संयु त वेश परी ा (मु ªय) Jnt

Entrance Examination (Main)

JEE(Main)

APPLICATION NUMBER 240310037560

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ŏयय ययय यययय (Contact Details) यय ययय ययय (Present Address)
HARGUN KAUR D/O
ययय (Premises No/ Name) यययय ययय (Email Address) [email protected]
SUKHMANDEEP SINGH
VILLAGE KALA TIBBA ; यय- ययययययय (Sub- Locality)(Optional)
ययययययय (Locality) NA
TEHSIL ABOHAR
ययय ययय (Country Code) 91 ययय (Country) INDIA
ययnय (State) PUNJAB यययय (District) Fazilka
यययय यय यययय यय(Alternate Contact No.)
यययययय यययय (Mobile Number) 91 - 9877650910 6283019419
(Optional)
ययय ययय (Pin Code) 152116
यययय ययय (Permanent Address)
HARGUN KAUR D/O VILLAGE KALA TIBBA ; TEHSIL
ययय (Premises No/ Name) ययययययय (Locality)
SUKHMANDEEP SINGH ABOHAR
यय- ययययययय (Sub- Locality)(Optional):
NA ययय (Country) INDIA

ययnय (State) PUNJAB यययय (District) Fazilka

ययय ययय (Pin Code) 152116
ŏयय ययय यययय (PERSONAL DETAILS)
य ययय यय य य यययय (Candidate's Date
य ययय यय ययय (Candidate's Name) RIYA PATEL 08-08-2008
of Birth)
यययय / ययययययय यय ययय (Father / Guardian यययय / ययययययय यय ययय (Mother /
SUKHMANDEEP SINGH SUKHVEER KUR
Name) Guardian Name)
यययय (Gender) FEMALE यय य यययय (Nationality ) INDIAN
ANY OTHER VALID
ययययय य ययय (Identity Type) GOVT IDENTITY WITH ययययय यय%यय (Identification Number) 997029514982
PHOTOGRAPH
ययnय / य य- ययययय ययय यययय य12ययय /
ययय य यय / ययय यय (State/ UT from
PUNJAB ययय (Category ) GENERAL
where 12th/ Equivalent Passed/
Appearing)
यय यययय ययययययय? (Are You Diabetic ?
NO ययययय यय ययय ( Place of Residence ) RURAL
)
ययय यय यय Pwd य यययययय य, यय यय यययय
ययय ययययय ययययययययय य(If you are a Pwd यययय य ययययययययय यय ( Annual Family
NA 400001-500000
Candidate, do you have benchmark Income )
disability)?
यय
यययययय यय ययययय ( Mode of Preparation
Online Coaching ो English
)
य
य यय
यय ो
य
य
ोययय ययययय (Exam
यय- ययययय (Applycentre
For) Details) B.E./B.Tech यय Session 1 & Session 2
यो य य य ययय ययययय य(Session
यययय / ययययययय ŏययययय (Father / Guardian यययय
यय Exam/ ययययययय यय ययय (Father / Guardian
AGRICULTURE Of Apply For) Others
Occupation) Qualification)
ो
यययय / ययययययय ŏ ययययय (Mother / यययय / ययययययय यय ययय (Mother / Guardian
Not Applicable यQualification) OTHERS
Guardian Occupation)
य य
यय PUNJAB यय BHATINDA
st st
ो ययnय-यययय ययय य (Exam State 1 Choice यय ययय-यययय ययय य (Exam City 1 Choice
ो
य
)यय PUNJAB )ो
यय MOGA
nd nd
ो ययnय-यय यय ययय य (Exam State 2 Choice ो ययय-यय यय ययय य (Exam City 2 Choice
य ययय
)
यय PUNJAB )ो
यय LUDHIANA
rd rd
ो ययnय-ययययय ययय य (Exam State 3 Choice ) ो ययय-ययययय ययय य (Exam City 3 Choice )
य य
यय PUNJAB य
यय JALANDHAR
th ो यय यय?यय ( Medium of schooling
th in
ो ययnय-यययय ययय य (Exam State 4 ो ययय-ययययexam
qualifying ययय )य (Exam City 4 Choice
Choice ) )
 Qय य) यय?यय (Question Paper Medium) English
th
10ययय यय ययय यय ययय ययययय (10 or equivalent Qualification Details)
