This document is a registration acknowledgment for the Joint Entrance Examination (Advanced) 2025 for candidate H Harini, who is eligible to appear based on her JEE (Main) scores. It includes personal details, academic information, examination city preferences, and payment confirmation. The candidate has declared the accuracy of the information provided and acknowledges the consequences of any discrepancies.
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Jee Adv Form
This document is a registration acknowledgment for the Joint Entrance Examination (Advanced) 2025 for candidate H Harini, who is eligible to appear based on her JEE (Main) scores. It includes personal details, academic information, examination city preferences, and payment confirmation. The candidate has declared the accuracy of the information provided and acknowledges the consequences of any discrepancies.
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Joint Entrance Examination (Advanced) 2025
Indian Institutes of Technology
Registration Acknowledgement
Registration No. K42121003928
Candidate Details JEE (Main) Application number 250310040978 Date of Birth 17/06/2007 Candidate's Name H HARINI Category General Mother's Name PREMAVATHI H Person with Disability (PwD) as per No JEE(Main) Father's Name HARIPRASAD J Nationality Status INDIAN Complete Mailing Address Address 136/6 2ND CROSS SBMCOLONY Country India State TAMIL NADU District KRISHNAGIRI Locality OPP TVS NAGAR Mobile Number 91 - 848****069 Whatsapp Mobile Number 91 - 848****069 City/Town/Village HOSUR Email Address har*************[email protected] Pin Code / Postal Code 635110 Alternate Mobile number 91 - 948****785 Land Line Number 9488404785 Academic details of Class XII (or equivalent) examination Year of Passing or Appearing 2025 School Board CENTRAL BOARD OF SECONDARY EDUCATION Roll Number -- Name of the School / College SRI VIJAY VIDYASHRAM BAGALUR HOSUR KRISHNAGIRI TAMILNADU Address of the School / College SRI VIJAY VIDYASHRAM BAGALUR HOSUR KRISHNAGIRI TAMILNADU JEE (Main) Paper 1 Score Physics: 85.8954344 Chemistry: 98.2421066 Maths: 85.5019594 Total: 94.9596967 Remarks : Eligible for JEE (Advanced) 2025. Furnished Information for JEE (Advanced) 2025 Do you have disability and having No difficulty in writing Need scribe/reader No Do you want to avail compensatory time No as of GoI guidelines/ memorandum? Class XIIth (or equivalent)/ Qualifying India Year of first appearance in Class XII 2025 Exam (QE) Passed From Exam Year of first attempt in JEE (Advanced) 2025 Color Blindness No One Eyed Vision No Eligible for DS Seats No Examination City for JEE (Advanced) 2025 1st Choice of Exam City TAMILNADU-SALEM 2nd Choice of Exam City TAMILNADU-VELLORE 3rd Choice of Exam City KARNATAKA-BENGALURU 4th Choice of Exam City KARNATAKA-TUMAKURU (TUMKUR) 5th Choice of Exam City KARNATAKA-MYSURU (MYSORE) 6th Choice of Exam City TAMILNADU-NAMAKKAL 7th Choice of Exam City KARNATAKA-HASSAN 8th Choice of Exam City TAMILNADU-TIRUCHIRAPPALLI 9th Choice of Exam City TAMILNADU-COIMBATORE 10th Choice of Exam City TAMILNADU-CHENNAI Payment Details Payment Provider BILLDESK (EPG) Transaction ID BIC50370IY9RB7 Registration Fee INR 1600 Date of Transaction 2025/04/23T11:42:11 DECLARATION I hereby declare that all the particulars stated in this Registration Form are true to the best of my knowledge and belief. I understand that, if any of the information provided by me is found to be false / incorrect at any later time, my candidature will be cancelled and I shall be debarred from writing JEE (Advanced) 2025. I understand that an exam city not mentioned in my preferred choices may be allotted to me under exceptional circumstances and any request for the change of the exam city will NOT be entertained. In case, it is found that I am ineligible to appear for JEE (Advanced) 2025 at any stage, I understand that my candidature will be cancelled and registration fee will be forfeited. I understand that the data from JEE (Advanced) 2025 including personal details may be shared with other Government-funded institutes. Certificates uploaded Class-X or Birth Certificate Uploaded