CUETApplicationForm 233510039362

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Common University Entrance Test CUET (UG) - 2023

Application Number 233510039362


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 deva sharma Father's Name dharmendra kumar
Mother's Name sunita sharma Guardian's Name dharmendra kumar
Candidate's Date of Birth 11-01-2005 Gender Male
Nationality Indian Mode of Preparation Self
Category General/Unreserved Are you Diabetic No
Are you a PwBD Candidate ? No
Benchmark Disability of 40% or more Not Applicable Scribe Required Not Applicable
State/ UT from where 12th/ Equivalent Passed/
UTTAR PRADESH
Appearing
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 with Medium of Examination(If Applicable)
Test Paper/Subject 1 101 : English Test Paper/Subject 2 Not Applicable
Test Paper/Subject 3 319 : Mathematics (Medium: English) Test Paper/Subject 4 Not Applicable
Test Paper/Subject 5 322 : Physics (Medium: English) Test Paper/Subject 6 Not Applicable
Test Paper/Subject 7 Not Applicable Test Paper/Subject 8 Not Applicable
Test Paper/Subject 9 Not Applicable Test Paper/Subject 10 Not Applicable
Examination Center City Selection Details
Center City Preference 1 RAEBARELI (UP34) Center City Preference 2 LUCKNOW (UP25)
Present Address : hari ram pur tirra , kuwarmau , nashira bad jais , RAE BARELI, UTTAR PRADESH, India, 229307
Permanent Address : hari ram pur tirra , kuwarmau , nashira bad , jais , RAE BARELI, UTTAR PRADESH, India, 229307
Contact Details : dev**********@gmail.com , 860****408 , 955****886
Images Uploaded by Candidate
Candidate's Photograph Candidate's Signature

Fee Payment Details


Application Number Amount Transaction Date Transaction ID Transaction Order ID
233510039362 ₹ 750.00 2023-02-11 20:54:28.0 20230211010470000831271075761151309 1014171CUET23233510039362
University / Programme Selection
G D Goenka University : BA (Hons). Political Science
UNIVERSITY OF DELHI : B.A.(Hons.) Sociology, B.A. (Hons.) English, B.A.(Hons.) Psychology
UNIVERSITY OF ALLAHABAD : B A ( Political Science)

Application number 233510039362, IP Address : 42.105.204.64, Generated On : 11-02-2023 20:58:36 IST, Page 1 of 1

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