West Bengal Joint Entrance Examinations Board

WBJEE- 2020
Confirmation Page

Application No. 2001 0012 410 -

DO NOT SEND THIS PAGE TO BOARD.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name AMAN GUPTA Date of Birth 14-04-2001
Mother's Name KIRAN DEVI Category General
Father's Name KRISHNA KUMAR PRASAD Gender Male
Person with Disability (PwD) No Nationality Indian
Home District RAMGARH Religion Hindu
Do you belongs to TFW? No Income Category Below 2.5 Lakhs
Domicile JHARKHAND

Apply For
Apply For Engineering/Architecture/Pharmacy 1st Choice of Exam City WEST BENGAL - Howrah - Central Howrah-
Shibpur
2nd Choice of Exam City WEST BENGAL - Howrah - Bally-Uttarpara 3rd Choice of Exam City WEST BENGAL - Howrah - Domjur

Education Details
Qualification Pass Status Course/Stream Board/Council/Univer Year of Result Marks Detail RollNo/ Institute Pincode
Name sity Name Passing Mode RegdNo Name &
Addres
s
12th or Appearing (10+2)/ I.Sc/ CENTRAL BOARD OF 2020 NA NA NA DAV 834008
equivalent Equivalent SECONDARY PUBLIC
Examination EDUCATION SCHOO
L,
GANDHI
NAGAR,
RANCHI
,JHARK
HAND

Contact Details
Premises No/ Name GANDHINAGAR BHURKUNDA, Locality GANDHI NAGAR , BHURKUNDA, RANMGARH
RAMGARH,JHARKHAND
Sub locality RAMGARH District RAMGARH
State JHARKHAND Pin Code 829106
Email Id kri****************@gmail.com Mobile no 707****726
Land Line No. with 9934179170
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Online Payment Transaction ID: RUR28134522164
Exam Fee: 700 /- Date of Transaction: 25/10/2019 12:41:46
Fee Submitted On: 25/10/2019
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board
procedures. I shall abide by the terms and conditions thereon.

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