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    OJEE2019D ConfirmationPage PDF

    Uploaded by

    Hema Krishna
    This document is a confirmation page for an application to the Odisha Joint Entrance Examination (OJEE) in 2019. It provides details of the applicant, Krupasindhu Patra, including personal information, the program applied for, exam city preferences, education details, contact information, payment details, and uploaded documents. The applicant is applying for the M. Pharma program, has appeared for the B. Pharm exam in 2019, and has paid an exam fee of Rs. 1000 by online payment on March 8, 2019.

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    OJEE2019D ConfirmationPage PDF

    Uploaded by

    Hema Krishna
    29 views1 page
    This document is a confirmation page for an application to the Odisha Joint Entrance Examination (OJEE) in 2019. It provides details of the applicant, Krupasindhu Patra, including personal information, the program applied for, exam city preferences, education details, contact information, payment details, and uploaded documents. The applicant is applying for the M. Pharma program, has appeared for the B. Pharm exam in 2019, and has paid an exam fee of Rs. 1000 by online payment on March 8, 2019.

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    OJEE2019D_ConfirmationPage.pdf

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    This document is a confirmation page for an application to the Odisha Joint Entrance Examination (OJEE) in 2019. It provides details of the applicant, Krupasindhu Patra, including personal information, the program applied for, exam city preferences, education details, contact information, payment details, and uploaded documents. The applicant is applying for the M. Pharma program, has appeared for the B. Pharm exam in 2019, and has paid an exam fee of Rs. 1000 by online payment on March 8, 2019.

    Copyright:

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

    OJEE2019D ConfirmationPage PDF

    Uploaded by

    Hema Krishna
    This document is a confirmation page for an application to the Odisha Joint Entrance Examination (OJEE) in 2019. It provides details of the applicant, Krupasindhu Patra, including personal information, the program applied for, exam city preferences, education details, contact information, payment details, and uploaded documents. The applicant is applying for the M. Pharma program, has appeared for the B. Pharm exam in 2019, and has paid an exam fee of Rs. 1000 by online payment on March 8, 2019.

    Copyright:

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

    Odisha Joint Entrance Examination

    (OJEE)-2019
    Confirmation Page

    Application No. 419001648 -


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

    Personal Section
    Candidate's Name KRUPASINDHU PATRA Date of Birth 07-08-1995
    Mother's Name MANDAKINI PATRA Birth Category General
    Father's Name NILAKANTHA PATRA Gender Male
    Physically Challenged No Nationality Indian
    Annual Family Income Less or Equal to 8 Lakhs Domicile ODISHA

    Applying For
    Apply For M. Pharma (17) Question Paper you want to M Pharam
    appear in the Entrance Test
    Exam City 1st Berhampur(14) Exam City 2nd Bhubaneswar(16)
    Exam City 3rd Cuttack(18)

    Education Details
    Qualification Pass Course/Stream Name Board/University Name Year of Result Marks Detail RollNo/ Institute Pincode
    Status Passing/ap Mode Enroll Name & .
    pearing No. Address.
    Graduate Appeari B. Pharm. BPUT, Odisha 2019 NA NA Bp1523 GIST,GUN 765022
    ng UPUR

    Contact Details
    Address DARUTHENGA Locality
    City/Town/Village BHUBANESWAR District KHORDHA
    State ODISHA Pin Code 754004
    Email Address ani*********@gmail.com Mobile Number (+91) 933****219
    Land Line No. with --
    STD code or any
    other Contact No.

    Fee Payment Details


    Payment Mode: Online Payment Transaction ID: QPMP7299899390
    Exam Fee: 1000 /- Date of Transaction: 08-03-2019 10:04:51
    Fee Submitted On: 08/03/2019
    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 Board
    procedures. I shall abide by the terms and conditions thereon.

    Images Uploaded by Candidate


    Photograph Signature Thumb Impression

    List of Document Uploaded


    Photograph,Thumb,Signature

    Date of Printing : 08/03/2019 10:02:26 AM

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