COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243550717452

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
Ghulam Samdani 01-01-2006
Name) (Candidate Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Manowar Alam Rubi Khatoon
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Male राटीयता (Nationality) Indian
पहचान संया (Identification
पहचान का कार (Identity Type) Pan Card EHFPG4505Q
Number)
राय का अिधवास (State
वग (Category) General Bihar
Domicile)
या आप पीडयूडी उमीदवार ह  (Are you a PwD
No
Candidate?)
िपता/अिभभावक की योयता िपता/अिभभावक का यवसाय
(Father /Guardian Others (Father/Guardian Agriculture
Qualification) Occupation)
माता/अिभभावक योयता माता/अिभभावक का यवसाय
(Mother /Guardian Illiterate (Mother/Guardian Others
Qualification) Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय
No Rs. Up to 100000
Diabetic?) (Annual Family Income)
या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन
कर रहे ह (Are you twin and both applying for CUET-UG No
2024)
िनवास की जगह (Place Of तैयारी का तरीका (Mode of
RURAL Online Coaching
Residence) Preparation)
योयता परीा म अययन का
मायम (Medium of Study in English
Qualifying Examination)
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  या आप कमीरी वासी ह 
(Do you belong to Below No (Are you Kashmiri Migrant No
Poverty Line ?) ?)
रा कािमक/पूव सै िनकों का वाड
एनसीसी कोटा के िलए दावा
(Ward of Defence Personnel / No No
(Claim 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
Village Berho े  (Locality) Thana Kadwa
No./Name)
उप-मोहला (Sub-
Post Chowki Haripur दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Bihar िज़ला (District) Katihar
िपन कोड (Pin Code) 855105 मेल पता (Email Address) Gsamdani417@gmail.com
मोबाइल नंबर (Mobile
कं टी कोड (Country Code) +91 8271308578
Number)
वै किपक मोबाइल नंबर
7983645936
(Alternate Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
Village Berho े  (Locality) Thana Kadwa
No./Name)
उप-मोहला (Sub-
Locality(Optional))
राय/संघ (State/UT)
िपन कोड (Pin Code)
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Details)
पिरणाम िथित (Result Status)
योयता परीा (Qualifying
Exam)
कू ली िशा का थान (Place of
Schooling)
योयता परीा दे श (Qualifying Examination Country)
योयता परीा राय
(Qualifying Examination
State)
कू ल/कॉलेज का नाम पता
(School/College Name
Address)
रोल नंबर (Roll Number)
पिरणाम मोड (Result Mode)
ात अंक(Obtained Marks)
12वीं योयता िववरण (12th Qualification Details)
पिरणाम िथित (Result Status)
योयता परीा (Qualifying
Exam)
कू ली िशा का थान (Place of
Schooling)
योयता परीा दे श (Qualifying Examination Country)
योयता परीा राय
(Qualifying Examination
State)
कू ल/कॉलेज का नाम पता
(School/College Name
Address)
रोल नंबर (Roll Number)
िवविवालय/ िवषय चयन (University / Subject Selection)
.सं. (S.No.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Post Chowki Haripur दे श (Country) India
Bihar िज़ला (District) Katihar
855105
Passed उीण वष (Passing of Year) 2021
बोड /िवविवालय का नाम
10th Or Equivalent Bihar School Examination Board
(Board/University Name)
कू ल/कॉलेज का कार (Type
Rural Government School
of School / College)
India
योयता परीा िजला
Bihar (Qualifying Examination Purnia
District)
कू ल/कॉलेज िपनकोड
Baisi High School 854315
(School/College Pincode)
2100030
Percentage कुल अंक (Total Marks) 500.00
386.00 ितशत % (Percentage %) 77.20
उीण वष /उपिथित (Passing
Appearing 2024
of Year/Appearing)
बोड /िवविवालय का नाम
12th Or Equivalent Bihar School Examination Board
(Board/University Name)
कू ल/कॉलेज का कार (Type
Rural Government School
of School / College)
India
योयता परीा िजला
Bihar (Qualifying Examination Katihar
District)
कू ल/कॉलेज िपनकोड
K B Jha College Katihar 854105
(School/College Pincode)
24010388
िवविवालय का नाम िवविवालय काय म का नाम
िवषय नाम (Subject Names)
(University Name) (University Program Name)
Guru Ghasidas
Bachelor Of Pharmacy General Test
Vishwavidyalaya
B. Pharm (4 Years Under
1. English 2. Three Domain Specific Subjects Viz; Physics,
Assam University Graduate Course In
Chemistry And Biology Or Mathematics.
