Common University Entrance Test CUET (UG) - 2022

Application Number 223511172225

DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA)
CANDIDATE IS REQUIRED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE
Personal Details
Candidate's Name CHANDA KUMARI Father's Name RANJEET KUMAR
Mother's Name KALPANA DEVI Guardian's Name RANJEET KUMAR
Candidate's Date of Birth 17-03-2004 Gender Female
Nationality Indian Mode of Preparation Self
Category OBC-NCL Are you Diabetic No
PwBD Candidate with benchmark disability 40% or more No Scribe Required No
State/ UT from where 12th/ Equivalent Passed/ Appearing MADHYA PRADESH
Medium of Schooling in 12th/Equivalent Examination English Are you Kashmiri Migrant No
Are you a ward of University Employee No Claim for Sports Quota No
Ward of Defence Personnel / Ex-Servicemen No Claim for NCC Quota No
Do you belong to Below Poverty Line No
Test Paper / Subject(s) Selection Details
Test Paper / Subject(s) Selection for Slot-1
Language from Section IA 101 : English Domain-Specific Subject 1 306 : Chemistry
Domain-Specific Subject 2 322 : Physics Applied for General Test Section III No
Test Paper / Subject(s) Selection for Slot-2
Additional Language from Section IA & IB in lieu of Domain-
Additional Language from Section IA & IB Not Applicable Not Applicable
Specific subject
Domain-Specific Subject 3 Not Applicable Domain-Specific Subject 4 Not Applicable
Domain-Specific Subject 5 Not Applicable Domain-Specific Subject 6 Not Applicable
Examination Center City Selection Details
Question Paper Medium English
Center City Preference 1 DAMOH (MP25) Center City Preference 2 SAGAR (MP12)
Center City Preference 3 JABALPUR (MP08) Center City Preference 4 BHOPAL (MP03)
Present Address : MAGANJ WARD NO 05, NEAR RAILWAY INSTITUTE DAMOH, DAMOH, DAMOH, MADHYA PRADESH, India, 470661
Permanent Address : 154, POST ITWA, GRAM BARICHAK, MUNGER, BIHAR, India, 811212
Contact Details : ck3******@gmail.com , 747****525 , 747****195
Images Uploaded by Candidate
Candidate's Photograph Candidate's Signature

Fee Payment Details

Application Number Amount Transaction Date Transaction ID Transaction Order ID
223511172225 ₹ 600.00 2022-05-31 11:28:05 CPABSBFKR7 2119493
University / Programme Selection
CHHATRAPATI SHIVAJI MAHARAJ UNIVERSITY : B.Tech. Mechanical Engineering
APEX UNIVERSITY : B.Tech. in Mechanical Engineering
UNIVERSITY OF DELHI : B.Tech.(Information Technology and Mathematical Innovation)

Application number 223511172225, IP Address : 27.62.155.159, Generated On : 07-08-2022 11:19:57 IST, Page 1 of 1