Joint Entrance Examination (Advanced) 2023

Indian Institutes of Technology

REGISTRATION RECEIPT

Registration No. W31331011764

Candidate Details
JEE (Main) Application number 230310109122 Date of Birth 26/12/2004
Candidate's Name JAGRITY RANI Category SC
Mother's Name SUSHILA DEVI Person with Disability (PwD) As per No
JEE(Main)
Father's Name SATISH KUMAR Nationality INDIAN
Complete Mailing Address
Address SATISH KUMAR
Country India
State HARYANA District BHIWANI
Locality Mobile Number 91 720****173
City/Town/Village BHIWANI Email Address cha*********l29@gmail.com
Pin Code / Postal Code 127021 Additional Mobile number 91 981****383
Land Line Number 9812933383 Additional Email Address SAT*********646@GMAIL.COM
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2022
Name of the Class XII (or equivalent) The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central Board of Secondary
examination Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi; etc.
School Board HARYANA BOARD OF SCHOOL EDUCATION
Roll Number 3022028429
Name of the School / College GOVT. SR SEC SCHOOL SANGA BHIWANI
Address of the School / College GOVT. SR SEC SCHOOL SANGA BHIWANI
JEE (Main) Paper 1 Score
Physics: 69.2963000 Chemistry: 53.9522202 Maths: 17.1481853 Total: 54.7645621
Remarks : Eligible for JEE (Advanced) 2023.
Furnished Information for JEE (Advanced)
Do you have disability and having No
difficulty in writing
Need scribe/reader No Do you want to avail compensatory time No
as of GoI guidelines/ memorandum?
Class XIIth (or equivalent)/ Qualifying India Year of first appearance in Class XII 2022
Exam (QE) Passed From Exam
Year of first attempt in JEE (Advanced) 2023 Color Blindness No
One Eyed Vision No Eligible for DS Seats No
Examination City for JEE (Advanced)
1st Choice of Exam City HARYANA-HISAR 2nd Choice of Exam City HARYANA-AMBALA
3rd Choice of Exam City DELHI NCR-GURUGRAM 4th Choice of Exam City DELHI NCR-DELHI (WEST)
5th Choice of Exam City DELHI NCR-DELHI (NORTH) 6th Choice of Exam City RAJASTHAN-SIKAR
7th Choice of Exam City PUNJAB-BATHINDA 8th Choice of Exam City CHANDIGARH-CHANDIGARH
Payment Details
Payment Mode EPG Transaction ID IGAPNCMLR8
Registration Fee INR 1450 Date of Transaction 30/04/2023 16:35:31
DECLARATION
I hereby declare that all the particulars stated in this Registration Receipt are true to the best of my knowledge and belief. I have read and understood the JEE (Advanced)
procedures. I shall abide by the terms and conditions therein. I understand that, if any of the information provided by me is found to be false / incorrect at any later time, my
candidature shall be cancelled and I shall be debarred from appearing for JEE (Advanced). This my first/second attempt in JEE (Advanced). In case, it is found that I am ineligible
to appear for JEE (Advanced) 2023 at any stage, I agree that my candidature will be cancelled and registration fee will be forfeited.
Certificates uploaded
Class-X or Birth Certificate Uploaded Class-XII (or equivalent) Mark Sheet Uploaded
SC Certificate Uploaded