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    Comedk and Uni-Gauge Uget 2022

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    raman dalal
    Your application has been successfully submitted and payment is successful. The summary provides details of the applicant - Raman, date of birth December 15 2004, gender male, category general merit, address in Haryana, India. Academic details include passing 12th standard in 2022 and qualifying exam as state board. Application number is provided as KCU0088023 and payment status is shown as success.

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    Comedk and Uni-Gauge Uget 2022

    Uploaded by

    raman dalal
    78 views3 pages
    Your application has been successfully submitted and payment is successful. The summary provides details of the applicant - Raman, date of birth December 15 2004, gender male, category general merit, address in Haryana, India. Academic details include passing 12th standard in 2022 and qualifying exam as state board. Application number is provided as KCU0088023 and payment status is shown as success.

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    Comedk and Uni-gauge Uget 2022

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    Your application has been successfully submitted and payment is successful. The summary provides details of the applicant - Raman, date of birth December 15 2004, gender male, category general merit, address in Haryana, India. Academic details include passing 12th standard in 2022 and qualifying exam as state board. Application number is provided as KCU0088023 and payment status is shown as success.

    Copyright:

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

    Comedk and Uni-Gauge Uget 2022

    Uploaded by

    raman dalal
    Your application has been successfully submitted and payment is successful. The summary provides details of the applicant - Raman, date of birth December 15 2004, gender male, category general merit, address in Haryana, India. Academic details include passing 12th standard in 2022 and qualifying exam as state board. Application number is provided as KCU0088023 and payment status is shown as success.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 3

    Your application has been successfully submitted. Your Payment is successful.

    APPLYING FOR

    APPLYING FOR HAVE YOU BEEN ALLOTED A COMEDK SEAT


    PCM-COMEDK UGET ONLY IN PREVIOUS YEARS
    NO

    Personal Details

    APPLICATION STATUS APPLICATION NUMBER


    PaymentSuccess KCU0088023
    FULL NAME OF THE APPLICANT CANDIDATE NAME AS PER GOVT ID PROOF
    RAMAN RAMAN
    EMAIL ADDRESS MOBILE NUMBER
    Ramandalal01@gmail.com 8396803639
    DATE OF BIRTH UNIQUE ID PROOF OF APPLICANT
    15/Dec/2004 PAN CARD
    UNIQUE ID PROOF NUMBER OF APPLICANT GENDER
    GFNPR1458P MALE
    NATIONALITY
    Indian
    PERSON WITH DISABILITY(PWD) WHETHER YOU NEED SCRIBE?
    NO NA
    PARENT'S ANNUAL INCOME
    LESS THAN RS 6.5 LACS P.A

    Parent's Information

    FATHERS'S FULL NAME MOTHER'S NAME


    SURESH BIRMATI
    FATHER/MOTHER OCCUPATION OTHER OCCUPATION
    OTHERS FARMER
    PARENT'S MOBILE NUMBER PARENT'S UNIQUE ID PROOF
    9813103639 PAN CARD
    PARENT'S UNIQUE ID PROOF NUMBER
    IBIPS1063L

    Present Address For Communication Purpose

    ADDRESS NAME OF NEAREST POLICE STATION TO


    V P.O MASUDPUR , HANSI , HISAR YOUR PRESENT ADDESSS
    HANSI
    PRESENT ADDRESS STATE PRESENT ADDRESS DISTRICT
    HARYANA HISAR
    PRESENT ADDRESS OTHER DISTRICT PRESENT ADDRESS CITY
    NA HANSI
    PRESENT ADDRESS PIN CODE IS YOUR PERMANENT ADDRESS SAME AS
    125049 PRESENT ADDRESS?
    Yes
    Permanent Address

    ADDRESS ADDRESS STATE


    V P.O MASUDPUR , HANSI , HISAR HARYANA
    ADDRESS DISTRICT ADDRESS OTHER DISTRICT
    HISAR NA
    ADDRESS CITY ADDRESS PIN CODE
    HANSI 125049

    Category Details

    BELONGS TO BIRTH/DOMICILE
    NON KARNATAKA NA
    LINGUISTIC MINORITY
    NA
    DO YOU BELONG TO KALYANA KARNATAKA KALYANA KARNATAKA REGION(HK Region)
    REGION (HK Region)? NA
    NA CATEGORY
    GENERAL MERIT (GM)

    Academic Details

    QUALIFYING EXAM OTHER QUALIFYING EXAM


    12th STD NA
    QUALIFYING EXAM COMPLETED/ PURSUING MONTH AND YEAR OF PASSING QUALIFYING
    COMPLETED EXAM
    APRIL
    2022
    BOARD OF QUALIFYING EXAM
    STATE BOARD
    OTHER BOARD OF QUALIFYING EXAM NAME OF INSTITUTION LAST STUDIED
    NA ASPIRING CARRERS
    NAME OF INSTITUTION LAST STUDIED CITY IN WHICH YOUR INSTITUTION IS
    HARYANA LOCATED(LAST STUDIED)
    HISAR
    ROLL/REG/INDEX NO./UNIQUE ID OF 10TH ROLL/REG/INDEX NO./UNIQUE ID OF 12TH
    STD MARKS CARD STD/2ND PUC MARKS CARD
    17182431 3022112795
    OTHER ENTRANCE EXAM YOU ARE
    APPEARING
    IIT-JEE

    Exam City Preferences

    EXAM CITY PREFERENCE 1 EXAM CITY PREFERENCE 2


    HARYANA-HISAR HARYANA-GURUGRAM
    EXAM CITY PREFERENCE 3
    HARYANA-FARIDABAD

    Payment Details

    Amount Payment Mode


    1800 online
    Payment Status Payment Transaction No.
    SUCCESS 17197130584
    Order ID
    KCU008802320230417202428

    Student Documents

    Photo Signature

    Document View / Download

    To view your Unique ID Proof: Click here.

    To view your SCANNED IMAGE OF APPLICANT'S SSLC/10th MARKS CARD: Click here.

    Parents Documents

    View /
    Document
    Download

    To view your Signature: Click here.

    To view your SCANNED IMAGE OF PARENT'S GOVT. ID PROOF AS DECLARED IN


    Click here.
    THE APPLICATION:

    Declaration

    I declare that I have read the Exam Brochure, instructions and am conversant with the Online
    process of submission of application.

    I am fully aware that the application fee prescribed by COMEDK /ERA Foundation will not be
    refunded for any reason including judicial and other statutory reasons.

    I hereby declare that the information given above is true and correct to the best of my knowledge
    and belief. I further declare to submit all certificates in original at the time of admission / Counseling
    relevant to my claims made in the application. I also agree to forfeit my claim for admission in the
    event of failure to produce the relevant original certificates. I shall abide by the Rules and
    Regulations of COMEDK/ERA Foundation.

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