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Odisha Joint Entrance Examination-2018

OJEE-2018
Confirmation Page

Application No. 2006041 -


DO NOT SEND THIS PAGE TO BOARD.
CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Section
Candidate's Name PRITAM SWAGAT KHATOI Date of Birth 28-06-1998
Mother's Name NIRUPA BISWAL Birth Category General
Father's Name PRAHALLAD KHATOI Gender Male
Nationality Indian Annual Family Income Less or Equal to 6Lakh
Domicile ODISHA

Applying For
Apply For LE Tech Diploma to B. Tech
Exam City 1st Puri Exam City 2nd Bhubaneswar
Exam City 3rd Cuttack

Education Details
Qualification Pass Course/Stream Name Board/University Name Year Of Marks (%) Roll No. Institute Name & Address Pincode
Status Passing
Diploma Passed Electrical and State Council for Technical 2016 70 F13050002 PES, Puri 752002
Electronics Education & Vocational 028
Engineering / Training
Electrical Engineering

Contact Details
Address TARAKOR City/Town/Village KHALKATAPATNA
District PURI State ODISHA
Pin Code 752111 Email Address asw******@gmail.com
Mobile Number (+91) 943****924 Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details


Payment Mode: Online Payment Transaction ID: LPNB6078882770
Exam Fee: 1000 /- Date of Transaction: 22-02-2018 14:41:18
Fee Submitted On: 22/02/2018
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 Board
procedures. I shall abide by the terms and conditions thereon.

Images Uploaded by Candidate


Photograph Signature Thumb Impression

List of Document Uploaded


Photograph,Thumb,Signature

Date of Printing : 22/02/2018 02:32:39 PM

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