Zone/Scrutiny Code JAM 2023

4GE2 G121W19
G121W19
(Enrolment ID)

Farheen Ghayas
(Full Name of the Applicant)

05 May 2001 Female GEN

(D.O.B) (Gender) (Category)

Indian CQNPG5546E Mohammad Asadullah; 9006225530

(Nationality) PAN Card (Details of Parent/Guardian)

Address for Correspondence JAM Exam Details

Flat no.-304 hussain appt. Exhibition road JAM Paper Code(s)
Patna, Patna
Bihar, India 800001
9065705033 (Mobile No.) CY, BT
farheenghayas@gmail.com
Chemistry, Biotechnology
Patna
(Exam City Choice 1)
Qualification Details
B.Sc. Dhanbad
(Exam City Choice 2)
Chemistry
Graduated: No; Year of Graduation: 2023 Siliguri
(Exam City Choice 3)
Patna University
Patna JAM 2023 Office Contact
Bihar, India 800001
Organizing Chair, JAM 2023
GATE - JAM Office
Indian Institute of Technology Guwahati
Payment Details Guwahati - 781 039, Assam, India

Payment Mode Transaction Ref. No. Transaction Date Amount Payment For
Online CPACCOVAV6 10/8/22, 3:38 PM INR 1250.00 Registration

I have fully read and understood the Information Brochure and I shall abide by the Terms and
Conditions therein. The responsibility of following JAM 2023 website and meeting various
deadlines lies with me. I understand that the communications from JAM 2023 would be sent by
email/ SMS/ web and JAM 2023 will not be held responsible for internet/ mobile network failure
for the same.

I hereby declare that all the particulars stated in this application form are true to the best of my
knowledge and belief. In the event of suppression or distortion of any fact in my application
form, I understand that I will be denied the opportunity

Digital Fingerprint: 5f14899695678f0b1bcd01b234d74fdf