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    KVPY 2019 Form

    Uploaded by

    ashish23aks
    The document is a confirmation form for the KVPY 2019 exam application submitted by Samyak Singh. It summarizes the applicant's personal details, contact information, academic qualifications, preferred exam cities, and payment details. The form confirms that the application was successfully submitted and payment of Rs. 1000 was received.

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

    KVPY 2019 Form

    Uploaded by

    ashish23aks
    48 views3 pages
    The document is a confirmation form for the KVPY 2019 exam application submitted by Samyak Singh. It summarizes the applicant's personal details, contact information, academic qualifications, preferred exam cities, and payment details. The form confirms that the application was successfully submitted and payment of Rs. 1000 was received.

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    © © All Rights Reserved

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    The document is a confirmation form for the KVPY 2019 exam application submitted by Samyak Singh. It summarizes the applicant's personal details, contact information, academic qualifications, preferred exam cities, and payment details. The form confirms that the application was successfully submitted and payment of Rs. 1000 was received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views3 pages

    KVPY 2019 Form

    Uploaded by

    ashish23aks
    The document is a confirmation form for the KVPY 2019 exam application submitted by Samyak Singh. It summarizes the applicant's personal details, contact information, academic qualifications, preferred exam cities, and payment details. The form confirms that the application was successfully submitted and payment of Rs. 1000 was received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    20/08/2019 KVPY 2019 Form

    NOTE : Your Application form has Submitted


    Successfully. Your Payment is successful.

    Applied Stream
    Stream Code :
    SA

    Personal Information
    KVPY User ID : Name of the Candidate :
    19264477 SAMYAK SINGH

    Date Of Birth : Nationality :


    10/Oct/2003 Indian

    Gender : Category :
    Male General

    Person With Disability (PWD) :


    No

    Presently studying in class :


    Class XI

    Contact Information
    Address Line 1 : Address Line 2 :
    B1 3 VDA COLONY BADA LALPUR

    Address Line 3 : State :


    VARANASI Uttar Pradesh

    District : City :
    Varanasi VARANASI

    Pincode :
    221002
    Mobile Number : Email Id :

    8698740991 ashish23aks@gmail.com

    Details of X Standared Examination


    Examination Board :

    https://www.digialm.com/EForms/BillDeskWithHMACAfterPaymentAction.do?formOrgType=61946ZZ956ZZonline 1/3
    20/08/2019 KVPY 2019 Form

    CBSE
    Aggregate Marks in all Science subjects and
    Mathematics (in %) :
    94

    Other Details
    In the academic year 2019-20, I have joined :
    08/Apr/2019

    Name and Address of the School/College


    Full Name of the School/College : Address Line 1 :

    SUNBEAM SCHOOL VARUNA


    Address Line 2 : Address Line 3 :
    VARANASI VARANASI

    State : City :
    Uttar Pradesh VARANASI
    Pincode :
    221002

    Aptitude Test Preferences


    Language :
    English

    Preferred City 1 : Preferred City 2 :


    UTTAR PRADESH - VARANASI UTTAR PRADESH - KANPUR
    Preferred City 3 : Preferred City 4 :
    UTTAR PRADESH - ALLAHABAD UTTAR PRADESH - NOIDA

    Payment Details
    Payment Amount : Payment Status :
    1000.00 Payment Successful

    Payment Transaction Number :


    QICI7891455683

    Candidate Upload Details

    https://www.digialm.com/EForms/BillDeskWithHMACAfterPaymentAction.do?formOrgType=61946ZZ956ZZonline 2/3
    20/08/2019 KVPY 2019 Form
    Photo Signature

    Version 13.07.01

    https://www.digialm.com/EForms/BillDeskWithHMACAfterPaymentAction.do?formOrgType=61946ZZ956ZZonline 3/3

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