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    JEE (Main) AcknowledgementPage

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    Aakash Chahal
    Akash Chahal, a 17-year-old Indian male from New Delhi, applied for the Joint Entrance Examination (Main) - 2017 to take the computer-based test for the B.E./B.Tech. program on April 9, 2017 in Delhi. He completed 10th grade in 2014 and is currently in 12th grade at a government school in New Delhi affiliated with the Central Board of Secondary Education. Akash paid a 500 rupee examination fee via electronic payment on December 18, 2016 and declared that all information provided in the application is true.

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    JEE (Main) AcknowledgementPage

    Uploaded by

    Aakash Chahal
    17 views1 page
    Akash Chahal, a 17-year-old Indian male from New Delhi, applied for the Joint Entrance Examination (Main) - 2017 to take the computer-based test for the B.E./B.Tech. program on April 9, 2017 in Delhi. He completed 10th grade in 2014 and is currently in 12th grade at a government school in New Delhi affiliated with the Central Board of Secondary Education. Akash paid a 500 rupee examination fee via electronic payment on December 18, 2016 and declared that all information provided in the application is true.

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    JEE(Main) AcknowledgementPage

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    Akash Chahal, a 17-year-old Indian male from New Delhi, applied for the Joint Entrance Examination (Main) - 2017 to take the computer-based test for the B.E./B.Tech. program on April 9, 2017 in Delhi. He completed 10th grade in 2014 and is currently in 12th grade at a government school in New Delhi affiliated with the Central Board of Secondary Education. Akash paid a 500 rupee examination fee via electronic payment on December 18, 2016 and declared that all information provided in the application is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    JEE (Main) AcknowledgementPage

    Uploaded by

    Aakash Chahal
    Akash Chahal, a 17-year-old Indian male from New Delhi, applied for the Joint Entrance Examination (Main) - 2017 to take the computer-based test for the B.E./B.Tech. program on April 9, 2017 in Delhi. He completed 10th grade in 2014 and is currently in 12th grade at a government school in New Delhi affiliated with the Central Board of Secondary Education. Akash paid a 500 rupee examination fee via electronic payment on December 18, 2016 and declared that all information provided in the application is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Joint Entrance Examination (Main) - 2017

    CENTRAL BOARD OF SECONDARY EDUCATION


    ACKNOWLEDGEMENT PAGE

    Application No.

    70033801
    DO NOT SEND THIS PAGE TO CBSE.

    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name:

    AKASH CHAHAL

    Date of Birth:

    17/09/2000

    Mother's Name:

    MUKESH

    Category

    GENERAL

    Father's Name:

    HOSHIYAR SINGH

    Person with Disability(PwD):

    NO

    State of Eligibility:

    DELHI

    Percentage of Disability:

    --

    Gender:

    MALE

    Are you the only child?:

    NO

    Nationality:

    INDIAN

    Place of Residence:

    URBAN

    Aadhaar Number

    269825966674

    You need scribe/reader ?:

    NO

    Examination Details
    Applying For:

    JEE(Main) Paper - 1 (B.E./B.Tech.) Only

    Mode of Examination:

    COMPUTER BASED EXAMINATION

    Choice of Online Exam Centre:

    DELHI/NEW DELHI

    Question Paper Medium:

    ENGLISH

    Academic Details
    Year of passing class 10th:

    2014

    Year of Passing or Appearing class 12th/Qualifying Exam: 2017

    Place of 12th class schooling:

    CITY

    Type of Institution of Class 12th/Qualifying Exam:

    GOVERNMENT

    School Board of class 12th/Qualifying Exam:

    CENTRAL BOARD OF SECONDARY EDUCATION

    Name of the Qualifying Examination passed / appearing:

    The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central
    Board of Secondary Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi;
    etc.

    Percentage of Marks in Class 12th/Qualifying Exam:

    --

    Roll No. of Class 12th/Qualifying Exam:

    --

    Appeared/Appearing for Improvement of Class


    12th/Qualifying Exam:

    NO

    Mode of preperation:

    SELF STUDY

    Roll Number of Class 12th/Qualifying Examination of


    Improvement Examination:
    Name and Address of the School/College from where
    passed/appearing:

    Kendriya Vidyalaya K.V.Pushp Vihar,New Delhi-110062

    Candidate's Mailing Address


    Country:

    India

    State:

    DELHI

    District:

    SOUTH DELHI

    Address:

    H.no.137,Madangir village,New Delhi-110062

    Locality:

    Delhi

    City/Town/Village:

    New Delhi

    Pin Code:

    110062

    Email Address:

    [email protected]

    Mobile Number:

    9350225682

    Land Line Number:

    --

    Guardian Details
    Qualification

    Occupation

    Annual Income

    Father's/Guardian's:

    --

    --

    --

    Mother's:

    --

    --

    --

    Provider Name:

    Syndicate Bank Payment Gateway

    Payment Mode:

    Electronic Payment Gateway

    Fee Type:

    Examination Fee

    Transaction Amount:

    500 /-

    Transaction ID:

    HUR24980954560

    Date of Transaction:

    18-12-2016 17:15:21

    Payment Details

    Selected Date for Computer Based Examination of Paper-1


    Your selected date for Computer Based Examination:

    09/04/2017
    DECLARATION

    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the JEE procedures for both
    JEE(Main) and JEE(Advanced) - 2017. I shall abide by the terms and conditions thereon.

    Images Uploaded by Candidate


    Photograph

    Signature

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