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    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Hemanth
    The document is a confirmation page for a candidate named Mamidi Yuvraj who applied for the Joint Entrance Examination (Main) in 2019. It provides details of the candidate such as personal information, examination details, academic qualifications, address, guardian details, and payment details.

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

    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Hemanth
    37 views1 page
    The document is a confirmation page for a candidate named Mamidi Yuvraj who applied for the Joint Entrance Examination (Main) in 2019. It provides details of the candidate such as personal information, examination details, academic qualifications, address, guardian details, and payment details.

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    JEE(Main)_ConfirmationPage.pdf

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    The document is a confirmation page for a candidate named Mamidi Yuvraj who applied for the Joint Entrance Examination (Main) in 2019. It provides details of the candidate such as personal information, examination details, academic qualifications, address, guardian details, and payment details.

    Copyright:

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

    JEE (Main) ConfirmationPage PDF

    Uploaded by

    Hemanth
    The document is a confirmation page for a candidate named Mamidi Yuvraj who applied for the Joint Entrance Examination (Main) in 2019. It provides details of the candidate such as personal information, examination details, academic qualifications, address, guardian details, and payment details.

    Copyright:

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

    Joint Entrance Examination (Main) 2019

    NATIONAL TESTING AGENCY


    CONFIRMATION PAGE

    Application No. 190310447880


    DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY(NTA).
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name: MAMIDI YUVARAJ Date of Birth: 23/08/2000
    Mother's Name: MAMIDI PADMA Category: OBC- NCL (CENTRAL LIST)
    Caste Name: PATKARI Father's Name: MAMIDI VIGNESHWAR SA
    Person with Disability(PwD): NO State of Eligibility: TELANGANA
    Percentage of Disability: -- Gender: MALE
    Are you Diabetic: NO Nationality: INDIAN
    Place of Residence: URBAN Do you need scribe: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam City: HYDERABAD 2nd Choice of Exam City: WARANGAL
    3rd Choice of Exam City: KHAMMAM 4th Choice of Exam City: KARIMNAGAR

    Academic Details
    Year of passing class 10th: 2017 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2019 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    School Board of class 12th/Qualifying Exam: TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION
    Name of the Qualifying Exam passed / appearing: Intermediate or two-year Pre-University examination conducted by a recognized Board/ University.
    Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
    Appeared/Appearing for Improvement of Class NO Mode of preperation: COACHING
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Exam of --
    Improvement Exam:
    Name and Address of the School/College from where SRIGAYATRI JUNIOR COLLEGE MEHDIPATNAM,HYDERABAD
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: TELANGANA
    District: HYDERABAD Address: 9-2-108
    Locality: LANGERHOUSE City/Town/Village: GOLCONDA
    Pin Code: 500008 Email Address: sms*******@gmail.com
    Mobile Number: 939****580

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: ILLITERATE OTHERS --
    Mother's: MATRICULATE PRIVATE SERVICE UPTO 100000

    Payment Details
    Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 500 /-
    Transaction ID: CPJ8767979 Date of Transaction: 17/09/2018 15:56:33
    DECLARATION
    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.

    Images Uploaded by Candidate


    Candidate Photograph Candidate Signature

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