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    NIRMA Application Form

    Uploaded by

    Yash Jangid
    Yash Jangid from Rajasthan, India has applied to Nirma University's Bachelor of Technology program for the 2022-23 academic year. He has submitted his application form, including details from his Class 10 and 12 exams, JEE Mains exam, program preferences, documents, and payment of Rs. 1416 via UPI. He acknowledges that submitting the form does not guarantee admission and he should review the admission procedures and regulations.

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    © All Rights Reserved
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    NIRMA Application Form

    Uploaded by

    Yash Jangid
    86 views3 pages
    Yash Jangid from Rajasthan, India has applied to Nirma University's Bachelor of Technology program for the 2022-23 academic year. He has submitted his application form, including details from his Class 10 and 12 exams, JEE Mains exam, program preferences, documents, and payment of Rs. 1416 via UPI. He acknowledges that submitting the form does not guarantee admission and he should review the admission procedures and regulations.

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    Yash Jangid from Rajasthan, India has applied to Nirma University's Bachelor of Technology program for the 2022-23 academic year. He has submitted his application form, including details from his Class 10 and 12 exams, JEE Mains exam, program preferences, documents, and payment of Rs. 1416 via UPI. He acknowledges that submitting the form does not guarantee admission and he should review the admission procedures and regulations.

    Copyright:

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

    NIRMA Application Form

    Uploaded by

    Yash Jangid
    Yash Jangid from Rajasthan, India has applied to Nirma University's Bachelor of Technology program for the 2022-23 academic year. He has submitted his application form, including details from his Class 10 and 12 exams, JEE Mains exam, program preferences, documents, and payment of Rs. 1416 via UPI. He acknowledges that submitting the form does not guarantee admission and he should review the admission procedures and regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    09/08/2022, 23:33 https://admissions-it.nirmauni.ac.in/Student/Reports/RptApplicationForm.

    aspx

    Student Application Form


    Nirma University

    INSTITUTE OF TECHNOLOGY
    ( ACADEMIC YEAR : 2022-23)

    BACHELOR OF TECHNOLOGY

    All India [ 12th Board Examination from a School Located Outside Gujarat ]

    NU Application No : ITNUAI08701

    Name : Yash Jangid


    Address : 584/28, Shringar Chanwari,
    Bihari Ganj,
    9 No. Petrol Pump Ajmer Alternate Mobile : 9413223665

    RAJASTHAN INDIA 305001


    Alternate Email :
    sharmagirijesh68@gmail.com
    Phone : 8005978900

    E-mail : rekhag1780@gmail.com

    Birth Date : 05/09/2003

    Gender : MALE

    SSC / HSC Detail(s)

    Board Passing Total Obtained


    Qualification Name Location Stream Year Status Marks Marks Percentage

    SSC CBSE Within - 2020 - 500.00 424.00 84.80


    India

    HSC CBSE Within SCIENCE 2022 COMPLETED 500.00 448.00 89.60


    India

    Qualifying Examination Detail(s)

    Exam Name : JEE (Main)-2022

    JEE (Main)-2022 Application Number : 220310378206

    JEE (Main)-2022 Roll Number (Session 1) : RJ01000675

    JEE (Main)-2022 Roll Number (Session 2) : RJ01000675

    Program Preference(s)

    Branch Name Preference No.

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    Branch Name Preference No.

    Computer Science & Engineering (CSE) 1

    Electronics and Communication Engineering (EC) 2

    Electronics and Instrumentation Engineering (EI) 3

    Electrical Engineering (EE) 4

    Civil Engineering (CL) 5

    Mechanical Engineering (ME) 6

    Chemical Engineering (CH) 7

    Candidate Document(s)

    Document Name

    Candidate's Photo (Passport Size)

    Equivalence Certificate from school authority (In case, Letter Grades/ Performance Index or Graded Point Av

    HSC (12th Std.) Marksheet

    JEE (Main) 2022 Admit Card (Session-I)

    JEE (Main) 2022 Admit Card (Session-II)

    JEE (Main) 2022 Application Confirmation Page

    JEE (Main) 2022 Final Score Card

    School Leaving / Transfer Certificate

    SSC (10th Std.) Marksheet

    Payment Detail(s) :

    Payment Payment Payment


    Date Bank Name Amount Mode Status Transaction Ref no

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    09/08/2022, 23:33 https://admissions-it.nirmauni.ac.in/Student/Reports/RptApplicationForm.aspx

    Payment Payment Payment


    Date Bank Name Amount Mode Status Transaction Ref no

    09/Aug/2022 UNIFIED PAYMENTS 1416.00 UPI SUCCESS PUUPIU12447038704


    INTERFACE

    I fully understand that filling the form does not guarantee admission to the said programme. For procedures for
    the admission go through the academic regulation of the said programme available on the website.

    -----------------

    Student Signature

    Back to Dashboard

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