COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243550265751

Do Not Send this Page to National Testing Agency (NTA).
Candidate is requested to retain the printout of Confirmation page for future Reference.
यितगत योरा (Personal Details)
एबीसी आईडी (Abc ID) NA
उमीदवार का नाम (Candidate उमीदवार की जम ितिथ (Candidate
Srijita Saha 22-07-2005
Name) Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Kiransankar Saha Papia Saha
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Female राटीयता (Nationality) Indian
Any Other Valid Govt पहचान संया (Identification
पहचान का कार (Identity Type) 716219162962
Identity With Photograph Number)
वग (Category) Sc राय का अिधवास (State Domicile) West Bengal
या आप पीडयूडी उमीदवार ह  (Are you a PwD Candidate?) No
िपता/अिभभावक की योयता िपता/अिभभावक का यवसाय
Others Business
(Father /Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय
Others Others
/Guardian Qualification) (Mother/Guardian Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय (Annual
No Rs. Up to 100000
Diabetic?) Family Income)
या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन कर
No
रहे ह (Are you twin and both applying for CUET-UG 2024)
िनवास की जगह (Place Of तैयारी का तरीका (Mode of
RURAL Self-study
Residence) Preparation)
योयता परीा म अययन का
मायम (Medium of Study in Bengali
Qualifying Examination)
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  (Do
या आप कमीरी वासी ह  (Are
you belong to Below Poverty No No
you Kashmiri Migrant ?)
Line ?)
रा कािमक/पूव सै िनकों का वाड
एनसीसी कोटा के िलए दावा (Claim
(Ward of Defence Personnel / No No
for NCC Quota)
Ex-Servicemen)
खेल कोटा के िलए दावा (Claim for Sports Quota) No
या आप िवविवालय कमचारी के
वाड ह  (Are you a ward of No
University Employee ?)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises
D/o-kiransankar Saha े  (Locality) Vill-kutura P.o-changuria P.s-suri
No./Name)
उप-मोहला (Sub-
NA दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) West Bengal िज़ला (District) Birbhum
िपन कोड (Pin Code) 731102 मेल पता (Email Address) Srijita.saha.cr7@gmail.com
कं टी कोड (Country Code) +91 मोबाइल नंबर (Mobile Number) 6296611876
वै किपक मोबाइल नंबर (Alternate
9474486028
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
D/o-kiransankar Saha े  (Locality) Vill-kutura P.o-changuria P.s-suri
No./Name)
उप-मोहला (Sub-
NA दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) West Bengal िज़ला (District) Birbhum
िपन कोड (Pin Code) 731102
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Details)
पिरणाम िथित (Result Status) Passed उीण वष (Passing of Year) 2022
बोड /िवविवालय का नाम
योयता परीा (Qualifying Exam) 10th Or Equivalent West Bengal Board Of Secondary Education
(Board/University Name)
कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of
Urban Others
Schooling) School / College)
अय कार के कू ल/कॉलेज (Other Type of School / College) Government Aided
योयता परीा दे श (Qualifying Examination Country) India
योयता परीा राय (Qualifying योयता परीा िजला (Qualifying
West Bengal Birbhum
Examination State) Examination District)
Kaligati Smriti Nari
कू ल/कॉलेज का नाम पता कू ल/कॉलेज िपनकोड
Sikshaniketan Dangal Para 731101
(School/College Name Address) (School/College Pincode)
Suri Birbhum
रोल नंबर (Roll Number) 306632N-0190
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 700.00
ात अंक(Obtained Marks) 558.00 ितशत % (Percentage %) 79.71
12वीं योयता िववरण (12th Qualification Details)
उीण वष /उपिथित (Passing of
पिरणाम िथित (Result Status) Appearing 2024
Year/Appearing)
बोड /िवविवालय का नाम West Bengal Council Of Higher Secondary
योयता परीा (Qualifying Exam) 12th Or Equivalent
(Board/University Name) Education
कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of
Urban Others
Schooling) School / College)
अय कार के कू ल/कॉलेज (Other Type of School / College) Government Aided
योयता परीा दे श (Qualifying Examination Country) India
योयता परीा राय (Qualifying योयता परीा िजला (Qualifying
West Bengal Birbhum
Examination State) Examination District)
Kaligati Smriti Nari
कू ल/कॉलेज का नाम पता कू ल/कॉलेज िपनकोड
Sikshaniketan Dangal Para 731101
(School/College Name Address) (School/College Pincode)
Suri Birbhum
रोल नंबर (Roll Number) 230221-1265
िवविवालय/ िवषय चयन (University / Subject Selection)
िवविवालय का नाम िवविवालय काय म का नाम
.सं. (S.No.) िवषय नाम (Subject Names)
(University Name) (University Program Name)
1. Visva-bharati University B.a. (hons) In Chinese English Or General Test
2. Visva-bharati University B.a. (hons) In English English, General Test
3. Visva-bharati University B.a. (hons) In Japanese English Or General Test
4. Visva-bharati University B.a. (hons) In German General Test
5. Visva-bharati University B.a. (hons) In Russian General Test
Candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
6. Jawaharlal Nehru University B.a. (hons.) Pashto
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
Candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
7. Jawaharlal Nehru University B.a. (hons.) Chinese
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
Candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
8. Jawaharlal Nehru University B.a. (hons.) German
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
Candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
9. Jawaharlal Nehru University B.a. (hons.) Japanese
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
 "candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
10. Jawaharlal Nehru University B.a. (hons.) Russian
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
Candidates Are Required To Opt For Section Ia –
English Test And Section Iii – General Test For
The Admission In Jnu. Candidates Who Will Not
11. Jawaharlal Nehru University B.a. (hons.) Spanish
Appear In Both The Sections, I.e. Section Ia
(english Test) And Section Iii (general Test), Will
Not Be Considered For Admission In Jnu.
The English And Foreign Any One Language From Section Ia Or Ib And
12. B.a. (hons./research) Chinese
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
13. B.a. (hons./research) French
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
14. B.a. (hons./research) German
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
15. B.a. (hons./research) Italian
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
16. B.a. (hons./research) Japanese
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
17. B.a. (hons./research) Persian
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
18. B.a. (hons./research) Russian
Languages University Section Iii General Test (501)
The English And Foreign Any One Language From Section Ia Or Ib And
19. B.a. (hons./research) Spanish
Languages University Section Iii General Test (501)
1. Language Test - English (101) Or Hindi (102) 2.
20. Banaras Hindu University B.a.(hons.) Arts
General Test (501)
Central University Of
21. Integrated B.a. And M.a. In Chinese General Test
Jharkhand
Central University Of
22. Integrated B. A. And M.a. In English General Test
Jharkhand
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
टे ट पे पर / िवषय का मायम (Medium of Test
.सं. (S.No.) परीा प (Test Paper) िवषय (Subject)
Paper / Subject)
1 Test Paper 1 English English
2 Test Paper 2 General Test English
परीा कद और िववरण (Exam Center And Details)
परीा कद के िलए िवकप
.सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name))
(Choice For Exam Center)
1 1st Choice For Exam Center Suri ( West Bengal )
2 2nd Choice For Exam Center Burdwan(bardhaman) ( West Bengal )
3 3rd Choice For Exam Center Durgapur ( West Bengal )
4 4th Choice For Exam Center Asansol ( West Bengal )
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

