Comedk and Uni-Gauge Uget 2023

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Your application has been successfully submitted. Your Payment is successful.

APPLYING FOR

APPLYING FOR HAVE YOU BEEN ALLOTED A COMEDK SEAT


PCM-COMEDK UGET ONLY IN PREVIOUS YEARS
NO

Personal Details

APPLICATION STATUS APPLICATION NUMBER


PaymentSuccess KCU0098643
FULL NAME OF THE APPLICANT CANDIDATE NAME AS PER GOVT ID PROOF
RAGUL E RAGUL E
EMAIL ADDRESS MOBILE NUMBER
ragule.503@gmail.com 9843334252
DATE OF BIRTH UNIQUE ID PROOF OF APPLICANT
15/Mar/2006 OTHER GOVERNMENT ISSUED ID PROOF
OTHER UNIQUE ID PROOF NAME UNIQUE ID PROOF NUMBER OF APPLICANT
ADHAR 322720129564
GENDER NATIONALITY
MALE Indian
PERSON WITH DISABILITY(PWD) WHETHER YOU NEED SCRIBE?
NO NA
PARENT'S ANNUAL INCOME
BETWEEN RS 6.5 LACS AND Rs 10 LACS P.A

Parent's Information

FATHERS'S FULL NAME MOTHER'S NAME


ELANGOVAN K KAVITHA E
FATHER/MOTHER OCCUPATION PARENT'S MOBILE NUMBER
PRIVATE SECTOR 9843334252
PARENT'S UNIQUE ID PROOF PARENT'S UNIQUE ID PROOF NUMBER
DRIVING LICENCE TN4720210002577

Present Address For Communication Purpose

ADDRESS NAME OF NEAREST POLICE STATION TO


3/113,LNS STREET, VADIVAL NAGAR, KARUR YOUR PRESENT ADDESSS
KARUR TOWN
PRESENT ADDRESS STATE PRESENT ADDRESS DISTRICT
TAMIL NADU KARUR
PRESENT ADDRESS OTHER DISTRICT PRESENT ADDRESS CITY
NA KARUR
PRESENT ADDRESS PIN CODE IS YOUR PERMANENT ADDRESS SAME AS
639002 PRESENT ADDRESS?
Yes

Permanent Address

ADDRESS ADDRESS STATE


3/113,LNS STREET, VADIVAL NAGAR, KARUR TAMIL NADU
ADDRESS DISTRICT ADDRESS OTHER DISTRICT
KARUR NA
ADDRESS CITY ADDRESS PIN CODE
KARUR 639002

Category Details

BELONGS TO BIRTH/DOMICILE
NON KARNATAKA NA
LINGUISTIC MINORITY
NA
DO YOU BELONG TO KALYANA KARNATAKA KALYANA KARNATAKA REGION(HK Region)
REGION (HK Region)? NA
NA CATEGORY
GENERAL MERIT (GM)

Academic Details

QUALIFYING EXAM OTHER QUALIFYING EXAM


12th STD NA
QUALIFYING EXAM COMPLETED/ PURSUING MONTH AND YEAR OF PASSING
PURSUING QUALIFYING EXAM
NA
NA
BOARD OF QUALIFYING EXAM
CBSE
OTHER BOARD OF QUALIFYING EXAM NAME OF INSTITUTION LAST STUDIED
NA VELAMMAL VIDYALAYA
STATE IN WHICH YOUR INSTITUTION IS CITY IN WHICH YOUR INSTITUTION IS
LOCATED (LAST STUDIED) LOCATED(LAST STUDIED)
TAMIL NADU KARUR
ROLL/REG/INDEX NO./UNIQUE ID OF 10TH ROLL/REG/INDEX NO./UNIQUE ID OF 12TH
STD MARKS CARD STD/2ND PUC MARKS CARD
20199204 NA
OTHER ENTRANCE EXAM YOU ARE
APPEARING
IIT-JEE
OTHER STATE CET

Exam City Preferences

EXAM CITY PREFERENCE 1 EXAM CITY PREFERENCE 2


TAMIL NADU-TIRUCHIRAPPALLI TAMIL NADU-SALEM
EXAM CITY PREFERENCE 3
TAMIL NADU-MADURAI

Payment Details

Amount Payment Mode


1800 online
Payment Status Payment Transaction No.
SUCCESS 17221271329
Order ID
KCU009864320230421225137

Student Documents
Photo Signature

Declaration

I declare that I have read the Exam Brochure, instructions and am conversant with the Online
process of submission of application.

I am fully aware that the application fee prescribed by COMEDK /ERA Foundation will not be
refunded for any reason including judicial and other statutory reasons.

I hereby declare that the information given above is true and correct to the best of my
knowledge and belief. I further declare to submit all certificates in original at the time of
admission / Counseling relevant to my claims made in the application. I also agree to forfeit my
claim for admission in the event of failure to produce the relevant original certificates. I shall
abide by the Rules and Regulations of COMEDK/ERA Foundation.

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