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Application No. 3001879: 2019-20 Confirmation Page

This document is a confirmation page for an application to the Punjab State Board of Technical Education and Industrial Training for lateral entry admission to a diploma in engineering. It provides personal details of the applicant such as name, date of birth, education qualifications including passing 10+2 science in 2018 with 63% marks, and contact information. It also confirms payment of the application fee of Rs. 1250 through an online transaction on June 10, 2019.

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Devid gakhar
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34 views

Application No. 3001879: 2019-20 Confirmation Page

This document is a confirmation page for an application to the Punjab State Board of Technical Education and Industrial Training for lateral entry admission to a diploma in engineering. It provides personal details of the applicant such as name, date of birth, education qualifications including passing 10+2 science in 2018 with 63% marks, and contact information. It also confirms payment of the application fee of Rs. 1250 through an online transaction on June 10, 2019.

Uploaded by

Devid gakhar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Punjab State Board of Technical Education and Industrial

Training
2019-20
Confirmation Page

Application No. 3001879 C


DO NOT SEND THIS PAGE TO BOARD.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name SATWINDER GILL Date of Birth 05-04-2000
Mother's Name BALJIT KAUR Category General
Father's Name KULMEET SINGH Gender Male
Sub Category Not Applicable Nationality Indian
Rural weightage claimed Yes Religion Sikh
Annual Family Income Less or Equal to 6Lakh Domicile Punjab
Qualifying examination passed/appeared Punjab
from college situated in

Apply For
Apply For Lateral Entry Admission to Diploma in
Engineering

Education Details
Qualification Pass Course/Stream Name Board/University Name Year of Result Marks Detail RollNo/ Institute Institute
Status Passing/ap Mode Enroll Name & Pincode
pearing No. Address
Qualifying Passed 10+2 Science Any Recognised Board/ 2018 Percentage Obtained Marks: 316 2753054 Apollo 147002
Exam University/ Open school - Total Marks: 500 public
cbse Percentage: 63 school
,urban
state,patiala

Employment Details
Are you presently Employed: No

Contact Details
Address HNO 10 NEAR BALBHERA Locality
City/Town/Village ALIPUR JATTAN District PATIALA
State PUNJAB Pin Code 147101
Email Address sat**************@gmail.com Mobile Number (+91) 987****547
Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details


Payment Mode: Online Payment Transaction ID: QUR27633530324
Exam Fee: 1250 /- Date of Transaction: 10-06-2019 19:14:14
Fee Submitted On: 10/06/2019
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board
procedures. I shall abide by the terms and conditions thereon.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Thumb,Signature,Date Of Birth Certificate

Date of Printing : 10/06/2019 07:07:21 PM

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