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    ConfirmationPage 200310546332

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    M JEEVARATHNAM NAIDU
    Kanchi Lillesh has applied to take the Joint Entrance Examination in April 2020. He is an EWS category male from Andhra Pradesh studying in English medium. He will take the exam in Chittoor, Tirupati, Vellore, or Nellore and is preparing through self-study. He has provided his personal details, location, contact information, and fee payment details in his application.

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    ConfirmationPage 200310546332

    Uploaded by

    M JEEVARATHNAM NAIDU
    10 views1 page
    Kanchi Lillesh has applied to take the Joint Entrance Examination in April 2020. He is an EWS category male from Andhra Pradesh studying in English medium. He will take the exam in Chittoor, Tirupati, Vellore, or Nellore and is preparing through self-study. He has provided his personal details, location, contact information, and fee payment details in his application.

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    ConfirmationPage_200310546332

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    Kanchi Lillesh has applied to take the Joint Entrance Examination in April 2020. He is an EWS category male from Andhra Pradesh studying in English medium. He will take the exam in Chittoor, Tirupati, Vellore, or Nellore and is preparing through self-study. He has provided his personal details, location, contact information, and fee payment details in his application.

    Copyright:

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

    ConfirmationPage 200310546332

    Uploaded by

    M JEEVARATHNAM NAIDU
    Kanchi Lillesh has applied to take the Joint Entrance Examination in April 2020. He is an EWS category male from Andhra Pradesh studying in English medium. He will take the exam in Chittoor, Tirupati, Vellore, or Nellore and is preparing through self-study. He has provided his personal details, location, contact information, and fee payment details in his application.

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    JOINT ENTRANCE EXAMINATION (Main) - APRIL 2020

    Confirmation Page

    Application No. 200310546332 -


    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 KANCHI LILLESH Candidate's Date of Birth 13-10-2003
    Mother's Name K KUMARI Category Gen-EWS
    Father's Name K KAMALANATHA REDDY 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 Rural State Code of Eligibility ANDHRA PRADESH
    Are You Diabetic? NO Medium of Instructions/Study English
    - Physics, Chemistry and
    Mathematics in Class
    11th/12th/equivalent
    Mode of Preparation Self Study

    Apply For
    Apply For B.E./B.Tech. Only Question Paper Medium English
    Exam City 1st ANDHRA PRADESH - CHITTOOR Exam City 2nd ANDHRA PRADESH - TIRUPATHI
    Exam City 3rd TAMIL NADU - VELLORE Exam City 4th ANDHRA PRADESH - NELLORE

    Additional Details
    Are you a Twin No

    Contact Details
    Address 1-54, Locality 155 KAMMAPALLI
    City/Town/Village YADAMARI District CHITTOOR
    State ANDHRA PRADESH Pin Code 517422
    Email Address lil**************@gmail.com Mobile Number 900****409
    Land Line No. with --
    STD code or any
    other Contact No.

    Fee Payment Details


    Payment Mode: Pay through ICICI Bank Transaction ID: 1043190945
    Exam Fee: 650 /- Date of Transaction: 04/03/2020 11:20:36
    Fee Submitted On: 04/03/2020
    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 : 103.110.168.231 Date of Downloading : 04/03/2020 11:21:19 AM

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