ररषषय पपघघगगकक ससससरन ररयपपर

NATIONAL INSTITUTE OF TECHNOLOGY RAIPUR

(An Institute of National Importance)
G.E. Road, Raipur, Chhattisgarh-492010,India
Website: www.nitrr.ac.in

B.Tech. - I Year Provisional Admission Slip 2020-2021

PERSONAL DETAILS

Candidate Name ALBERT DAVID

JEE Roll No 200310663694

Mobile No. 7985292767

Student's Email ID : albertdavid876@gmail.com

Student Hindi Name अललरर डड ववड

Gender MALE

Nationality INDIAN Blood Group O+ve

Religion HINDU NITRR Reg. No 17509

Date of Birth 08/07/2002 Enrollment No. 201131

Candidate Category OBC Allotted Category OBC

HARPALPUR, , HARPALPUR, NA, UTTAR PRADESH, 241402

Correspondence
Address
City : HARDOI Pin : 241402

HARPALPUR, , HARPALPUR, NA, UTTAR PRADESH, 241402

Permanent Address
City : HARDOI Pin : 241402

PARENT/GUARDIAN DETAILS
Father's Name RAVENDRA SINGH Father's Mobile No. 9919601163

Mother's Name UMA DEVI Mother's Mobile No. 7068273053

Father's Email ID -

JEE(MAIN) - DETAILS
Roll No : 200310663694 AIR : 61833

Other State State of Eligibility : BIHAR

Quota :

Branch Allotted : BIO TECHNOLOGY

Remark : All original documents will be required at the time of physical reporting.

FEES PAYMENT DETAILS

Total Amount : 13,000.00

Amount Paid in JOSAA : 73,000.00

Amount Paid in NITRR: 0.00

Payment Type/Ref. No. NIL

Payment Date : 02-December-2020

This is Computer Generated Document. No Signature is required.

Print Date :-02/12/2020 4:13 pm