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    Shubh JeeAdvancedRegistrationSlip

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    Rakesh Sachan

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    Shubh JeeAdvancedRegistrationSlip

    Uploaded by

    Rakesh Sachan
    33 views1 page

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    33 views1 page

    Shubh JeeAdvancedRegistrationSlip

    Uploaded by

    Rakesh Sachan

    Copyright:

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

    Joint Entrance Examination (Advanced) 2023

    Indian Institutes of Technology


    REGISTRATION RECEIPT

    Registration No. W31331140942


    Candidate Details
    JEE (Main) Application number 230310263725 Date of Birth 24/06/2006
    Candidate's Name SHUBH MISHRA Category GEN-EWS
    Mother's Name RANJANA MISHRA Person with Disability (PwD) As per No
    JEE(Main)
    Father's Name MAHENDRA MISHRA Nationality INDIAN
    Complete Mailing Address
    Address PLOT NO. 1
    Country India
    State UTTAR PRADESH District KANPUR NAGAR
    Locality Mobile Number 91 811****062
    City/Town/Village NEW AZAD NAGAR Email Address mah************533@gmail.com
    Pin Code / Postal Code 208011 Additional Mobile number 91 765****465
    Land Line Number 7652009465 Additional Email Address ujj**********936@gmail.com
    Academic details of Class XII (or equivalent) examination
    Year of Passing or Appearing 2023
    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 U P BOARD OF HIGH SCHOOL & INTERMEDIATE EDUCATION
    Roll Number -
    Name of the School / College Mukteshwari Adarsh Inter College,Satbari road,kanpur 208011
    Address of the School / College Mukteshwari Adarsh Inter College,Satbari road,kanpur 208011
    GEN-EWS Certificate details
    Do you have a Valid GEN-EWS I have not been able to collect the said certificate as of now. I will upload the Declaration in Lieu of GEN-EWS Certificate. GEN-EWS
    Certificate? certificate will be uploaded by reporting at the time of JoSAA.
    JEE (Main) Paper 1 Score
    Physics: 98.0155713 Chemistry: 94.3023042 Maths: 98.8098671 Total: 98.5490340
    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 (or 2023
    Exam (QE) Passed From Equivalent) Exam
    Year of first attempt in JEE (Advanced) 2023 Color Blindness No
    One Eyed Vision No Eligible for DS Seats No
    Examination City for JEE (Advanced)
    1st Choice of Exam City UTTAR PRADESH-KANPUR 2nd Choice of Exam City UTTAR PRADESH-LUCKNOW
    3rd Choice of Exam City UTTAR PRADESH-JHANSI 4th Choice of Exam City UTTAR PRADESH-MATHURA
    5th Choice of Exam City UTTAR PRADESH-VARANASI 6th Choice of Exam City UTTAR PRADESH-PRAYAGRAJ
    (ALLAHABAD)
    7th Choice of Exam City UTTAR PRADESH-MEERUT 8th Choice of Exam City UTTAR PRADESH-GORAKHPUR
    Payment Details
    Payment Mode EPG Transaction ID 2137792257
    Registration Fee INR 2900 Date of Transaction 04/05/2023 22:45:03
    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 Declaration by the candidate in lieu of Uploaded
    GEN-EWS Certificate

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