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शु क भु गतान िववरण (Fee Payment Details)

भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) ZIC51807909919
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 800 08-03-2024 11:24:04 AM
Submitted On)
शु क की पु िट ितिथ (Fee भु गतान गे टवे का नाम (Payment
08-03-2024 11:24:35 AM CANARA
Confirmed Date) Gateway Name)
घोषणा (Declaration)
म घोषणा करता हं ू िक आवे दन प म मे रे ारा दी गई जानकारी सभी कार से सय है और कुछ भी िछपाया नहीं गया है । यिद कोई िविट या जानकारी झठ ू ी पाई जाती
है , तो इससे मे रा वे श वत : र हो जाएगा और इसके अलावा म िवविवालय ारा उिचत समझी जाने वाली कारवाई के िलए भी उरदायी हो जाऊंगा। म एतद्ारा
वचन दे ता हं ू िक म ने कायम के िलए ॉपे टस म िनधािरत पाता शतों को यानपूवक पढ़ िलया है । म इस बात से सं तुट होने के बाद आवे दन कर रहा हं ू िक म पाता
शतों को पूरा करता हं ।ू यिद िकसी भी तर पर यह पाया जाता है िक म यूनतम िनधािरत मानदं ड को पूरा नहीं करता हं ,ू तो मे रा वे श, यिद िदया जाता है , र कर िदया
जाएगा और मु झे वे श का कोई अिधकार नहीं होगा। (I declare that information furnished by me in the application form is true in all respect and nothing is
concealed. In case any entry or information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such
actions as deemed fit by the University. I hereby undertake that I have carefully gone through the eligibility conditions prescribed in the prospectus for the
programme. I am applying after satisfying that I meet the eligibility conditions. If at any stage it is found that I do not fullfill the minimum prescribed
criteria, my admission, if granted, shall stand cancelled and I shall have no right to admission whatsoever.)
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