Registration No.

: MTA22519107
MTA22519107
Personal Details
First Name Arush
Middle Name Last Name Kashyap

Father’s / Mother’s /
Vinod Kumar Jaysaval
Guardian’s Name

ID Name Aadharcard Date of Birth 21/06/2008

Id Number 308822193512 Gender Male
Nationality IndianCitizen Mobile No. 9886478039
Email Id vinodkjaiswal@gmail.com

(I)
Alternative Alternative
9449078039 divya.erit@gmail.com
Mobile No. Email Id
School Details
School Type JNV School Name JNV Urban, Bangalore
Class Ninth School Address State Highway 104, Yelahanka North, Bagalur,
Bangalore Urban District
School Pincode 562149 School District Bengaluru

School State Karnataka Region Belong To Karnataka

TA
Board CBSE Medium ENGLISH

Address Details
Permanent Address Address at the time of IOQM Examination
Door No. 002, Spoorthi Saahithya 002, Spoorthi Saahithya
Street Third main road, Singanapalya, Mahadevapura Post Third main road, Singanapalya, Mahadevapura Post
Landmark In front of DG gate of phoneix market city In front of DG gate of phoneix market city
City Bangalore Bangalore
District Bengaluru Bengaluru
State Karnataka Karnataka
M

Pincode 560048 560048

Subject IOQM Language ENGLISH

Center Preference
Center Name KAJ0005 - JAWAHAR NAVODAYA VIDYALAYA

Center Preference 1 Center Preference 2 Center Preference 3

N/A N/A N/A

Payment Details
Amount 200 Transaction No 11000125002461

Transaction Date 14/09/2022 00:47:05 Status Success

Declaration
I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In case of any changes in
the information furnished above, the same will be informed forthwith. In the event, the information is found to be false or incorrect
my application may be considered null and void.

14/09/2022 00:48
1/1