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    Comedk 2024

    Uploaded by

    mailrinkusudhir

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Comedk 2024

    Uploaded by

    mailrinkusudhir
    17 views3 pages

    Original Title

    COMEDK-2024

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views3 pages

    Comedk 2024

    Uploaded by

    mailrinkusudhir

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Your application has been successfully submitted. Your Payment is successful.

    APPLYING FOR

    APPLYING FOR HAVE YOU BEEN ALLOTED A COMEDK SEAT


    PCM-COMEDK UGET ONLY IN PREVIOUS YEARS
    NO

    Personal Details

    APPLICATION STATUS APPLICATION NUMBER


    PaymentSuccess KAR0022589
    FULL NAME OF THE APPLICANT(As per CANDIDATE NAME AS PER GOVT ID PROOF
    SSLC/10th Marks Card) HARSHIT RAJ
    HARSHIT RAJ
    EMAIL ADDRESS MOBILE NUMBER
    [email protected] 8884901100
    DATE OF BIRTH UNIQUE ID PROOF OF APPLICANT
    17/Jul/2004 AADHAR CARD(OPTIONAL)
    UNIQUE ID PROOF NUMBER OF APPLICANT GENDER
    343220035026 MALE
    NATIONALITY
    Indian
    PERSON WITH DISABILITY(PWD) WHETHER YOU NEED SCRIBE?
    NO NA
    PARENT'S ANNUAL INCOME
    MORE THAN RS 10 LACS P.A

    Parent's Information

    FATHERS'S FULL NAME MOTHER'S NAME


    SUDHIR KUMAR RINKU KUMARI
    FATHER/MOTHER OCCUPATION PARENT'S MOBILE NUMBER
    PRIVATE SECTOR 8884901100
    PARENT'S UNIQUE ID PROOF PARENT'S OTHER GOVERNMENT ISSUED ID
    OTHER GOVERNMENT ISSUED ID PROOF PROOF NAME
    290983583307
    PARENT'S UNIQUE ID PROOF NUMBER
    APUPK8360C

    Present Address For Communication Purpose

    ADDRESS NAME OF NEAREST POLICE STATION TO


    302,NR WHITE ROSE ,2ND MAIN YOUR PRESENT ADDESSS
    ROAD,RELIABLE RESIDENCY ,HSR SECTOR 2 HSR LAYOUT
    PRESENT ADDRESS STATE ADDRESS OTHER STATE
    KARNATAKA NA
    PRESENT ADDRESS DISTRICT PRESENT ADDRESS OTHER DISTRICT
    BANGALORE URBAN NA
    PRESENT ADDRESS CITY PRESENT ADDRESS PIN CODE
    BANGALORE 560102
    IS YOUR PERMANENT ADDRESS SAME AS
    PRESENT ADDRESS?
    Yes
    Permanent Address

    ADDRESS ADDRESS STATE


    302,NR WHITE ROSE ,2ND MAIN KARNATAKA
    ROAD,RELIABLE RESIDENCY ,HSR SECTOR 2 ADDRESS OTHER STATE
    NA
    ADDRESS DISTRICT ADDRESS OTHER DISTRICT
    BANGALORE URBAN NA
    ADDRESS CITY ADDRESS PIN CODE
    BANGALORE 560102

    Category Details

    BELONGS TO BIRTH/DOMICILE
    KARNATAKA DOMICILE
    DO YOU BELONG TO KALYANA KARNATAKA KALYANA KARNATAKA REGION(HK Region)
    REGION (HK Region)? NA
    NO CATEGORY
    GENERAL MERIT (GM)

    Academic Details

    QUALIFYING EXAM OTHER QUALIFYING EXAM


    12th STD NA
    QUALIFYING EXAM COMPLETED/ PURSUING MONTH AND YEAR OF PASSING
    COMPLETED QUALIFYING EXAM
    JULY
    2022
    BOARD OF QUALIFYING EXAM
    CBSE (CENTRAL BOARD OF SECONDARY
    EDUCATION)
    OTHER BOARD OF QUALIFYING EXAM NAME OF INSTITUTION LAST STUDIED
    NA SRI CHAITANYA PU COLLEGE
    STATE IN WHICH YOUR INSTITUTION IS CITY IN WHICH YOUR INSTITUTION IS
    LOCATED (LAST STUDIED) LOCATED(LAST STUDIED)
    KARNATAKA BANGALORE
    ROLL/REG/INDEX NO./UNIQUE ID OF 10TH ROLL/REG/INDEX NO./UNIQUE ID OF 12TH
    STD MARKS CARD STD/2ND PUC MARKS CARD
    18121305 18610184
    OTHER ENTRANCE EXAM YOU ARE
    APPEARING
    NEET

    Exam City Preferences

    EXAM CITY PREFERENCE 1 EXAM CITY PREFERENCE 2


    KARNATAKA-BENGALURU-NEAR KUDLU GATE KARNATAKA-BENGALURU-NEAR K R PURAM
    EXAM CITY PREFERENCE 3 EXAM CITY PREFERENCE 4
    KARNATAKA-BENGALURU-NEAR KARNATAKA-BENGALURU-NEAR YELAHANKA-
    BANNERGHATTA MAIN ROAD INTERNATIONAL AIRPORT ROAD
    EXAM CITY PREFERENCE 5
    KARNATAKA-BENGALURU-NEAR
    BANASHANKARI

    Payment Details

    Amount Payment Mode


    1800 online
    Payment Status Payment Transaction No.
    SUCCESS 19485511129
    Order ID Payment Request Time
    KAR002258920240325152852 2024-03-25 15:28:52
    Payment Response Time
    2024-03-25 15:30:24

    Student Documents

    Photo Signature

    Declaration

    I declare that I had read the prospectus, instructions and conversant with the Online process of
    submission of application.
    I understand that fees once paid will not be refunded under any circumstances.
    I agree that if a Test City of my choice is not available COMEDK will allot me any other available
    Test City.
    I am fully aware that the application fee prescribed by COMEDK /Uni GAUGE (ERA Foundation)
    will not be refunded for any reason including judicial and other statutory reasons
    I hereby declare that the information given above is true and correct to the best of my
    knowledge and belief. If the information provided by me is false then COMEDK has the authority
    to reject my application/candidature. I further declare to submit all certificates in original at the
    time of admission / Counseling relevant to my claims made in the application. I also agree to
    forfeit my claim for admission in the event of failure to produce the relevant original certificates.
    I shall abide by the Rules and Regulations of COMEDK/Uni GAUGE (ERA Foundation)

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