Candidate Details JEE (Main) Application number 230310750824 Date of Birth 21/10/2003 Candidate's Name KUNAL KUMAR GUPTA Category SC Mother's Name MUNNI DEVI Person with Disability (PwD) As per No JEE(Main) Father's Name AJAY KUMAR RAM Nationality INDIAN Complete Mailing Address Address FLAT NO. 447, BLOCK C, Country India State RAJASTHAN District KOTA Locality SUWALKA AND SUWALKA, Mobile Number 91 914****849 INDRAPARASTHA IND. AREA City/Town/Village KOTA Email Address kun***********pta@gmail.com Pin Code / Postal Code 324005 Additional Mobile number 91 707****589 Land Line Number 7070095589 Additional Email Address ram****y21@gmail.com Academic details of Class XII (or equivalent) examination Year of Passing or Appearing 2022 Name of the Class XII (or equivalent) The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central Board of Secondary examination Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi; etc. School Board CENTRAL BOARD OF SECONDARY EDUCATION Roll Number 11677007 Name of the School / College st johns sr sec school bundi road kota Address of the School / College st johns sr sec school bundi road kota JEE (Main) Paper 1 Score Physics: 60.9248339 Chemistry: 82.8344004 Maths: 83.7768046 Total: 80.2028565 Remarks : Eligible for JEE (Advanced) 2023. Furnished Information for JEE (Advanced) Do you have disability and having No difficulty in writing Need scribe/reader No Do you want to avail compensatory time No as of GoI guidelines/ memorandum? Class XIIth (or equivalent)/ Qualifying India Year of first appearance in Class XII 2022 Exam (QE) Passed From Exam Year of first attempt in JEE (Advanced) 2022 Color Blindness No One Eyed Vision No Eligible for DS Seats No Examination City for JEE (Advanced) 1st Choice of Exam City RAJASTHAN-KOTA 2nd Choice of Exam City RAJASTHAN-JAIPUR 3rd Choice of Exam City RAJASTHAN-AJMER 4th Choice of Exam City RAJASTHAN-UDAIPUR 5th Choice of Exam City RAJASTHAN-BHILWARA 6th Choice of Exam City MADHYA PRADESH-INDORE 7th Choice of Exam City UTTAR PRADESH-AGRA 8th Choice of Exam City UTTAR PRADESH-MATHURA Payment Details Payment Mode EPG Transaction ID XAX61126259470 Registration Fee INR 1450 Date of Transaction 30/04/2023 14:47:25 DECLARATION I hereby declare that all the particulars stated in this Registration Receipt are true to the best of my knowledge and belief. I have read and understood the JEE (Advanced) procedures. I shall abide by the terms and conditions therein. I understand that, if any of the information provided by me is found to be false / incorrect at any later time, my candidature shall be cancelled and I shall be debarred from appearing for JEE (Advanced). This my first/second attempt in JEE (Advanced). In case, it is found that I am ineligible to appear for JEE (Advanced) 2023 at any stage, I agree that my candidature will be cancelled and registration fee will be forfeited. Certificates uploaded Class-X or Birth Certificate Uploaded Class-XII (or equivalent) Mark Sheet Uploaded SC Certificate Uploaded