12/9/22, 2:54 PM Online Application for Pre-Registration against vacant or management seats

Pre-Registration against vacant/management seats

PREERN220064427

Applicant's Information given at the time of Registration (पंजीकरण के समय दी गयी आवेदक की जानकारी)

Registration Id PREERN220064427
First Name AMAN
Middle Name  
Last Name JAISWAL
Father Name RAJIV JAISWAL
Gender MALE
Date of Birth 2002-02-02
Category OBC
Mobile No. 9112568965
Email Id [email protected]
Date of Registration 09-12-2022 14:23:25
Hindi Name अमन जायसवाल
Mother Name NEELAM JAISWAL
Is Finally Submitted NO
Admission through Dropouts/Vacant Seats (EN-B) (Qualifying
Mode Of Admission Exam (Through Diploma / 10+2 / Graduation) -Mode(EN-B-
2))
UPSEE Roll Number n/a
Is Lateral Entry YES
UP Domicile YES
Print
Physically Handicapped NO
Diploma in Engineering (Except Agriculture Engg., Pharmacy
Qualifying Exam
and Architecture)
Qualifying Exam Status Passed
Qualifying Exam Passing Year 2021
Qualifying Exam Board/University BOARD OF TECHNICAL EDUCATION, UTTAR PRADESH
Qualifying Exam Board/University entered
n/a
by candidate (Subject to verification)
Qualifying Exam Board/University State Uttar Pradesh
Qualifying Exam RollNo. 2122013226022

Applied For (आवेदनार्थ)

Applied For 04 B.Tech (All )

Qualifying Exam's Subject Information (योग्यता परीक्षा के विषयों की जानकारी)

Subject Name Marks Obtained Max Marks

Address (पता)

Address for Correspondance (पत्राचार के लिए पता) Permanent Address (स्थाई पता)

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12/9/22, 2:54 PM Online Application for Pre-Registration against vacant or management seats

Address VILL- DEWA, POST- DULLAPUR, DISTRICT- GHAZIPUR Address VILL- DEWA, POST- DULLAPUR, DISTRICT- GHAZIPUR
Country India Country India
State Uttar Pradesh State Uttar Pradesh
City Ghazipur City Ghazipur
Pin Code 275202 Pin Code 275202

Applicant's Payment Information (आवेदक की भुगतान की जानकारी)

PaymentId DCDCFD3E2B134625ADF7
PaymentStatus SUCCESS
Payment Amount Rs. 2300
TransactionNo IGAOUAJHF1
Payment attempted on 09-12-2022 14:25:05

Declaration (घोषणा)

I here by declare that all the particulars stated in this application form are true to best of my knowledge and
belief. I have read and understood the university procedures/rules. I shall abide by the terms and conditions
thereon.

I here by undertake that the Board/University filled by me is

कृ पया ध्यान दें। आपको अपनी रजिस्ट्रेशन फीस का भुगतान कर, सभी जानकारियों को पोर्टल में सहेजकर, फाइनल सबमिट करना अनिवार्य होगा। कृ पया ध्यान दें।
यदि आपका फार्म फाइनल सबमिट नहीं होगा तो उस रजिस्ट्रेशन को कैं सिल माना जायेगा जिसकी पूरी ज़िम्मेदारी आपकी होगी।

Note: University doesn't own for the errors or omissions, if any, in this statement.
Enrolment of students from unrecognized/fake board/university will be automatically cancelled at any
time.Student/College shall be solely responsible for the recognition of the qualifying examination board/university.
Printed On: 09-12-2022 14:47:36
IP Address: 103.62.237.100

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