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Joint Entrance Examination (Advanced) 2023

Indian Institutes of Technology


REGISTRATION RECEIPT

Registration No. W31331008875


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

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