Do Not Send this Page to National Testing Agency (NTA). Candidate is requested to retain the printout of Confirmation page for future Reference. यितगत योरा (Personal Details) एबीसी आईडी (Abc ID) 243551615493 उमीदवार का नाम (Candidate उमीदवार की जम ितिथ (Candidate Shakti Swaraj Das 25-02-2006 Name) Date of Birth) िपता/अिभभावक का नाम माता/अिभभावक का नाम Suresh Chandra Das Rajalaxmi Das (Father/Guardian Name) (Mother/Guardian Name) िलंग (Gender) Male राटीयता (Nationality) Indian Any Other Valid Govt Identity पहचान संया (Identification पहचान का कार (Identity Type) 870297238605 With Photograph Number) वग (Category) General राय का अिधवास (State Domicile) Odisha या आप पीडयूडी उमीदवार ह (Are you a PwD Candidate?) No िपता/अिभभावक की योयता िपता/अिभभावक का यवसाय (Father /Guardian Post Graduate Others (Father/Guardian Occupation) Qualification) माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय Graduate Others /Guardian Qualification) (Mother/Guardian Occupation) या आपको मधुमेह ह (Are you वािषक पािरवािरक आय (Annual No Rs. 200001 – 300000 Diabetic?) Family Income) या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन कर रहे ह No (Are you twin and both applying for CUET-UG 2024) िनवास की जगह (Place Of तैयारी का तरीका (Mode of URBAN Self-study Residence) Preparation) योयता परीा म अययन का मायम (Medium of Study in English Qualifying Examination) अय कोटा े णी िववरण (Other Quota Category Details) या आप गरीबी रे खा से नीचे ह (Do या आप कमीरी वासी ह (Are you you belong to Below Poverty No No Kashmiri Migrant ?) Line ?) रा कािमक/पूव सै िनकों का वाड एनसीसी कोटा के िलए दावा (Claim for (Ward of Defence Personnel / No No NCC Quota) Ex-Servicemen) खेल कोटा के िलए दावा (Claim for Sports Quota) No या आप िवविवालय कमचारी के वाड ह (Are you a ward of No University Employee ?) संपक योरा वतमान पता (Contact Details Present Address) पिरसर संया / नाम (Premises Mahabir Lane Near Idbi Bank े (Locality) Khandapada Road No./Name) उप-मोहला (Sub- Od-nay-mal-80e-o30 दे श (Country) India Locality(Optional)) राय/संघ (State/UT) Odisha िज़ला (District) Nayagarh िपन कोड (Pin Code) 752069 मेल पता (Email Address) Underair62@gmail.com कं टी कोड (Country Code) +91 मोबाइल नंबर (Mobile Number) 9439491775 वै किपक मोबाइल नंबर (Alternate 9556221988 Mobile Number) थायी पता (Permanent Address) पिरसर संया / नाम (Premises Mahabir Lane Near Idbi Bank े (Locality) Khandapada Road No./Name) उप-मोहला (Sub- Od-nay-mal-80e-o30 दे श (Country) India Locality(Optional)) राय/संघ (State/UT) Odisha िज़ला (District) Nayagarh िपन कोड (Pin Code) 752069 योयता िववरण (Qualification Details) 10वीं योयता िववरण (10th Qualification Details) पिरणाम िथित (Result Status) Passed उीण वष (Passing of Year) 2022 योयता परीा (Qualifying बोड /िवविवालय का नाम 10th Or Equivalent Central Board Of Secondary Education Exam) (Board/University Name) कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of School Urban Government School Schooling) / College) योयता परीा दे श (Qualifying Examination Country) India योयता परीा राय (Qualifying योयता परीा िजला (Qualifying Odisha Nayagarh Examination State) Examination District) कू ल/कॉलेज का नाम पता Odisha Adarsha कू ल/कॉलेज िपनकोड (School/College 752079 (School/College Name Address) Vidayalaya,notar,nayagarh Pincode) रोल नंबर (Roll Number) 12172050 पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00 ात अंक(Obtained Marks) 446.00 ितशत % (Percentage %) 89.20 12वीं योयता िववरण (12th Qualification Details) उीण वष /उपिथित (Passing of पिरणाम िथित (Result Status) Appearing 2024 Year/Appearing) योयता परीा (Qualifying बोड /िवविवालय का नाम 12th Or Equivalent Central Board Of Secondary Education Exam) (Board/University Name) कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of School Urban Private Unaided Schooling) / College) योयता परीा दे श (Qualifying Examination Country) India योयता परीा राय (Qualifying योयता परीा िजला (Qualifying Odisha Khordha Examination State) Examination District) Mbs Public School,bhouma कू ल/कॉलेज का नाम पता कू ल/कॉलेज िपनकोड (School/College Nagar, Bhubaneswar, Odisha 751022 (School/College Name Address) Pincode) 751022 रोल नंबर (Roll Number) NA िवविवालय/ िवषय चयन (University / Subject Selection) िवविवालय का नाम िवविवालय काय म का नाम .