Applicant Details JEE Advanced Channel Application Personal Details Applicant Reference No. / saa frwt-a Ham, Name of the Applicant/m&qas @1 AT 190421 25)6€ AYUSH SANJAY PATEL Father's Name / guardian's Narme Frat 3H / ‘Applicant's Mother(Namer=) straraes rT JEMISHA SANJAYKUMAR PATEL SNAJAYKUMAR JAYANTILAL PATELGender / f@ Male Date of Birth ara at argh s6/ju/2001 Categoryrenf Applicant Photo ID / sae #t whch or GEN Driving License Identification No, / Tar tear Citizenship immigration status / AMifeerat «0620180014717 Indian Citizen ‘Are you Physically handicapped?/erar oira reAPees Kashmiri Migrant / eet ware frwaint? No No Nationality Agta Indian Contact Details Mobile Number/arget fat Email IDSA orgSt 9825825802 ayusht 11 ze@gmail comAlternate Mobile Number / Sepfetre sitarge tae 9737547977 Correspondence Address Details Address/TaT 1 Address/Tat 2 G-112 Yog} Darshan Opp Manjalpur Township Duplex 2, State/UTAToaeta TET —_Tehsi/City/District a aedtarreefiren Guarar Vadodara Educational Qualification Roll Number of 12th Class Equivalent Program ™@iT 12th / merge ware ar Vet Fae 111203899 Alternate Email ids @epfetras $e angst Sanjaycambay74@gmailcom Address/trar3 Manjalpur, Vadodara Country 33 India Correspondence Pin code/ftr ws 39001 Qualifying examvateaar wha sathBoard/Institution/University Name/@rS/eR0/ Passing Yearfawtef af feeaftrerera err 2019 Gujarat Sec. And Higher Sec. Education Board Is Result Declared? / ftom etfira 87 No Do you have Maths Result Subjectin 12th Class?/ ——_asutt Awaited ea ome oe 12 wa her wate 87 Yes JEE Details JEE Advanced Roll Number JEE Advanced Registration Number 1019066 111203899 JEE Advanced Qualifing Rank Category- Wise } 12607Preferences for lIISER lISER 1 BS-MS IISER Pune |ISER3 8S.MS IISER Bhopal NISERS 85 (Engg. Sc) IISER Bhopal |ISER7 BS-MS IISER Thiruvananthapuram IISER9 BS (Eco Sc) IISER Bhopal psig econ comieromalacyy PRU Aeon se ?62IeZ220822eee lISER2 BS-MS IISER Kolkata lISER 4 BS-MS IISER Mohali IISER6 BS-MS IISER Berhampur lISERS BS-MS IISER Tirupati Options to Float YesPayment Details Amount Payment Response Time 2000 2019-06-16 16:14:43 Payment Transaction IC 19061651475612 Version 13.07.01 psig econ comieromalacyy PRU Aeon se ?62IeZ220822eee