Swami Keshvanand Inst. of Tech. Mgt. and INFORMATION
7
Gramothan, Jaipur TECHNOLOGY(SFS)
8 Swami Keshvanand Inst. of Tech. Mgt. and ELECTRONICS AND

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9/25/2020

Gramothan, Jaipur COMM.(SFS)


Swami Keshvanand Inst. of Tech. Mgt. and
9 MECHANICAL(SFS)
Gramothan, Jaipur
I hereby solemnly and sincerely affirm that all the information furnished by me in this application form are true and correct. I have not concealed any
information. However, if any information furnished herein is found to be fraudulent, incorrect or untrue at any stage. I am liable to criminal prosecution and I
also agree to forgo my seat. Further that the selection and admission to the course is liable to be cancelled. I agree to abide by the Rules and Regulations
governing the Examination as contained in the Information Booklet, which I have duly gone through.
Signature of Candidate

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