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    of 2

    Dr A.P.J.

    Abdul Kalam Technical University, Uttar Pradesh


    UPTAC B.Tech. Counselling 2024
    Document Verification Certificate

    Verification Date : Jun 28 2024 3:18PM


    Personal Details
    JEE (Main) Application 240310613856 Candidate Name MUKTI KUMARI
    No
    Father Name KRISHAN PAL SINGH Mother Name PUSHPA DEVI
    Gender Female Date of Birth 28-07-2006
    Domicile Uttar Pradesh Qualifying Examination Uttar Pradesh
    From
    Category Other Backward Class (OBC-NCL)

    Rank Details
    All India Rank (B.Tech) 652683
    Sub Category List
    Physically Handicapped No
    Armed Forces No
    Freedom Fighter No
    Tuition Fee Waiver Yes
    Other Informations
    Having Rural Weightage NO
    Qualification Details
    Class 12th or Equivalent Details
    Passing Status Passed(with/without grace)
    Passing Year 2024
    Subject/Year/Semester Wise Marks Details
    Name Passing Status Total Max Total Obtained
    Physics Passed(with/without grace) 100 74
    Mathematics Passed(with/without grace) 100 65
    Chemistry Passed(with/without grace) 100 89
    Any Other [ English ] Passed(with/without grace) 100 89
    Any Other [ Hindi ] Passed(with/without grace) 100 88
    Subject/Year/Semester Max Marks : 500 | Subject/Year/Semester Obtained Marks: 405 | Subject/Year/Semester Percentage: 81
    Contact Details
    Correspondence Address
    Premises No./Village Name Sutiyana
    Sub Locality/Colony/Police Station(Optional) --
    Locality/City/Town/Village/Post Office GAUTAM BUDDHA NAGAR
    Country India
    State Uttar Pradesh
    District GAUTAM BUDDH NAGAR
    Pin Code 201306
    Mobile Number 981****225
    Email Id kum******************com
    Permanent Address
    Premises No./Village Name Sutiyana
    Sub Locality/Colony/Police Station(Optional) --
    Locality/City/Town/Village/Post Office GAUTAM BUDDHA NAGAR
    Country India
    State Uttar Pradesh
    District GAUTAM BUDDH NAGAR
    Pin Code 201306
    Fee Payment Details
    Registration Fee
    Transaction Number Transaction Amount Transaction Date
    361213778 1000 22/06/2024 12:59:52
    Registration Details
    Activity Date & Time IP Address
    Registration Form Submission Jun 20 2024 9:55AM 27.59.77.250
    Application Form Submission Jun 21 2024 6:07AM 27.59.68.82
    Uploded Documents
    10th Marksheet/Certificate
    Mark sheet of Class 12th or Equivalent
    Income Certificate
    Generated On 28-06-2024 03:18:09 PM Page No. 1
    Dr A.P.J. Abdul Kalam Technical University, Uttar Pradesh
    UPTAC B.Tech. Counselling 2024
    Document Verification Certificate

    OBC Category Certificate (Cert. No.-2)(Accepted only, if issued on/ after 1st April 2024)
    JEE(Main) Admit Card/ Score Card
    JEE(Main) Score Card
    Declaration
    I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
    the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
    procedures.
    Remarks Provisionally Allowed
    Changes None
    Eligibility Status
    B.Tech Eligible for Counselling

    I hereby agree to the following terms and conditions of UPTAC-2024 Counselling:

    1. I have gone through and understood the contents of Information Brochure /Counseling Process of UPTAC 2024 B.Tech.Counselling for JEE(Main)
    Candidates and eligibility criteria prescribed therein. I shall abide by rules and admission process as specified by the UPTAC 2024.
    2. I know that during verification of the documents, if any discrepancy is detected in original documents like Mark sheet of the qualifying examination, the
    certificates related to the category, subcategory, parent domicile, gender, rural weightage etc., whichever is applicable to me, and then the seat allotted
    will be cancelled.
    3. The Verification of Original Documents should be performed by Allotted Institution at the time of Physical Reporting.
    4. Forged Documents: At the time of admission or any later stage, if the document I submit are found to be forged / fake, then the seat allotted/admission
    will be cancelled.

    Signature of Candidate
    (MUKTI KUMARI)

    Generated On 28-06-2024 03:18:09 PM Page No. 2

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