Personal Details

Application ID
GP24006570
Candidate's Name Date of Birth (DD-M Gender
MOHAMED HASHIM M M-YYYY) Male
F 03/Apr/2002 Nationality
INDIAN
Mother's Name Father's Name Category
HALEEMA UMMA MOHAMED FAROOK OBC-NCL(Central List)
Are you a Person wit
h Benchmark Disabili
ty (PwD) in terms of
RPwD Act, 2016?
NO

Contact Details

Mobile No Alternate Mobile No Email ID

+91 9345570092 +91 9003829330 farookhashim25@gma
il.com

Identification Details

Do you have Govern Government of India Do you have Govern

ment of India issued Issued VOTER ID CAR ment of India issued
VOTER ID CARD ? D Number PAN CARD ?
YES TPN1789874 YES
Government of India Do you have Govern Government of India
Issued PAN CARD Nu ment of India issued Issued DRIVING LICE
mber DRIVING LICENSE ? NSE Number
DKHPM5016E YES TN9120200003125
Driving License Validi Do you have Govern Government of India
ty ment of India issued Issued PASSPORT Nu
04/2042 PASSPORT ? mber
YES U7950175
PASSPORT Validity Mark of Identificatio Mark of Identificatio
10/2030 n 1 (on face) n 2 (Birth mark/Body
A MOLE UNDER LEFT E mark)
YE A MOLE ON RIGHT CH
EST

CORRESPONDENCE ADDRESS

Address Line 1 Address Line 2 Country

26/189 RAHAMANIYA S LALPET INDIA
TREET State City/District
TAMIL NADU Cuddalore
Pin Code Is Permanent Addres
608303 s Same as Correspon
dence address?
YES

Permanent Address

Address Line 1 Address Line 2 Country

26/189 RAHAMANIYA S LALPET INDIA
TREET
State City/District
TAMIL NADU Cuddalore
Pin Code
608303

10th or equivalent qualification details

State of the Board Name of the Board Month & Year of Pass
Tamil Nadu State Common Board ing
of School Education 05/2018
Result Mode Maximum Marks Marks Obtained
Percentage 500 385
Aggregate Percentag
e of Marks
77

12th or equivalent qualification details

State of the Board Name of the Board Month & Year of Pass
Tamil Nadu State Common Board ing
of School Education 07/2020
Result Mode Maximum Marks Marks Obtained
Percentage 600 363
Aggregate Percentag
e of Marks
60.5

Details of Bachelor in Pharmacy (B. Pharm)

Enrollment ID issued Country of completio State/UT of Completi

by University n of B. Pharm. Qualifi on
UP20G1500020 cation TAMIL NADU
INDIA University/College N
ame
Vels Institute Of Scienc
e Technology And Adv
anced Studies Vistas V
els University School O
f Pharmaceutical Scien
ces, Pallavaram (PCI-2
579)
Month & Year of Adm Status of qualifying Month and Year of P
ission B. Pharm assing 3rd Year of B.
07/2020 Pursuing 4th Year of B. Pharm
Pharm 11/2023
Result Mode CGPA in B. Pharm 1st CGPA in B. Pharm 2n
CGPA Year d Year
7.80 7.44
CGPA in B. Pharm 3rd
Year
7.39

Additional Information

Deported/Rusticated Charged of use of unf Are you Debarred of

during Pharmacy Co air means in GPAT? appearing in GPAT 20
urse NO 24?
NO NO
Have you applied in
GPAT 2023?
NO

Test Center Details

State City
TAMIL NADU CHENNAI

Payment Details

Amount Payment Mode Payment Status

3500 online S
Payment Transaction
No.
2899254625815

Document Upload Details

Captured Photo Uploaded Photo Signature

To view Marksheet of To view Marksheet of
B. Pharm 1st YearClick B. Pharm 2nd YearClic
here. k here.
To view Marksheet of
B. Pharm 3rd YearClick
Left Thumb Impressio
here.
n