Application Details

Note : Your Application has been submitted successfully.

Registration Details

User Id   : AT7024912

Name of Candidate   : SAMYAK JAIN 

Category   : General

Person with Disability/Differently Abled PWD(DA)   : No

Date of Birth   : 08/05/2000

Country   : India

Nationality   : Indian

Email   : samyakjain080@gmail.com

Mobile Number   : 8171361816

Personal Details

Father Name   : Love Jain

Mother Name   : Reena Jain

Gender of Candidate   : Male

Communication Address

Address Line1   : T-311

Address Line2   : III Floor

Address Line3   : Ganga Plaza Begum Bridge

State   : UTTAR PRADESH

Village/Town/City   : Meerut

District   : Meerut

Pincode   : 250001

Email Address optional   : yacatscan@yahoo.co.in

Alternate Mobile Number   : 9837688820

Standard X / SSC /Equivalent Exmaination Details

Aggregate Marks   : 91.20

SSC/10th Std/Equivalent Board Name   : Central Board of Secondary Education

School Name   : Delhi Public School

Month/Year of Completion   : May 2016

Standard XII / HSC /Equivalent/Diploma Exmaination Details

Have you completed Standard XII / HSC /Equivalent/Diploma

No
Exmaination Details:
Exam Centre City & Interview City Preferences

Exam City 1   : Ghaziabad

Exam City 2   : New Delhi

Exam City 3   : NOIDA

Interview City 1   : Delhi

Interview City 2   : Lucknow

Payment Details

Payment Mode   : online

Amount   : 1400

Payment Status   : Payment Successful

Declaration

I hereby certify that the particulars given by me in this Application Form are true to my knowledge and belief. I certify that I fulfill the IPM 2017 - 2022 eligibility
criteria and undertake to produce original documents whenever necessary and I will not demand any reschedule of exam. I understand all disputes will be subject to
territorial jurisdiction of city of Indore only.

Candidate Signature

Version 12.03.00