Joint Entrance Examination (Advanced) 2019

Indian Institutes of Technology

REGISTRATION RECEIPT

Registration No. R312202399

Do not send any hard copy of this Registration Receipt to to your Zonal IIT (Preserve this page for future correspondence)
This document is not a substitute for your Admit Card. You will be able to download the Admit Card from 10 A.M. of May 20, 2019 till 9 A.M. of May 27, 2019.
Candidate Details
JEE (Main) Application 190310236180 Date of Birth 31/08/2000
No.
Candidate's Name ANURAG KUMAR Category SC
Mother's Name PARWATI KUMARI ARTI Person with Disability (PwD) NO
Father's Name NAND KISHORE PRASAD Nationality INDIAN
Complete Mailing Address
Address DAUD BIGHA NEAR BHOOTNATH MOR
Country India
State - District -
Locality B.H.COLONY Mobile Number 950****014
City/Town/Village PATNA Email Address anu*************@gmail.com
Pin Code / Postal Code 800026 Additional Mobile No 748****978
Land Line Number Additional Email Address anu*************@gmail.com
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2018
Name of the Class XII (or equivalent) examination THE FINAL EXAMINATION OF THE 10+2 SYSTEM, CONDUCTED BY ANY RECOGNIZED CENTRAL/ STATE
BOARD, SUCH AS CENTRAL BOARD OF SECONDARY EDUCATION, NEW DELHI; COUNCIL FOR THE INDIAN
SCHOOL CERTIFICATE EXAMINATIONS, NEW DELHI; ETC.
School Board CENTRAL BOARD OF SECONDARY EDUCATION
Roll Number 4644154
Name of the School / College SRI CHAITANYA TECHNO SCHOOL
Address of the School / College VISAKHAPATNAM ANDHRA PRADESH
JEE (Main) Paper 1 Score
Physics: 99.1571310 Chemistry: 14.4132370 Maths: 95.6834085 Total: 93.3130618
Remarks : Eligible for JEE (Advanced) 2019
Furnished Information for JEE (Advanced)
Guardian's Name NAND KISHORE PRASAD Need scribe/reader NOT APPLICABLE
Year of First attempt in JEE (Advanced) 2018 Color Blindness No
One Eyed Vision No Eligible for DS Seats NO
Examination City for JEE (Advanced)
1st Choice of Exam City BIHAR-PATNA 2nd Choice of Exam City BIHAR-GAYA
3rd Choice of Exam City BIHAR-MUZAFFARPUR 4th Choice of Exam City BIHAR-BIHAR SHARIF
5th Choice of Exam City BIHAR-AURANGABAD 6th Choice of Exam City BIHAR-ARRAH
Payment Details
Payment Mode Debit Card Transaction ID CPR9847468
Registration Fee 1300 ( INR ) Date of Transaction 04/05/2019
DECLARATION
I hereby declare that all the particulars stated in this Registration Reciept 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).
Images Uploaded by Candidate (During JEE (Main) Registration)

Certificates uploaded
Class X or Birth Certificate Uploaded Class XII (or equivalent) Certificate Uploaded
SC Certificate Uploaded Additional SC Certificate Not Applicable
PwD Certificate Not Applicable Scribe Request Letter Not Applicable
DS Certificate Not Applicable PIO Card / OCI Card Not Applicable