West Bengal Joint Entrance Examinations Board

WBJEE- 2020
Confirmation Page

Application No. 2001 0071 967 -

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

Personal Details
Candidate's Name VIKASH SHARMA Date of Birth 03-03-2001
Mother's Name PUNAM DEVI Category General
Father's Name ARUN SHARMA Gender Male
Person with Disability (PwD) No Nationality Indian
Home District MADHUBANI Religion Hindu
Do you belongs to TFW? No Income Category Below 2.5 Lakhs
Domicile BIHAR

Apply For
Apply For Engineering/Architecture/Pharmacy 1st Choice of Exam City WEST BENGAL - Kolkata - Central Kolkata
2nd Choice of Exam City WEST BENGAL - Howrah - Central Howrah- 3rd Choice of Exam City WEST BENGAL - Kolkata - South Kolkata
Shibpur

Education Details
Qualification Pass Status Course/Stream Board/Council/Univer Year of Result Marks Detail RollNo/ Institute Pincode
Name sity Name Passing Mode RegdNo Name &
Addres
s
12th or Passed (10+2)/ I.Sc/ BIHAR 2019 Percentage Obtained Marks: 388 1901045 RJRRS 847225
equivalent Equivalent INTERMEDIATE Total Marks: 500 1 D
Examination EDUCATION Percentage: 77.6 COLLE
COUNCIL (BIHAR GE
SCHOOL BASOP
EXAMINATION ATTI
BOARD)

Contact Details
Premises No/ Name VILL MAJHAURA Locality PO MAHINATHPUR
Sub locality PS BASOPATTI District MADHUBANI
State BIHAR Pin Code 847225
Email Id vik******************@gmail.com Mobile no 620****304
Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Online Payment Transaction ID: RUR28190607703
Exam Fee: 700 /- Date of Transaction: 11/11/2019 14:39:05
Fee Submitted On: 11/11/2019
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.

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