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    ConfirmationPage_200310075356 (2)

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    ConfirmationPage_200310075356 (2)

    Uploaded by

    vibha9973379717
    3 views1 page
    Hello hi I am amazed

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    © © All Rights Reserved

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    Hello hi I am amazed

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    3 views1 page

    ConfirmationPage_200310075356 (2)

    Uploaded by

    vibha9973379717
    Hello hi I am amazed

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    JOINT ENTRANCE EXAMINATION (Main) - APRIL 2020

    Confirmation Page

    Application No. 200310075356 C


    DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA).
    CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

    Personal Details
    Candidate's Name VAIBHAV BHARTIYA Candidate's Date of Birth 18-02-2003
    Mother's Name VIBHA Category Gen-EWS
    Father's Name VIJAY KUMAR Gender Male
    If you are a PwD Candidate, do you have No Nationality Indian
    benchmark disability (40% or more /
    “Severe” where percentage is not defined)
    ?
    Place of Residence Urban State Code of Eligibility BIHAR
    Are You Diabetic? NO Medium of Instructions/Study Others - English
    - Physics, Chemistry and
    Mathematics in Class
    11th/12th/equivalent
    Mode of Preparation Self Study Are you appearing for N.D.A. Yes
    & N.A. Examination (I), 2020
    being conducted by UPSC on
    6th Sep. 2020

    Apply For
    Apply For B.E./B.Tech. Only Question Paper Medium English
    Exam City 1st BIHAR - DARBHANGA Exam City 2nd BIHAR - MUZAFFARPUR
    Exam City 3rd BIHAR - PATNA Exam City 4th BIHAR - GAYA

    Additional Details
    Are you a Twin No

    Contact Details
    Address C/O RAM SEWAK THAKUR RTD.TEACHER, Locality NEAR VIJAYA BANK
    KASHIPUR WARD NO.12
    City/Town/Village SAMASTIPUR District SAMASTIPUR
    State BIHAR Pin Code 848101
    Email Address vai****************@gmail.com Mobile Number 997****715
    Land Line No. with --
    STD code or any
    other Contact No.

    Fee Payment Details


    Payment Mode: Pay through PAYTM Transaction ID: 20200207111212800110168544012050
    989
    Exam Fee: 650 /- Date of Transaction: 07/02/2020 05:28:27
    Fee Submitted On: 07/02/2020
    DECLARATION
    I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the time
    of admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. In
    case I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein. No
    Candidate should adopt any unfair means, or indulge in any unfair examination practices. If at any stage, it is found that the candidate has submitted multiple
    Applications and/or appeared in more than one date/shift, then the candidature will be cancelled and legal action will be taken including debarring in all future
    examinations conducted by NTA

    Images Uploaded by Candidate


    Photograph Signature

    List of Document Uploaded


    Photograph,Signature,12th Admit Card/Marksheet/Certificate

    IP Address : 157.42.14.97 Date of Downloading : 26/07/2020 08:51:37 AM

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