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    IPM Admission Form 2024

    Uploaded by

    Daksh Sachdeva
    Daksh Sachdeva has successfully submitted an application form. His payment of Rs. 4130 through online mode was successful. The summary includes his personal details like name, father's name, date of birth, address and contact information. It also mentions his educational qualifications including 10th board details and preferred exam cities.

    Copyright:

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

    IPM Admission Form 2024

    Uploaded by

    Daksh Sachdeva
    15 views2 pages
    Daksh Sachdeva has successfully submitted an application form. His payment of Rs. 4130 through online mode was successful. The summary includes his personal details like name, father's name, date of birth, address and contact information. It also mentions his educational qualifications including 10th board details and preferred exam cities.

    Original Title

    IPM Admission Form 2024 (1)

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    Daksh Sachdeva has successfully submitted an application form. His payment of Rs. 4130 through online mode was successful. The summary includes his personal details like name, father's name, date of birth, address and contact information. It also mentions his educational qualifications including 10th board details and preferred exam cities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    IPM Admission Form 2024

    Uploaded by

    Daksh Sachdeva
    Daksh Sachdeva has successfully submitted an application form. His payment of Rs. 4130 through online mode was successful. The summary includes his personal details like name, father's name, date of birth, address and contact information. It also mentions his educational qualifications including 10th board details and preferred exam cities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Note:

    Your Application for


    m has submitted Su
    ccessfully. Your Pay
    ment is Successful.

    Personal Details

    Application Number
    AT2420736
    Name of Candidate Father's/Guardian's Mother's Name
    DAKSH SACHDEVA Name Kavita Sachdeva
    Kaushik Kumar Sachde
    va
    Category Gender Person with Disabilit
    General Male y (PwD)
    No
    Date of Birth Email Address Mobile Number
    02/Feb/2006 sachdevadaksh100@g 91 9555444812
    mail.com
    Nationality
    Indian
    Country of Residence
    India

    Correspondence Address Details

    Address Line 1 Address Line 2 Address Line 3


    313 Guru Jambheshwar Na Vaishali Nagar
    gar A
    State/Union Territor
    y
    RAJASTHAN
    Village/Town/City District Pincode
    Jaipur Vaishali Nagar 302021
    Mobile Number(Alter Email Address(Altern
    nate) ate)
    8178752654 kaushik.sachdeva@gm
    ail.com
    Standard X / SSC / Equivalent Examination Details

    Aggregate Marks in p Standard X / SSC / Eq School Name


    ercentage(Up to 2 de uivalent Examination DAV CENTENARY PUBL
    IC SCHOOL PASCHIM E
    cimal places) Board Name
    NCLAVE
    80.40 Central Board of Seco
    ndary Education SSC Year of Completi
    on
    2022

    Standard XII / HSC / Diploma/ Equivalent Details

    Have you completed Course Type Standard XII / HSC /E


    Standard XII / HSC / XII / Equivalent quivalent Board Nam
    Diploma/ Equivalent e
    Course? Central Board of Seco
    No ndary Education
    School/Institute Nam Stream / Discipline
    e Physics Chemistry Biol
    ST. XAVIER'S SCHOOL ogy (PCB)
    NEVTA

    Exam Centre City Preferences

    Preferred City 1 Preferred City 2 Preferred City 3


    Delhi Jaipur Gurugram
    Preferred City 4 Preferred City 5
    Chandigarh/ Mohali Mumbai

    Payment Details

    Amount Payment Mode Payment Status


    4130 online Payment Success
    Payment Transaction
    No.
    ZHD51843360536

    Candidate Documents/Images Upload Details

    Photo Signature
    View / Downlo
    Document
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