य यय / यय यययय यययय यय यय (Year of
य यय यय ो ययय (Pass Status) Passed 2022
Passing/Appearing)
यय 10 th or equivalent यययययय यय ययय (Place of Schooling) Urban
ोययय / ययययय यय ययय (Type of School / यय
Private Unaided ो PUNJAB
College)
य
यय
यय COUNCIL FOR THE INDIAN SCHOOL
Fazilka यययय ययय (School Board)
ो
ो CERTIFICATE EXAMINATIONS
यय
ो 10ययय यय ययय ययय/ यययय) ययययययय ो
यययोययय/ययययय यय ययय (School/College
य Assumption convent ययय / ययययय यय ययय (School / College
यय Sito road ,Abohar ,fazilka
यय
name
ो
should be as per Class 10th SCHOOL,Abohar य
Address)
ो (Qualifying
Mark sheet/certificate)
Exam) यय
ो ययnय (Qualifying Examination
यययय / ययययय यययययय (School / College ययय यययय10ययय यययय) य यययययय (Roll
यय 152116 State) 7516192
Pincode) number as per 10th certificate)
ो यययय (Qualifying Examination District)
यययययय ययय (Result Mode) Percentage यययय य (Total Marks) 500.0
ो यययय (Obtain Marks) 468.0 यययय (Percentage) 93.60
th
12ययय यय ययय यय ययय ययययय (12 or equivalent Qualification Details)
य यय / यय यययय यययय यय यय (Year of
य यय यय ो ययय (Pass Status) Appearing 2024
Passing/Appearing)
The final examination of
the 10+2 system, conducted
by any recognized Central/
State Board, such as the
Central Board of Secondary
यय यययययय यय ययय (Place of Schooling) Rural
Education, New
ो
Delhi;Council for the
Indian School Certificate
य
Examinations, New Delhi
यय
etc.
ो
ययय / ययययय यय ययय (Type of School / यय
Private Unaided PUNJAB
College)
य ो
यय PUNJAB SCHOOL EDUCATION
ो (Qualifying Exam) Fazilka यययय ययय (School Board)
यय BOARD
ो 12ययय यय ययय ययय/ यययय) ययययययय ो
यययोययय/ययययय यय ययय (School/College
Bhag singh hayer khalsa ययय / ययययय यय ययय (School / College
यय Village kala TIBBA ; tehsil Abohar
name should be as per Class 12th
ो college for women य
Address)
Mark sheet/certificate) यय
ो ययnय (Qualifying Examination
यययय / ययययय यययययय (School / College ययय यययय12ययय यययय) य यययययय (Roll
यय 152116 State) NA
Pincode) number as per 12th certificate)
ो यययय (Qualifying Examination District)
ययययय य यययययययययय (Additional Details)
यय यय ययययय य यय ययययय ययय (ययय) - 2024 य ययय ययययय यय ययय य(Are
NO
you a Twin and both applying for JEE (MAIN) – 2024)?
ययययययययय यय ययययय य) (Emergency Contact Details)
ययय (Country) INDIA ययय ययय (Country Code) +91
यययययय यययय (Mobile Number) 6280610699 यययय यययय (Email ID) [email protected]
य यययययय ययय ययययय यय यय यययययय (IMAGES UPLOADED BY THE CANDIDATE)

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यय य यययययय ययययय (Fee Payment Details)

यययययय यय ययय (Payment Mode) Online ययय-ययय यययय (Transaction ID) CPADFQNCO6
य 1600.0 ययय-ययय यय यययय (Date of Transaction) 04-11-2023 15:27:08 PM
यय
यय य ययय यययय ययय (Fee Submitted
ो यय य (Exam Fee) 04-11-2023 15:25:08 PM
On)
and I shall have no right to admission whatsoever.
IP Address : 42.105.9.0 Date of Downloading : 04-11-2023 19:13:43 PM