COMMON UNIVERSITY ENTRANCE

TEST CUET (PG)

Confirmation Page

Application Number 253510000104

Do Not Send this Page to National Testing Agency (NTA).
Candidate is requested to retain the printout of Confirmation page for future Reference.
यितगत योरा (Personal Detail)
उमीदवार की जम ितिथ (Candidate
उमीदवार का नाम (Candidate Name) Bharatendu Tiwari 28-07-2000
Date of Birth)
िपता/अिभभावक का नाम
िलंग (Gender) Male Basant Ballabh Tiwari
(Father/Guardian Name)
माता/अिभभावक का नाम
Hema Tiwari राटीयता (Nationality) Indian
(Mother/Guardian Name)
अिभभावक का नंबर (Guardian’s
7838386760
Number)
Any Other Valid Govt पहचान संया (Identification
पहचान का कार (Identity Type) 759059548445
Identity With Photograph Number)
वग (Category) General
या आप आरपीडयूडी अिधिनयम 2016 के ावधानों के अनुसार
पीडयूडी उमीदवार ह  (Are you a PwD candidate as per the NO
provisions of the RPwD Act 2016 ?)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय (Annual
No Rs. 100001 - 200000
Diabetic?) Family Income)
रोज़गार की िथित (Status Of
Unemployed
Employment)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises J-108 Shiv Ram Park
े  (Locality) Nangloi
No/Name) Nangloi Delhi
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Delhi िज़ला (District) South West Delhi
िपन कोड (Pin Code) 110041 मेल पता (Email Address) [email protected]
वै किपक मोबाइल नंबर (Alternate
मोबाइल नंबर (Mobile Number) +91 9560232674 7838386760
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises J-108 Shiv Ram Park
े  (Locality) Nangloi
No/Name) Nangloi Delhi
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Delhi िज़ला (District) South West Delhi
िपन कोड (Pin Code) 110041
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  (Do you या आप कमीरी वासी ह  (Are you
No No
belong to Below Poverty Line ?) Kashmiri Migrant ?)
रा कािमक/पूव सै िनकों का वाड (Ward
एनसीसी कोटा के िलए दावा (Claim
of Defence Personnel / Ex- No No
for NCC Quota)
Servicemen)
खेल कोटा के िलए दावा (Claim for Sports Quota) No
या आप िवविवालय कमचारी के वाड
ह  (Are you a ward of University No
Employee ?)
परीा कद और िववरण (Exam Center And Details)
के िलए आवे दन (Apply For) CUET (PG) - 2025
परीा कद के िलए िवकप
.सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name))
(Choice For Exam Center)
1 1stChoice For Exam Center New Delhi ( Delhi )
nd
2 2 Choice For Exam Center Noida / Greater Noida ( Uttar Pradesh )
3 3rdChoice For Exam Center Gurugram ( Haryana )
4 4thChoice For Exam Center Faridabad ( Haryana )
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Matriculate Private Service
/Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय
Matriculate Others
/Guardian Qualification) (Mother/Guardian Occupation)
टे ट पे पर िववरण (Test Paper Details)
.सं. (S.No.) टे ट पे पर (Test Paper) मयम (Medium)
1. COQP14-L.L.M. NA
I hereby declare that I have chosen and verified the paper codes in the online Application Form for the CUET (PG) - 2025 examination as per the eligibility
criteria of the university/ies in which I intend to seek admission to suitable courses.
I understand that merely appearing in the CUET (PG) - 2025 examination does not make me eligible for admission into any course or university for
admission, I also have to fulfill the other eligibility conditions specified by the respective university/ies.
I take full responsibility for the accuracy of the information provided and understand that any discrepancy or non-compliance with the eligibility criteria may
lead to the rejection of my application or cancellation of my admission at any stage.
I further agree to abide by the rules and regulations of the National Testing Agency (NTA) and the participating universities regarding the CUET (PG) -
2025 examination and the admission process.
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2016
Year/Appearing)
कोस / टीम (Course/Stream) 10th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION
DHARAM DEEP
संथान का नाम और पता (Institute
SECONDARY PUBLIC रोल नंबर (Roll Number) 8205469
Name And Address )
SCHOOL
अिधकतम ग े ड वाइंट (Max Grade
पिरणाम मोड (Result Mode) CGPA 10.00
Point)
सीजीपीए ितशत % (CGPA
सीजीपीए ात िकया(Obtained CGPA) 9.80 93.10
Percentage %)
12वीं योयता िववरण (12th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2018
Year/Appearing)
कोस / टीम (Course/Stream) 12th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION
संथान का नाम और पता (Institute DEEPANSHU PUBLIC
रोल नंबर (Roll Number) 9177776
Name And Address ) SCHOOL
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 412.00 ितशत %(Percentage %) 82.40
नातक योयता िववरण (Graduation Qualification Details)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2021
Year/Appearing)
कोस / टीम (Course/Stream) B.sc
बोड /िवविवालय का नाम (Board/University Name) University Of Delhi
संथान का नाम और पता (Institute MOTILAL NEHRU
रोल नंबर (Roll Number) 18048582060
Name And Address ) COLLEGE
अिधकतम ग े ड वाइंट (Max Grade
पिरणाम मोड (Result Mode) CGPA 10.00
Point)
सीजीपीए ितशत %(CGPA
सीजीपीए ात िकया(Obtained CGPA) 7.80 74.10
Percentage %)
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

PHOTO

SIGNATURE

शु क भु गतान िववरण (Fee Payment Details)

ऑडर आईडी (Order ID) CUETPG_253510000104_1738268878
भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) CPAETIXDV7
शु क जमा िकया गया (Fee Submitted
परीा शु क (Exam Fee) 1400.0 31-01-2025 01:57:58 AM
On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
31-01-2025 02:00:48 AM SBI Epay
Date) Gateway Name)
भु गतान की िथित (payment status) Success
घोषणा (Declaration)
I hereby declare that I have filled up this online application after carefully reading the Bulletin and fully understanding the provision/procedures mentioned
therein. I further declare that all the particulars given by me in this application are true to the best of my knowledge and belief. I agree that my result may be
withheld/not declared/ my candidature may stand cancelled. In case it is found at any point of time in future that false information has been furnished in this
application. I shall abide by these terms and conditions as well as those laid down in the Information Bulletin, Public Notice and Advisories issued by NTA
regarding this exam time to time.
IP Address : 104.28.225.15 Date of Downloading : 24-02-2025 11:55:25 AM
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