Beruflich Dokumente
Kultur Dokumente
Application No.
60573404
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CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.
Personal Details
Name:
Date of Birth:
24/01/1999
Mother's Name:
Category
GENERAL
Father's Name:
NO
State of Eligibility:
MAHARASTRA
Percentage of Disability:
--
Gender:
MALE
NO
Nationality:
INDIAN
Place of Residence:
URBAN
--
NO
Examination Details
Applying For:
Mode of Examination:
ENGLISH
MUMBAI
THANE
NASIK
PUNE
Academic Details
Year of passing class 10th:
2013
CITY
GOVERNMENT
Any Public School/ Board/ University examination in India or in any foreign country recognized as equivalent to
the 10+2 system by the Association of Indian Universities (AIU).
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--
NO
Mode of preperation:
COACHING
JAI BHARAT HIGH SCHOOL AND JR COLLEGE O-B 8 1-10 MULUND COLONY MUMBAI 400082
Locality:
BHANDUP WEST
City/Town/Village:
MUMBAI
District:
KURLA
State:
MAHARASTRA
Pin Code:
400078
Email Address:
aditya24011999@gmail.com
Mobile Number:
9757086890
02225946205
Guardian Details
Qualification
Occupation
Annual Income
Father's/Guardian's:
GRADUATE
GOVERNMENT SERVICE
Mother's:
OTHERS
GOVERNMENT SERVICE
Payment Mode:
Transaction ID:
ESM24176309024
Exam Fee:
1000 /-
Date of Transaction:
16-12-2015 22:15:58
Card Type:
VISA/Master Card
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--
Payment Details
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the JEE procedures for both
JEE(Main) and JEE(Advanced) - 2016. I shall abide by the terms and conditions thereon.
Signature
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