JOINT ENTRANCE EXAMINATION (Main) - APRIL 2020

Confirmation Page

Application No. 200310520841 -

DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA).
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name P NIHARIKA Candidate's Date of Birth 11-10-2002
Mother's Name P SEETHALAKSHMI Category Gen-EWS
Father's Name P GUNARANJAN Gender Female
In case of Girl candidate, Are you only girl YES If you are a PwD Candidate, No
child of your parents? do you have benchmark
disability (40% or more /
“Severe” where percentage is
not defined) ?
Nationality Indian Place of Residence Urban
State Code of Eligibility ANDHRA PRADESH Are You Diabetic? NO
Medium of Instructions/Study - Physics, English Mode of Preparation Self Study
Chemistry and Mathematics in Class
11th/12th/equivalent

Apply For
Apply For B.E./B.Tech. Only Question Paper Medium English
Exam City 1st ANDHRA PRADESH - CHITTOOR Exam City 2nd ANDHRA PRADESH - TIRUPATHI
Exam City 3rd TAMIL NADU - VELLORE Exam City 4th ANDHRA PRADESH - NELLORE

Additional Details
Are you a Twin No

Contact Details
Address 22/1084 Locality MURUGANIPALLI
City/Town/Village CHITTOOR District CHITTOOR
State ANDHRA PRADESH Pin Code 517001
Email Address nih************@gmail.com Mobile Number 837****987
Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Pay through ICICI Bank Transaction ID: 1035855800
Exam Fee: 325 /- Date of Transaction: 26/02/2020 12:37:33
Fee Submitted On: 26/02/2020
DECLARATION
I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the time
of admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. In
case I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein. No
Candidate should adopt any unfair means, or indulge in any unfair examination practices. If at any stage, it is found that the candidate has submitted multiple
Applications and/or appeared in more than one date/shift, then the candidature will be cancelled and legal action will be taken including debarring in all future
examinations conducted by NTA

Images Uploaded by Candidate

Photograph Signature

List of Document Uploaded

Photograph,Signature,12th Admit Card/Marksheet/Certificate

IP Address : 103.110.168.187 Date of Downloading : 26/02/2020 12:39:13 PM