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    GIYG

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    Bidyut Konwar
    The document is an acknowledgement page for Bidyut Konwar's application to the Joint Entrance Examination (Main) - 2024. It provides key details about the applicant including personal information, exam details, academic qualifications, contact information, guardian details, and payment receipt. Bidyut applied for the pen and paper based English medium exam, studying self-prepared from NERIST Arunachal Pradesh with Lakhimpur as his first exam center choice.

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    GIYG

    Uploaded by

    Bidyut Konwar
    33 views1 page
    The document is an acknowledgement page for Bidyut Konwar's application to the Joint Entrance Examination (Main) - 2024. It provides key details about the applicant including personal information, exam details, academic qualifications, contact information, guardian details, and payment receipt. Bidyut applied for the pen and paper based English medium exam, studying self-prepared from NERIST Arunachal Pradesh with Lakhimpur as his first exam center choice.

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    The document is an acknowledgement page for Bidyut Konwar's application to the Joint Entrance Examination (Main) - 2024. It provides key details about the applicant including personal information, exam details, academic qualifications, contact information, guardian details, and payment receipt. Bidyut applied for the pen and paper based English medium exam, studying self-prepared from NERIST Arunachal Pradesh with Lakhimpur as his first exam center choice.

    Copyright:

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

    GIYG

    Uploaded by

    Bidyut Konwar
    The document is an acknowledgement page for Bidyut Konwar's application to the Joint Entrance Examination (Main) - 2024. It provides key details about the applicant including personal information, exam details, academic qualifications, contact information, guardian details, and payment receipt. Bidyut applied for the pen and paper based English medium exam, studying self-prepared from NERIST Arunachal Pradesh with Lakhimpur as his first exam center choice.

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    Joint Entrance Examination (Main) - 2024

    CENTRAL BOARD OF SECONDARY EDUCATION


    ACKNOWLEDGEMENT PAGE

    Application No. 71036624


    DO NOT SEND THIS PAGE TO CBSE.
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.
    Personal Details
    Name: BIDYUT KONWAR Date of Birth: 21/03/2002
    Mother's Name: BHARATI KONWAR Category OBC
    Father's Name: DILIP KONWAR Person with Disability(PwD): NO
    State of Eligibility: ASSAM Percentage of Disability: --
    Gender: MALE In case of girl candidate, Are NO
    you the only child of your
    parents?:
    Nationality: INDIAN Place of Residence: RURAL
    Aadhar Number 836786053567 You need scribe/reader ?: NO
    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: PEN AND PAPER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam Centre: LAKHIMPUR 2nd Choice of Exam Centre: DIBUGRAH
    3rd Choice of Exam Centre: JORHAT 4th Choice of Exam Centre: GUWAHATI
    Academic Details
    Year of passing class 10th: 2019 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2022 Type of Institution of Class 12th/Qualifying Exam: GOVERNMENT
    School Board of class 12th/Qualifying Exam: AICTE
    Name of the Qualifying Examination passed / appearing: The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central
    Board of Secondary Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi;
    etc.
    Percentage of Marks in Class 12th/Qualifying Exam: 8.7 Roll No. of Class 12th/Qualifying Exam: B/19/EC/028
    Appeared/Appearing for Improvement of Class NO Mode of preperation: SELF STUDY
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Examination of
    Improvement Examination:
    Name and Address of the School/College from where NERIST Arunachal Pradesh
    passed/appearing:
    Candidate's Mailing Address
    Country: India State: ASSAM
    District: Lakhimpur Address: Kadam Gohain Gaon
    Locality: Kadam City/Town/Village: Gohain Gaon
    Pin Code: 787032 Email Address: kobidyut@gmail.com
    Mobile Number: 7086181154 Land Line Number:
    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: H S PASS BUSINESS RS. 100001 -200000
    Mother's: H S PASS OTHERS (INCLUDING HOUSE WIFE) --
    Payment Details
    Provider Name: HDFC Bank Payment Gateway Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 1000 /-
    Transaction ID: HHMP5015097321 Date of Transaction: 06-12-2023 13:59:28
    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 JEE procedures for both
    JEE(Main) and JEE(Advanced) - 2024. I shall abide by the terms and conditions thereon.
    Images Uploaded by Candidate
    Photograph Signature

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