Joint Entrance Examination (Advanced) 2019

Indian Institutes of Technology

REGISTRATION RECEIPT

Registration No. R314205120

Do not send any hard copy of this Registration Receipt to to your Zonal IIT (Preserve this page for future correspondence)
This document is not a substitute for your Admit Card. You will be able to download the Admit Card from 10 A.M. of May 20, 2019 till 9 A.M. of May 27, 2019.
Candidate Details
JEE (Main) Application 190310138206 Date of Birth 12/08/2002
No.
Candidate's Name KISHAN KUMAR Category OBC- NCL (CENTRAL LIST)
Mother's Name MS KIRAN DEVI Person with Disability (PwD) NO
Father's Name MR DURGESH KUMAR Nationality INDIAN
Complete Mailing Address
Address BIDESHI TOLA
Country India
State BIHAR District GOPALGANJ
Locality THAWE Mobile Number 808****043
City/Town/Village BIDESHI TOLA Email Address Kis*******************@gmail.com
Pin Code / Postal Code 841440 Additional Mobile No
Land Line Number Additional Email Address
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2019
Name of the Class XII (or equivalent) examination INTERMEDIATE OR TWO-YEAR PRE-UNIVERSITY EXAMINATION CONDUCTED BY A RECOGNIZED BOARD/
UNIVERSITY.
School Board BIHAR INTERMEDIATE EDUCATION COUNCIL (BIHAR SCHOOL EXAMINATION BOARD)
Roll Number 19010099
Name of the School / College MUKHI RAM HIGH SCHOOL
Address of the School / College VIDESHI TOLA ,THAWE
JEE (Main) Paper 1 Score
Physics: 96.1196779 Chemistry: 54.9068289 Maths: 63.3084757 Total: 86.9127153
Remarks : Eligible for JEE (Advanced) 2019
Furnished Information for JEE (Advanced)
Guardian's Name MR DURGESH KUMAR Need scribe/reader NOT APPLICABLE
Year of First attempt in JEE (Advanced) 2019 Color Blindness No
One Eyed Vision No Eligible for DS Seats NO
Examination City for JEE (Advanced)
1st Choice of Exam City BIHAR-PATNA 2nd Choice of Exam City BIHAR-MUZAFFARPUR
3rd Choice of Exam City BIHAR-CHAPRA 4th Choice of Exam City BIHAR-ARRAH
5th Choice of Exam City BIHAR-GAYA 6th Choice of Exam City BIHAR-SAMASTIPUR
OBC-NCL Certificate details
Do you have a Valid OBC-NCL Yes, I have OBC-NCL certificate issued on OBC Certificate Issue Date 06/05/2019
Certificate? or after April 1, 2019.
OBC Caste / Community Teli
Entry No. of OBC Caste / Community 53
Payment Details
Payment Mode SBI Internet Banking Transaction ID IGAGCDBNM5
Registration Fee 2600 ( INR ) Date of Transaction 08-05-2019 11:08:23
DECLARATION
I hereby declare that all the particulars stated in this Registration Reciept are true to the best of my knowledge and belief. I have read and understood the JEE (Advanced)
procedures. I shall abide by the terms and conditions therein. I understand that, if any of the information provided by me is found to be false / incorrect at any later time, my
candidature shall be cancelled and I shall be debarred from appearing for JEE (Advanced).
Images Uploaded by Candidate (During JEE (Main) Registration)

Certificates uploaded
Class X or Birth Certificate Uploaded Class XII (or equivalent) Certificate Not Applicable
OBC-NCL Certificate Uploaded Additional OBC- NCL (CENTRAL LIST) Not Applicable
Certificate
PwD Certificate Not Applicable Scribe Request Letter Not Applicable
DS Certificate Not Applicable PIO Card / OCI Card Not Applicable