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Joint Entrance Examination Council (Polytechnic), Uttar Pradesh

Joint Entrance Examination Council (Polytechnic), Uttar Pradesh 2024


Confirmation Page

Personal Details
Application Number 240100221846 Name : KAJAL KHATOON
Father Name : MD MUKHTAR AHMAD Mother Name : SABANA KHATOON
Gender : Female Date of Birth : 15-07-2007
Nationality : Indian State of Eligibility : Domicile of U.P.
Category : Other Backward Class (OBC)

Sub Category List


Physically Handicapped No
Military Personal No
Freedom Fighter No
Other Informations
Are you Color Blind : No
Place of Residence : Rural
Are you belong to Minority : Yes
Qualification Details
10+2 Science Details
Passing Status Appearing
Passing Year 2024
Stream/Course 10+2 Science (Bio)
Board BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION, UTTAR
PRADESH
Roll/Registration Number 2247424979
Result Mode --
Apply For Details
Sr.No. Discipline
1 Group E1 (Bio)
Exam Center List
State Name. Exam Center Name Exam Center Choice No.
Uttar Pradesh Kushinagar 1
Uttar Pradesh Gorakhpur 2
Uttar Pradesh Deoria 3
Uttar Pradesh Lucknow 4
Contact Details
Correspondence Address
Premises No./Village Name VILLAGE BANSGAON TOLA SARGATIYA
Sub Locality/Colony/Police Station(Optional) POST DUDAHI
Locality/City/Town/Village/Post Office DIST KUSHINAGAR
Country India
State Uttar Pradesh
District KUSHINAGAR
Pin Code 274302
Mobile Number 889****749
Email Id Na0*************com
Permanent Address
Premises No./Village Name VILLAGE BANSGAON TOLA SARGATIYA
Sub Locality/Colony/Police Station(Optional) POST DUDAHI
Locality/City/Town/Village/Post Office DIST KUSHINAGAR
Country India
State Uttar Pradesh
District KUSHINAGAR
Pin Code 274302
Fee Payment Details
Registration Fee
Transaction Number Transaction Amount Transaction Date
5487070014229 300 27/02/2024 18:53:30
Registration Details
Activity Date & Time IP Address
Registration Form Submission Feb 26 2024 8:37PM 106.205.190.221
Application Form Submission Feb 27 2024 6:53PM 103.15.252.88
Uploded Documents

Application Number: 240100221846 Generated On: 27-02-2024 06:54:03 PM Page No. 1


Joint Entrance Examination Council (Polytechnic), Uttar Pradesh
Joint Entrance Examination Council (Polytechnic), Uttar Pradesh 2024
Confirmation Page

Photograph
Signature
Declaration
I hereby declare that I have filled up this online application after carefully reading the Information Bulletin and fully understanding the provisions/ procedures
mentioned therein. I further declare that all the particulars given by me in this application are true to the best of my knowledge and belief. I agree that my
Result may be withheld/ not declared/ my candidature may automatically stand cancelled, In case it is found at any point of time in future that false
information has been furnished in this application. I shall abide by these terms and conditions as well as those laid down in the Information Bulletin, Public
Notices and Advisories issued by JEECUP regarding this exam from time to time.

Instructions:

1. Candidate is requested to retain the printout of confirmation page for future reference.
2. The candidate is requested to keep the registered mobile number and email ID active for important updates and notifications.
3. Kindly visit the website https://jeecup.admissions.nic.in/ regularly for further updates and notifications.

Signature of Candidate
(KAJAL KHATOON)

Application Number: 240100221846 Generated On: 27-02-2024 06:54:03 PM Page No. 2

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