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Board of Technical Education, Rajasthan: Rajasthan Engineering Admission Process (REAP) 2015
Board of Technical Education, Rajasthan: Rajasthan Engineering Admission Process (REAP) 2015
REAP2015
BOARDOFTECHNICALEDUCATION,RAJASTHAN
RajasthanEngineeringAdmissionProcess(REAP)2015
OnlineApplicationForm
:2014463
FormFilled
:1515120010046505 Amount,date
FormNo
TokenNo
1.JEE(MAIN2015)Detail
2.NameofCandidate:
3.Father'sName:
4.Mother'sName:
5.Gender:
6.Category:
7.Category2:
8.ExServiceMan
9.DateofBirth:
10.CompleteAddress:
:09Jun20158:52AM
:400/,04/06/2015
JEE(MAIN2015)RollNo 31139178
PRASHANTKACHHAWAHA
MANSINGHKACHHAWAHA
MANJULATAKACHHAWAHA
MALE
OBC
NONE
05Nov1998
NEARCHAINPURASCHOOL,HANSLAVKIPAL,MANDOR,JODHPUR,JODHPUR,JODHPUR,
RAJASTHAN342304
prashantkachhawaha@gmail.com
12.MobileNo:
11.PhoneNo:
9461600106
Exam.Details
Passed/ROLLNO
Board/University
StateOfStudy
Year Max.Marks
MarksObt.
PASSED
CBSE
RAJASTHAN
2012
500
447
89.40
XI
PASSED
CBSE
RAJASTHAN
2013
1000
813
81.30
XII
1633789
CBSE
RAJASTHAN
2014
500
438
87.60
13.DetailsofmarksinXII
Subject
MaxMarks ObtMarks
Mathematics
100
95
Physics
100
92
Chemistry
100
95
Total
300
282
Percentage(%)
94.00
14.DetailofmarksinJEE(MAIN2015)
Subject
ObtMarks
Mathematics
23
Physics
30
Chemistry
74
Total
127
15.Stateof
BonafideResidence:
16.Nationality:
18.AreaofResidence
19.Tehsil
RAJASTHAN
INDIAN
URBAN
999
17.Religion:
19.DomicileDistt.
20.Bonafidearea
HINDU
999
999
I hereby solemnly and sincerely affirm that all the information furnished by me in this application form are true and correct. I have not
concealedanyinformation.However,ifanyinformationfurnishedhereinisfoundtobefraudulent,incorrectoruntrueatanystage.Iamliable
tocriminalprosecutionandIalsoagreetoforgomyseat.Furtherthattheselectionandadmissiontothecourseisliabletobecancelled.Iagree
toabidebytheRulesandRegulationsgoverningtheExaminationascontainedintheInformationBooklet,whichIhavedulygonethrough.
SignatureofCandidate
DOCUMENTSUPLOADED
Certificate/MarksheetofHighSchool/SecondarybearingDateofBirthofthecandidate.
YES
Marksheetof10+2Examination,asaproofofhavingpassedthequalifyingexamination.
YES
Domicilecertificate
YES
Castecertificate
YES
Note:Fortheconvenienceofcandidates,formatsofcertificatesareavailableonthewebsite.Thecandidatescanreproducetheformatofthe
certificate(s)bytyping/photocopyingetc.forthepurposeofcertificationfromappropriateauthority.
http://www.reapadm.com/ReAPfoRm2015/RpeTaPpForm.php
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