Pharmaceutical Science)
Sikkim University B.sc In Nursing Physics, Chemistry, Biology, English
"three Domain Subjects (physics, Chemistry And
Dr. Harisingh Gour B.pharm. (bio/math Groups)
Mathematics Or Biology) From Section Ii + General Test
Vishwavidyalaya (8 Semesters)
From Section Iii "
Indira Gandhi National
Tribal University,
B. Pharm. Chemistry +biology Or Mathematics
Amarkantak, Madhya
Pradesh
Chitkara University, Bachelor Of Science Nursing
Physics/chemistry/biology
Punjab (basic)
Jamia Hamdard Biotechnology Biology
Jaipur National University B.tech. (biotechnology) Physics, Chemistry, Biology,mathematics
Jagannath University,
B.pharm. English (code 101) Physics (code 322) Chemistry (code 306)
Jaipur (rajasthan)
Bachelor Of Science Nursing
Arka Jain University English , Physics , Chemistry , Biology
(basic)
Central University Of Four Year B.sc. Biotechnology
Physics, Chemistry, Biology
Rajasthan (hons./research)
 General Test, Biology/ Biological Studies/biochemistry/
12. University Of Jammu Biotechnology
Biotechnology
Cluster University Of Biology/biological Studies/bio-technology/ Bio-
13. Biotechnology
Srinagar chemistry,general Test
14. Apex University, Jaipur Nursing General Test
15. Apex University, Jaipur B.pharmacy General Test
Bachelor Of Science In
16. Arka Jain University English , Mathematics , Physics , Chemistry / Biology
Biotechnology
Centurion University Of
17. Technology And B.sc Nursing Physics, Chemistry And Biology
Management
Bachelor Of Science In
18. Coer University Physics, Chemistry, Biology, English
Nursing
Gopal Narayan Singh
19. Bachelor Of Science Nursing Section I A: (english) Section Ii: Physics, Chemistry, Biology
University
Graphic Era (deemed To
20. Bsc. Nursing Physics, Chemistry, Biology, English
Be University)
Netaji Subhas University
21. Bsc Nursing General Test, English
Of Technology
Noida International Bachelor Of Science In
22. Physics, Chemistry, Biology/ Biochemistry/ Biotechnology
University Nursing
"language (any Of The Listed Languages May Be
Babasaheb Bhimrao Chosen.)domain Subject -physics, Chemistry, Biology And
23. B. Pharm.*
Ambedkar University Mathematics (any Three) *subject To Approval Of
Pharmacy Council Of India (pci)"
G D Goenka University, Bachelor Of Pharmacy English/physics/chemistry/mathematics Or
24.
Gurugram, Ncr (b.pharm.) Physics/chemistry/biology
Gopal Narayan Singh Section I A: (english) Section Ii: Physics, Chemistry,
25. Bachelor Of Pharmacy
University Mathematics/biology
I. Biology (code 304) – Section Ii Ii. Physics (code 322)–
Guru Gobind Singh Section Ii Iii. Chemistry (code 306)– Section Ii Iv. English
26. B Pharma
Indraprastha University (code 101) - Section Ia Languages V. General Test (code
501) - Section Iii
Subject Code: 304 (biology/biological
Harcourt Butler Technical Bachelor Of Pharmacy Studies/biotechnology/biochemistry) Or Subject Code: 306
27.
