10/4/2020 J.C.E.C.E.

APPLICATION NO : 120198

APPLICATION FORM PREVIEW

Exam Name : Polytechnic Entrance Competitive Examination - 2020 [P.E.C.E.]

PERSONAL INFORMATION

APPLICATION NO. : 120198

APPLICANT'S NAME: BIJAY KUMAR SINGH

FATHER'S/GUARDIAN'S NAME: JAYPRAKASH SINGH

MOTHER'S NAME: BHARTI DEVI

DATE OF BIRTH: 17-02-2004

GENDER: MALE

RESIDENTIAL STATUS: PARMANENT RESIDENT OF JHARKHAND

CATEGORY: GEN

ECONOMICALLY WEAKER SECTION: YES

PERSON WITH DISABILITIES (PWD): NO

WINDOW/WARD OF DEFENCE NO
PERSONNEL:

ANNUAL FAMILY INCOME: GREATER THAN RS. 70 THOUSAND AND LESS OR EQUAL TO RS. 2 LAKHS

WHETHER YOU BELONG TO MUSLIM NO

MINORITY:

NATIONALITY: INDIAN

AADHAAR NUMBER: 885796777883

MOBILE NUMBER: 9835537449

EMAIL ID: RS2629469@GMAIL.COM

COMMUNICATION DETAILS: ADDRESS: KATNIA DHANBAD

LOCALITY: KATNIA
CITY/TOWN/VILLAGE: DHANBAD
STATE/U.T.:   JHARKHAND (JH)
DISTRICT: DHANBAD
PINCODE: 828109

Qualification Details

COURSE DETAILS

APPLY FOR DIPLOMA ENGINEERING

AVAIL FOR TUITION FEE WAIVER(TFW) SCHEME YES

1ST CHOICE OF EXAM CITY DHANBAD

2ND CHOICE OF EXAM CITY BOKARO

CLASS 10th OR EQUIVALENT EXAMINATION DETAILS

PASS STATUS PASSED

NAME OF THE BOARD/UNIVERSITY CBSE

YEAR OF PASSING 2020

OBTAINED MARKS 306

TOTAL MARKS 500

OBTAINED PERCENTAGE/GRADES PERCENTAGE 61.20

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10/4/2020 J.C.E.C.E.B

ROLL NO /ENROLL NO 22274477

INSTITUTE NAME AND ADDRESS MOUNT LITERA ZEE SCH BAUKALA BHULI DHANBAD

UPLOADED DOCUMENTS

APPLICANT'S SIGN.

APPLICANT'S 10th / EQUIVALENT DOCUMENT

Payment Status

FEE DETAILS BANK REFERENCE NO. TRANSACTION DATE PAYMENT MODE

650.00 JCECEB-OL223296 23-06-2020 ONLINE

Declaration

I hereby declare that the information submitted by me is correct and true to the best of my knowledge. I shall be liable for any disciplinary/punitive action in
case any of the details are found to be incorrect.

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