Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    JEE Main Acknowledgement Page PDF

    Uploaded by

    tanlui98
    This document is an acknowledgement page for Tanmay Das's application to the Joint Entrance Examination (Main) - 2017. It provides his personal details like name, date of birth, academic qualifications from class 10th and 12th, contact information, and payment details. The summary confirms that Tanmay has applied for the JEE (Main) Paper 1 exam to be taken in pen and paper mode in English with Delhi as his first choice for exam center.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    JEE Main Acknowledgement Page PDF

    Uploaded by

    tanlui98
    2K views1 page
    This document is an acknowledgement page for Tanmay Das's application to the Joint Entrance Examination (Main) - 2017. It provides his personal details like name, date of birth, academic qualifications from class 10th and 12th, contact information, and payment details. The summary confirms that Tanmay has applied for the JEE (Main) Paper 1 exam to be taken in pen and paper mode in English with Delhi as his first choice for exam center.

    Original Title

    JEE Main Acknowledgement Page.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an acknowledgement page for Tanmay Das's application to the Joint Entrance Examination (Main) - 2017. It provides his personal details like name, date of birth, academic qualifications from class 10th and 12th, contact information, and payment details. The summary confirms that Tanmay has applied for the JEE (Main) Paper 1 exam to be taken in pen and paper mode in English with Delhi as his first choice for exam center.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    JEE Main Acknowledgement Page PDF

    Uploaded by

    tanlui98
    This document is an acknowledgement page for Tanmay Das's application to the Joint Entrance Examination (Main) - 2017. It provides his personal details like name, date of birth, academic qualifications from class 10th and 12th, contact information, and payment details. The summary confirms that Tanmay has applied for the JEE (Main) Paper 1 exam to be taken in pen and paper mode in English with Delhi as his first choice for exam center.

    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. 71036616


    DO NOT SEND THIS PAGE TO CBSE.
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name: TANMAY DAS Date of Birth: 07/05/1998
    Mother's Name: MOUSHUMI DAS CHAUDHURY Category GENERAL
    Father's Name: DEVOBROTO DAS Person with Disability(PwD): NO
    State of Eligibility: DELHI Percentage of Disability: --
    Gender: MALE In case of girl candidate, Are NO
    you the only child of your
    parents?:
    Nationality: INDIAN Place of Residence: URBAN
    Passport Number N1655857 You need scribe/reader ?: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: PEN AND PAPER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam Centre: DELHI/NEW DELHI 2nd Choice of Exam Centre: BAHRAIN
    3rd Choice of Exam Centre: FARIDABAD 4th Choice of Exam Centre: GURGAON

    Academic Details
    Year of passing class 10th: 2014 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2016 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    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: 95.60 Roll No. of Class 12th/Qualifying Exam: 9100941
    Appeared/Appearing for Improvement of Class NO Mode of preperation: SELF STUDY
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Examination of
    Improvement Examination:
    Name and Address of the School/College from where New Millennium School Manama Kingdom of Bahrain
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: DELHI
    District: WEST DELHI Address: Flat 123, Gangotri Apartments
    Locality: F-Block City/Town/Village: Vikas Puri
    Pin Code: 100118 Email Address: [email protected]
    Mobile Number: 9810073459 Land Line Number: 01128535269

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: POST GRADUATE ARCHITECTURE RS. 400001 -500000
    Mother's: POST GRADUATE OTHERS (INCLUDING HOUSE WIFE) --

    Payment Details
    Provider Name: HDFC Bank Payment Gateway Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 2500 /-
    Transaction ID: HHMP5015097321 Date of Transaction: 31-12-2016 20:59:28
    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

    You might also like