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Personal Details

APPLICATION SEQ NO FULL NAME OF THE APPLICANT DOB (dd/MMM/yyyy)

HCU046266 JAIMIN SANJAY GAJJAR 14/Oct/2002

Tab2Saved MOBILE NUMBER CONFIRM MOBILE NUMBER

Saved 9825929545 9825929545

EMAIL ID CONFIRM EMAIL ID UNIQUE ID PROOF

SGKRIBHCO@GMAIL.COM SGKRIBHCO@GMAIL.COM AADHAR CARD

UNIQUE ID PROOF NO FATHER'S/GUARDIAN'S FULL NAME MOTHER FULL NAME

886613503974 SANJAY NATVERLAL GAJJAR DAXA SANJAY GAJJAR

GENDER NATIONALITY PERSON WITH DISABILITY(PWD)

MALE INDIAN NATIONAL NO

WHETHER YOU NEED PARENT'S/GUARDIAN'S MOBILE PARENT'S/GUARDIAN UNIQUE ID

SCRIBE NUMBER PROOF

NA 9825929545 AADHAR CARD

PARENT'S/GUARDIAN ID PROOF PARENT'S/GUARDIAN'S ANNUAL

PRESENT ADDRESS 1
NUMBER INCOME

BETWEEN RS 6.5 LACS AND Rs 10 B-2052, KRIBHCO-HAEP

289160433684
LACS P.A TOWNSHIP

PRESENT ADDRESS 2 PRESENT ADDRESS 3 PRESENT ADDRESS STATE

PO:KRIBHCO NAGAR, HAZIRA ROAD SURAT GUJARAT

 PRESENT ADDRESS DISTRICT PRESENT ADDRESS OTHER DISTRICT PRESENT ADDRESS CITY

SURAT NA SURAT

PRESENT ADDRESS PINCODE PRESENT ADDRESS STATE TEMP PRESENT ADDRESS DISTRICT TEMP

394515 GUJARAT SURAT

PRESENT ADDRESS CHK PERMANENT ADDRESS 1 PERMANENT ADDRESS 2

Y B-2052, KRIBHCO-HAEP TOWNSHIP PO:KRIBHCO NAGAR, HAZIRA ROAD

PERMANENT ADDRESS 3 PERMANENT ADDRESS STATE PERMANENT ADDRESS DISTRICT

SURAT GUJARAT SURAT

PERMANENT ADDRESS OTHER DISTRICT PERMANENT ADDRESS CITY PERMANENT ADDRESS PINCODE

NA SURAT 394515

Applying For

Applying For PCM-COMEDK UGET ONLY

Application Form Status Submitted

Applying For Old PCM-COMEDK UGET ONLY

Category Details

BELONGS TO CATEGORY BELONGS TO KARNATAKA LINGUISTIC MINORITY

NON KARNATAKA NA NA

RELIGIOUS MINORITY HYDERABAD KARNATAKA REGION HYD KAR YES

NOT APPLICABLE NA NA

CATEGORY SUB CATEGORY

OTHER BACKWARD CLASSES NA

Academic Details

QUALIFYING EXAMINATION OTHER QUALIFYING EXAMINATION QUALIFYING EXAM

PASSED PASSED COMPLETED/NOT

12th STD NA PURSUING

MONTH OF PASSING QUAL EXAM YEAR OF PASSING QUAL EXAM BOARD OF QUALIFYING EXAM

NA NA CBSE

OTHER BOARD OF QUALIFYING NAME OF INSTITUTION LAST PLACE OF INSTITUION LAST

EXAM STUDIED STUDIED

NA SCHOLAR ENGLISH ACADEMY SURAT

 ROLL/REG/INDEX NO. OF 10TH STD MARKS CARD ROLL/REG/INDEX NO. OF 12TH STD/2ND PUC MARKS CARD

1118007 NA

City preference and payment

TEST CITY 1 TEST CITY 2 TEST CITY 3

Gujarat-Surat Gujarat-VADODARA Gujarat-AHMEDABAD

PAYMENT MODE AMOUNT PAYMENT STATUS

online 1600 S

PAYMENT TRANSACTION NO PAYMENT RECEIPT NO ORDERID

462003002367807 OL8480767183620410646 HCU04626620200316211220199