2/27/12 National Council for Hotel Management and Catering Technolog

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J E E 2 0 1 2 A p p l i c a t i o n F O R M
* Applicat ionfForm No.
*405060*
*
Test Cent re Cit y Code-
Name
57-DELH!
Personal Particulars
* Name of Candidat e Nr. ANNOL ARORA
* Not her's Name GULSHAN KAUR
* Fat her's Name RAJ !NDER S!NGH ARORA
* Dat e of Birt h 07-Dec-199+ * Gender Nale
* Nat ionalit y !ND!AN * Cat egory GEN
*
Are you a person wit h
disabilit y?
NO * Whet her Kashmiri Nigrant ? NO
Fat her's Annual !ncome
BETWEEN Rs. 1, 00, 001 -
2, 00, 000
Not her's Annual !ncome
*
Address f or
Communicat ion
C157, J H!LN!L COLONY


* Cit y DELH! * Pin Code 110095
* Email-!D GUNEETBHAT!A@GNA!L. CON
Cont act No. * Nobile No. 9811906506
Qualifications Details
*
St at us of Class X!!
Examinat ion
APPEAR!NG *
Year of PassingfAppearing
Class X!! Examinat ion
2012
* Percent age of Narks in X!! * Percent age of Narks in X 82
* School Board of Class X!! CBSE *
ENGL!SH as one of t he
Compulsory subject at X!!
(YesfNo)?
Yes
Mode of Payment --> Credit/Debit Card
*
Transact ion No. fReceipt
No.
68589
205902021+53
*
Payment Dat ef
Fee Amount
27-2-2012
900f-
Declarat ion
! hereby solemnly and sincerely af f irm t hat t he st at ement made and inf ormat ion f urnished by me in t he
Applicat ion Form is t rue and correct . ! have not concealed any inf ormat ion. However, if any inf ormat ion
f urnished herein is f raudulent , incorrect or unt rue, ! underst and t hat ! am liable t o criminal prosecut ion
and ! also agree t o f orego my seat . Furt her t hat t he select ion and admission t o t he course is liable t o be
cancelled. ! agree t o abide by t he Rules and Regulat ions governing t he Examinat ion as cont ained in t he
Bullet in of inf ormat ion which ! have duly gone t hrough.
Applicat ionfForm No. +05060
Place
Dat e
Signat ure of t he Candidat e in running hand (NOT !N CAP!TAL LETTERS)
Signat ure of Fat herfNot herfGuardian*
*(if f at her and mot her not alive) (To be signed prior t o despat ch)
2/27/12 National Council for Hotel Management and Catering Technolog
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Import ant Inst ruct ion for Candidat es:
. Af f ix your passport size phot ograph (wit hout at t est at ion) in t he space provided below.
. Endorse your signat ures in t he space provided below.
. Applicat ion f orm received wit hout t wo phot ographs and signat ures will be reject ed.
. Send t he duly complet ed online Applicat ion t o t he address given below:
JEE Cell,
Nat ional Council for Hot el Management & Cat ering Technology,
A-34 Inst it ut ional Area, Sect or 62,
Noida (UP) 201 309,
. No ot her document s (viz copies of educat ional cert if icat es et c. ) required t o be sent along wit h
Print ed Online Applicat ion Form
. Regist rat ion Process will be complet ed only on receipt of duly complet ed Print version of Online
Applicat ion Form.
. Admit Card of only t hose candidat es will be uploaded whose applicat ion f orm reaches: J EE Cell,
Nat ional Council f or Hot el Nanagement 8 Cat ering Technology, A-3+, !nst it ut ional Area, Sect or -
62, NO!DA (UP) - 201309 by 13 April 2012

*000*
Applicat ionfForm No. : +05060
Name: ANNOL ARORA
Address: C157, J H!LN!L COLONY
DELH!-110095
Form No.: 405060
Test Dat e: 28 April 2012 (Sat urday)
Test Timings:1000 t o 1300 Hrs (3 hours)
Signat ure of Applicant
(in t he space provided)
2/27/12 National Council for Hotel Management and Catering Technolog
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