Joint Entrance Examination (Main) 2019

NATIONAL TESTING AGENCY

CONFIRMATION PAGE

Application No. 190310622107

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Personal Details
Name: ABBAGOUNI RAJESWARI Date of Birth: 31/05/2001
Mother's Name: ABBAGOUNI LAVANYA Category: OBC- NCL (CENTRAL LIST)
Caste Name: GOUD Father's Name: ABBAGOUNI ANJANAYULU
GOUD
Person with Disability(PwD): NO State of Eligibility: TELANGANA
Percentage of Disability: -- Gender: FEMALE
Are you Diabetic: NO Nationality: INDIAN
Place of Residence: URBAN 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: RANGA REDDY 2nd Choice of Exam City: HYDERABAD
3rd Choice of Exam City: WARANGAL 4th Choice of Exam City: KHAMMAM

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: TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION
Name of the Qualifying Exam passed / appearing: Intermediate or two-year Pre-University examination conducted by a recognized Board/ University.
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 NARAYANA JR COLLEGE CHANDANAGAR,RANGAREDDY-DIST.
passed/appearing:

Candidate's Mailing Address

Country: India State: TELANGANA
District: RANGA REDDY Address: 5-88
Locality: SINGAPURAM City/Town/Village: SINGAPURAM TOWER
Pin Code: 501203 Email Address: raj*******@gmail.com
Mobile Number: 995****895

Guardian Details
Qualification Occupation Annual Income
Father's/Guardian's: -- BUSINESS UPTO 100000
Mother's: -- OTHERS --

Payment Details
Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
Fee Type: Examination Fee Transaction Amount: 250 /-
Transaction ID: IGAEKPZUL9 Date of Transaction: 24/09/2018 11:56:40
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.
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