सं. (S.No.) िवषय नाम (Subject Names) (University Name) (University Program Name) Any One From Section I B.tech. (information Technology And 1. University Of Delhi +mathematics/applied Mathematics + Section Mathematical Innovation) Iii Physics And Mathematics As Compulsory Subjects Along With One Of The Following Subjects: Chemistry, Bio Technology, B.tech. Computer Science And 2. Central University Of Punjab Biology, Technical Vocational Subject, Engineering* Computer Science, Information Technology, Information Practices, Agriculture, Engineering Graphics And Business Studies. Section Ia Languages (any Of The Listed Babasaheb Bhimrao Ambedkar 3. B.tech. In Computer Engineering Languages May Be Chosen.). Section Ii/iii- University Physics/ Chemistry/ Mathematics (all Three) Shri Mata Vaishno Devi Language Test: English (101) + Physics + 4. B.sc. With Major In Physics University Mathematics / Chemistry/general Test (501) Jagannath University, Jaipur English (code 101) Physics (code 322) 5. B.tech -computer Science Engineering (rajasthan) Mathematics (code 319) Bachelor Of Technology (aerospace 6. Iimt University Physics, Chemistry And Mathematics Engineering) Bachelor Of Technology (computer 7. Iimt University Physics, Chemistry And Mathematics Science & Engineering) Physics, Mathematics, English Or Physics, B.tech (computer Science And 8. Bml Munjal University Mathematics, Chemistry,english/computer Engineering) Science / Informatics Practices Physics, Mathematics And Hemvati Nandan Bahuguna Chemistry/computer 9. Computer Science And Engineering Garhwal University Science/electronics/information Technology/ Biology/informatics Practices/ Biotechnology 1. Subject Test – Chemistry (306) 2. Subject 10. Banaras Hindu University B.tech. In Food Technology Test – Mathematics (319) 3. Subject Test – Physics (322) 5 Year Integrated M.tech In Computer Physics; Mathematics; And Mahatma Gandhi Central Science And Engineering (b.tech. 11. Chemistry/biology/computer University Degree Awarded If Exit After Four Science/informatic Practices Years) 12. Central University Of Karnataka B.tech (computer Science) Physics, Chemistry, Mathematics Chhatrapati Shivaji Maharaj 13. Computer Science Physics, Chemistry And Mathematics University I. Physics (code 306)-section Ii Ii. Chemistry Guru Gobind Singh Indraprastha (code 322)- Section Ii Iii. Mathematics (code 14. B.tech (bt) University 319)-section Ii Iv. Biology / Biotechnology (code 304)– Section Ii B.tech. (lateral Entry) In Mechanical Engineering, Electrical Engineering, Dr. Rammanohar Lohia Avadh Physics(322), Chemistry (306) And 15. Electronics Engineering, Civil University, Ayodhya Mathematics (319) Engineering, Computer Science Engineering,information Technology टे ट पे पर / िवषय चयन (Test Paper / Subject Selection) टे ट पे पर / िवषय का मायम (Medium of Test .सं. (S.No.) परीा प (Test Paper) िवषय (Subject) Paper / Subject) 1 Test Paper 1 Physics English 2 Test Paper 2 Mathematics / Applied Mathematics English 3 Test Paper 3 Chemistry English 4 Test Paper 4 English English 5 Test Paper 5 General Test English परीा कद और िववरण (Exam Center And Details) परीा कद के िलए िवकप .सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name)) (Choice For Exam Center) 1 1st Choice For Exam Center Bhubaneswar ( Odisha ) nd 2 2 Choice For Exam Center Cuttack ( Odisha ) 3 3rd Choice For Exam Center Puri ( Odisha ) th 4 4 Choice For Exam Center Phulbani (kandhamal) ( Odisha ) उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)
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भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) CPADRKBTJ8 शु क जमा िकया गया (Fee Submitted परीा शु क (Exam Fee) 1800 31-03-2024 20:20:51 PM On) शु क की पु िट ितिथ (Fee भु गतान गे टवे का नाम (Payment 31-03-2024 20:23:50 PM SBI Epay Confirmed Date) Gateway Name) घोषणा (Declaration) म घोषणा करता हं ू िक आवे दन प म मे रे ारा दी गई जानकारी सभी कार से सय है और कुछ भी िछपाया नहीं गया है । यिद कोई िविट या जानकारी झठ ू ी पाई जाती है , तो इससे मे रा वे श वत : र हो जाएगा और इसके अलावा म िवविवालय ारा उिचत समझी जाने वाली कारवाई के िलए भी उरदायी हो जाऊंगा। म एतद्ारा वचन दे ता हं ू िक म ने कायम के िलए ॉपे टस म िनधािरत पाता शतों को यानपूवक पढ़ िलया है । म इस बात से सं तुट होने के बाद आवे दन कर रहा हं ू िक म पाता शतों को पूरा करता हं ।ू यिद िकसी भी तर पर यह पाया जाता है िक म यूनतम िनधािरत 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.) IP Address : 152.58.149.138 Date of Downloading : 31-03-2024 20:23:51 PM Domain name : cuetug.ntaonline.in