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D114 Q39 Application Form

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Aditya Shukla,C4
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6 views

D114 Q39 Application Form

Adxxccfh

Uploaded by

Aditya Shukla,C4
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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Application Form

Enrollment ID: D114Q39

Name : ADITYA SHUKLA


DOB : 07 Feb 2005 Gender : Male Category : GEN-EWS

Nationality : Indian Aadhaar ID : 606512644115


Parent/Guardian Info.: Shyam Sundar Shukla, 91-9453891441

PwD : No Scribe Requested : No Compensatory Time : No

Communication Address Qualification Degree Details


5EW1

Mobile No: 91-9118575741 B.Sc.


Email ID: [email protected] Chemistry
VILLAGE -LUKTAHA Graduated : Yes; Year of Passing : 2024
POST-PAILAKISA, BLOCK MAHOLI ,DISTRIK UNIVERSITY OF LUCKNOW
SITAPUR R P Line.,Lucknow, Uttar Pradesh - 226007
MAHOLI,
Uttar Pradesh - 261141

JAM 2025 Examination Details Choice of Examination Cities


Code(s) Test Paper(s) Exam City 1: Lucknow

CY Chemistry Exam City 2: Bareilly

Exam City 3: Kanpur

JAM 2025 Fees Payment Details


Payment For Transaction Ref. No. Transaction Date Amount
Application Fee 113479114720 26/09/24, 2:03 PM 1800.00

DECLARATION
I have read and understood the Information Brochure and I shall abide by the Terms and Conditions therein. The responsibility of meeting various deadlines
vests with me. I understand that the communication from JAM 2025 would be sent by email/SMS/webpage updates and that the Organising Committee of
JAM 2025 will not be held responsible for non-receipt of communication due to internet/mobile network failure.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. In the event of suppression or
distortion of any fact in my application form, I understand that I will be denied the opportunity to appear for JAM 2025. Further, if any suppression or
distortion of facts is found after appearing for the exam, any admission/degree/benefit acquired on the basis of JAM 2025 score/marks is liable to be
cancelled.

JAM 2025 Contact


The Chairperson, JAM Office, D114Q39
IIT Delhi, Hauz Khas, New Delhi - 110016, India
Email : [email protected] Call : (011) 26591749

Digital Fingerprint: e72529ee0a4e395b4b1c60b235c24d43

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