University, Kanpur (b.pharm.) (chemistry) Or Subject Code: 319 (mathematics / Applied
Mathematics) Or Subject Code: 322 (physics)
Hemvati Nandan Bahuguna
28. Pharmaceutical Science Physics, Chemistry And Mathematics / Biology
Garhwal University
Jagan Nath University
29. B.pharma English (code 101) Chemistry (code 306)
Bahadurgarh Haryana
30. K.r. Mangalam University Bachelor Of Pharmacy Physics, Chemistry, General Test
Khwaja Moinuddin Chishti
31. B.pharm General Test
Language University
Khwaja Moinuddin Chishti
32. B.sc Biotechnology General Test
Language University
Netaji Subhas University Bachelor's Degree In
33. General Test, English
Of Technology Pharmacy
34. Shoolini University B Pharmacy English, General Test
35. Aks University B.sc. In Biotechnology Section Ii : (physics, Chemistry And Biology)
Assam Down Town
36. B.sc. Biotechnology Physics, Chemistry, Biology
University
Assam Royal Global
37. B.sc. Bio-technology Bio-technology
University
38. Chandigarh University Biotechnology 101-english,304-biology,306-chemistry,322-physics
English, Physics, Chemistry, Biology/biological
39. Galgotias University B.sc Medical Biotechnology
Studies/biotechnology/biochemistry
40. Ganpat University B. Sc. (hons.) Biotechnology Physics, Chemistry,biology
Govt. Degree College B.sc (hons) In Bio Technology
41. Bio Technology / Chemistry / Biology
(autonomous), Baramulla (3+1)
Graphic Era Hill Bachelor Of Pharmacy
42. Physics, Chemistry, Maths/ Biology
University, Dehradun (campus:ddn/btl )
Guru Ghasidas B. Sc. (honours)-
43. Biology
Vishwavidyalaya Biotechnology
44. Jaipur National University B.sc. (hons.) - Biotechnology Biology/ Biochemistry/ Biotechnology
45. Jamia Millia Islamia B.sc. Biotechnology Biology/biochemistry/biotechnology
Suresh Gyan Vihar
46. B.sc. Biotechnology Physics, Chemistry & Mathematics/biology
University Jaipur
Language Test: English + Physics + Chemistry +
Shri Mata Vaishno Devi Bachelor Of Technology In
47. Mathematics /biology /biological Studies/biotechnology
University (biotechnology)
/biochemistry
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
टे ट पे पर / िवषय का मायम (Medium of Test Paper /
.सं. (S.No.) परीा प (Test Paper) िवषय (Subject)
Subject)
Biology/biological
1 Test Paper 1 Studies/biotechnology English
/biochemistry
2 Test Paper 2 Physics English
3 Test Paper 3 Chemistry English
4 Test Paper 4 English English
5 Test Paper 5 General Test English
परीा कद और िववरण (Exam Center And Details)
परीा कद के िलए िवकप
.सं. (S.No.) (Choice For Exam शहर का नाम (राय का नाम) (City Name (State Name))
Center)
1 1st Choice For Exam Center Purnea ( Bihar )
2nd Choice For Exam
2 Bhagalpur ( Bihar )
Center
3rd Choice For Exam
3 Patna ( Bihar )
Center
4th Choice For Exam
4 Muzaffarpur ( Bihar )
Center
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

PHOTO

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शु क भु गतान िववरण (Fee Payment Details)

भु गतान का कार (Payment लेन-दे न आईडी (Transaction
Online CPADQUUPA9
Mode) ID)
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 1800 24-03-2024 20:06:51 PM
Submitted On)
शु क की पु िट ितिथ (Fee भु गतान गे टवे का नाम
24-03-2024 20:11:09 PM SBI Epay
Confirmed Date) (Payment 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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