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JAM 2018

3N1 B104M24
B104M24
(Enrolment ID)

Sukanya Choudhary
(Full Name of the Applicant)

23 Oct 1996 Female GEN


(D.O.B) (Gender) (Category)

Indian National 9872026470 Pawan Kumar


(Parent's Mobile Number) (Name of the Parent)

Communication Address JAM Exam Details


V.P.O RAMGARH JAM Paper Code(s)
TEHSIL- ABOHAR
DISTRICT - FAZILKA
ABOHAR
Punjab 152117
PH
95602 22912 (Mobile No.) Physics
sukanyachoudhary23@gmail.com New Delhi, DL
(Exam City 1)
Qualification Details
B.Sc. Greater Noida, DL
(Exam City 2)
PHYSICAL SCIENCE
Graduated: No; Year of Graduation: 2018 Gurugram, HR
(Exam City 3)
MIRANDA HOUSE
NEW DELHI JAM 2018 Office Contact
Delhi 110007
Organizing Chairman, JAM 2018
Payment Details Indian Institute of Technology
Online Rs. 750.00 Powai, Mumbai - 400076
Payment Ref. No.: JHMP5650975743
11/09/2017

I have fully read and understood the Information Brochure and I shall abide by the Terms and Conditions
therein. The responsibility of following JAM 2018 website and meeting various deadlines lies with me. I
understand that the communications from JAM 2018 would be sent by email/ SMS/ web and JAM 2018 will
not be held responsible for internet/ mobile network failure for the same.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
belief. In the event of suppression or distortion of any fact in my application form, I understand that I will be
denied the opportunity to appear in JAM 2018. Further, if any suppression or distortion of facts is found after
appearing in the exam, any admission/ degree/ benefit acquired on the basis of JAM 2018 score/ marks is
liable to be cancelled.

Digital Fingerprint: 10e85443a34d89621bfeeb36e370724d

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