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  • Amity Law School Noida Report of Interns

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    Utkarsh Raj
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    This document is a confirmation page for Harshjeet Raj's registration for the Joint Entrance Examination (Main) in April 2019. It provides his personal details, the details of the examination including the test medium and city choices, academic qualifications, contact information, guardian details, and payment receipt information. He is applying for the B.E./B.Tech. paper in the computer-based format in English with Kota, Jaipur, and Udaipur as his city preferences.

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    This document is a confirmation page for Harshjeet Raj's registration for the Joint Entrance Examination (Main) in April 2019. It provides his personal details, the details of the examination including the test medium and city choices, academic qualifications, contact information, guardian details, and payment receipt information. He is applying for the B.E./B.Tech. paper in the computer-based format in English with Kota, Jaipur, and Udaipur as his city preferences.

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    28 views1 page

    Amity Law School Noida Report of Interns

    Uploaded by

    Utkarsh Raj
    This document is a confirmation page for Harshjeet Raj's registration for the Joint Entrance Examination (Main) in April 2019. It provides his personal details, the details of the examination including the test medium and city choices, academic qualifications, contact information, guardian details, and payment receipt information. He is applying for the B.E./B.Tech. paper in the computer-based format in English with Kota, Jaipur, and Udaipur as his city preferences.

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    Joint Entrance Examination (Main) April 2019

    NATIONAL TESTING AGENCY


    CONFIRMATION PAGE

    Application No. 190310477598


    DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY(NTA).
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name: HARSHJEET RAJ Date of Birth: 13/08/2001
    Mother's Name: ANJU KUMARI Category: SC
    Caste Name: DHOBI Father's Name: RAM GULAM SAFI
    Person with Disability(PwD): NO State of Eligibility: RAJASTHAN
    Percentage of Disability: -- Gender: MALE
    Are you Diabetic: NO Nationality: INDIAN
    Place of Residence: RURAL Do you need scribe: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam City: KOTA (RAJASTHAN) 2nd Choice of Exam City: JAIPUR (RAJASTHAN)
    3rd Choice of Exam City: UDAIPUR (RAJASTHAN) 4th Choice of Exam City: NOIDA/GREATER NOIDA (UTTAR PRADESH)

    Academic Details
    Year of passing class 10th: 2017 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2019 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    School Board of class 12th/Qualifying Exam: CENTRAL BOARD OF SECONDARY EDUCATION
    Name of the Qualifying Exam passed / appearing: The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central
    Board of Secondary Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi;
    etc.
    Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
    Appeared/Appearing for Improvement of Class NO Mode of preperation: COACHING
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Exam of --
    Improvement Exam:
    Name and Address of the School/College from where LORD BUDDHA PUBLIC SCHOOL INDUSTRIAL AREA ,RIICO RANPUR , KOTA-325003
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: BIHAR
    District: DARBHANGA Address: VELUCHAK
    Locality: KABIRCHAK City/Town/Village: DARBHANGA
    Pin Code: 846009 Email Address: poo*******@gmail.com
    Mobile Number: 911****772

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: GRADUATE GOVERNMENT SERVICE RS. 300001 -400000
    Mother's: GRADUATE GOVERNMENT SERVICE RS. 300001 -400000

    Payment Details
    Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee for JEE(Main) April 2019 Transaction Amount: 250 /-
    Transaction ID: CPN2534713 Date of Transaction: 08/02/2019 21:57:47
    DECLARATION
    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.
    Images Uploaded by Candidate
    Candidate Photograph Candidate Signature

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