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Personal Details
APPLICATION SEQUENCE COM021704
NUMBER:
Applying For:
APPLYING FOR: PCM-BOTH COMEDK UGET and UniGAUGE E

Personal Information
FULL NAME OF THE NIKHIL KR
APPLICANT :
MOBILE NUMBER : 9845203607
EMAIL ID : RAMNIT_2@YAHOO.COM

FATHER'S/GUARDIAN'S FULL K RAMESH BABU


NAME :
MOTHER'S FULL NAME : POORNIMA RAMESH BABU

Other Personal Information


DATE OF BIRTH : 1999-10-29
UNIQUE ID PROOF OF AADHAR CARD
APPLICANT :
UNIQUE ID PROOF NUMBER 679218177412
OF APPLICANT :
GENDER : MALE
PERSON WITH
NO
DISABILITY(PWD) :
WHETHER YOU NEED SCRIBE? NA
PARENT'S/GUARDIAN'S
MORE THAN RS 10 LACS P.A
ANNUAL INCOME:
NATIONALITY: INDIAN NATIONAL
PARENTS/GUARDIAN'S
9845203607
MOBILE NUMBER:
PARENT'S/GUARDIAN'S AADHAR CARD
UNIQUE ID PROOF:
PARENT'S/GUARDIAN'S:
418374033066
UNIQUE ID PROOF NUMBER:
Correspondence Address for communication purpose
PRESENT ADDRESS NO 325, NAMMANE, 21ST CROSS, 28TH MAIN,
LINE 1:

PRESENT ADDRESS 2ND SECTOR, HSR LAYOUT


LINE 2:

PRESENT ADDRESS BENGALURU 560102


LINE 3 :

PRESENT ADDRESS STATE: KARNATAKA

PRESENT ADDRESS DISTRICT: BANGALORE URBAN

PRESENT ADDRESS NA
OTHER DISTRICT:
PRESENT ADDRESS CITY: BENGALURU

PRESENT ADDRESS PIN CODE: 560102

Permanent Address
PERMANENT ADDRESS LINE 1: NO 325, NAMMANE, 21ST CROSS, 28TH MAIN,

PERMANENT ADDRESS LINE 2: 2ND SECTOR, HSR LAYOUT

PERMANENT ADDRESS LINE 3: BENGALURU 560102

PERMANENT ADDRESS STATE: KARNATAKA


PERMANENT ADDRESS BANGALORE URBAN
DISTRICT :
PERMANENT ADDRESS NA
OTHER DISTRICT:
PERMANENT ADDRESS CITY: BENGALURU
PERMANENT ADDRESS PIN
560102
CODE:
Category Details:
BELONGS TO : KARNATAKA
BIRTH/DOMICILE: BY BIRTH

LINGUISTIC MINORITY: NOT APPLICABLE


RELIGIOUS MINORITY: NOT APPLICABLE
DO YOU BELONG TO
NO
HYDERABAD KARNATAKA
REGION?
CATEGORY : GENERAL MERIT (GM)

SUB CATEGORY: NA

Academic Details:
QUALIFYING EXAM:
2nd PUC

OTHER QUALIFYING EXAM:


NA

QUALIFYING EXAM PURSUING


COMPLETED/NOT:
MONTH AND YEAR OF NA NA
PASSING QUALIFYING EXAM:
BOARD OF QUALIFYING
STATE BOARD
EXAM:

OTHER BOARD OF
NA
QUALIFYING EXAM:

NAME OF INSTITUTION LAST NARAYANA ITI ACADAMY AND PU COLLEGE BELLANDUR


STUDIED:

PLACE OF INSTITUTION LAST BENGALURU


STUDIED:

ROLL/REG/INDEX NO OF 10TH 4040558


STANDARD MARKS CARD:
ROLL/REG/INDEX NO. OF 12TH NA
STD/2ND PUC MARKS CARD
OTHER ENTRANCE EXAMS JEE
BEING PURSUED
Exam City Preferences
EXAM CITY PREFERENCE 1 KARNATAKA-BENGALURU

EXAM CITY PREFERENCE 2 KARNATAKA-MYSURU(MYSORE)


EXAM CITY PREFERENCE 3 KARNATAKA-MANDYA
Payment Details
PAYMENT STATUS: PAYMENT SUCCESS

PAYMENT AMOUNT: 2478

PAYMENT TRANSACTION 103112275429219


NO.
Additional Payment Details
PAYMENT STATUS:
PAYMENT AMOUNT:
PAYMENT TRANSACTION
NO.
Candidate Documents/Images Upload Details

Photo Signature Guardian Signature

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