Polytechnic PDF
Polytechnic PDF
Personal Details
Application Number 250100011114 Name : KALASH AGRAWAL
Father Name : DEEPAK AGRAWAL Mother Name : MOHITA AGRAWAL
Gender : Male Date of Birth : 30-01-2009
Nationality : Indian State of Eligibility : Minimum Qualifying Exam
Passed/Appearing from U.P.
Category : General
Uploded Documents
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.
(KALASH AGRAWAL)
Signature of Candidate