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Registration No. W31331154377

Pankaj Baid has registered for the Joint Entrance Examination (Advanced) 2023. He is an Indian national studying in Nepal. His JEE Main scores make him eligible to appear for JEE Advanced. He has selected various cities in Rajasthan as his exam center preferences and paid the registration fee of INR 2900 by EPG payment. He declares that the information provided is true and agrees to the exam terms and conditions.

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Pankaj Baid
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209 views1 page

Registration No. W31331154377

Pankaj Baid has registered for the Joint Entrance Examination (Advanced) 2023. He is an Indian national studying in Nepal. His JEE Main scores make him eligible to appear for JEE Advanced. He has selected various cities in Rajasthan as his exam center preferences and paid the registration fee of INR 2900 by EPG payment. He declares that the information provided is true and agrees to the exam terms and conditions.

Uploaded by

Pankaj Baid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Joint Entrance Examination (Advanced) 2023

Indian Institutes of Technology


REGISTRATION RECEIPT

Registration No. W31331154377


Candidate Details
JEE (Main) Application number 230310100078 Date of Birth 19/05/2005
Candidate's Name PANKAJ BAID Category GEN-EWS
Mother's Name RACHNA Person with Disability (PwD) As per No
JEE(Main)
Father's Name SUNIL KUMAR Nationality INDIAN
Complete Mailing Address
Address SUNIL KUMAR
Country India
State BIHAR District EAST CHAMPARAN
Locality Mobile Number 91 829****843
City/Town/Village TUMARIATOLA WARD NO 1 , RAXAUL Email Address bai*******[email protected]
Pin Code / Postal Code 845305 Additional Mobile number 977 984****425
Land Line Number 7357456011 Additional Email Address bai*******[email protected]
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2023
Name of the Class XII (or equivalent) Any Public School/ Board/ University examination in India or in any foreign country recognized as equivalent to the 10+2 system by
examination the Association of Indian Universities (AIU).
School Board CBSE I (CBSE INTERNATIONAL)
Roll Number -
Name of the School / College D A V R B KEDIA SCH SHREEPUR BIRGUNJ NEPAL
Address of the School / College D A V R B KEDIA SCH SHREEPUR BIRGUNJ NEPAL
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: 88.3082976 Chemistry: 95.4452790 Maths: 83.1992132 Total: 92.7342632
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 Outside 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 RAJASTHAN-BIKANER 2nd Choice of Exam City RAJASTHAN-HANUMANGARH
3rd Choice of Exam City PUNJAB-BATHINDA 4th Choice of Exam City RAJASTHAN-SIKAR
5th Choice of Exam City RAJASTHAN-JODHPUR 6th Choice of Exam City RAJASTHAN-JAIPUR
7th Choice of Exam City RAJASTHAN-KOTA 8th Choice of Exam City HARYANA-AMBALA
Payment Details
Payment Mode EPG Transaction ID IGAPNVJTU3
Registration Fee INR 2900 Date of Transaction 06/05/2023 09:09:12
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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