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West Bengal Joint Entrance Examinations Board

WBJEE- 2020
Confirmation Page

Application No. 2001 0047 579 -


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 AYUSH KUMAR Date of Birth 25-03-2002
Mother's Name RINA SINGH Category General
Father's Name UPENDRA NATH SINGH Gender Male
Person with Disability (PwD) No Nationality Indian
Home District DELHI Religion Hindu
Do you belongs to TFW? No Income Category Between 6 Lakhs to 10 Lakhs
Domicile DELHI (NCT)

Apply For
Apply For Engineering/Architecture/Pharmacy 1st Choice of Exam City WEST BENGAL - Kolkata-North Kolkata/
Saltlake
2nd Choice of Exam City WEST BENGAL - North 24 Parganas - 3rd Choice of Exam City WEST BENGAL - Howrah - Bally-Uttarpara
Barrackpur-Barasat

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 Passed (10+2)/ I.Sc/ CENTRAL BOARD OF 2019 Percentage Obtained Marks: 421 9125458 KV NFC 110092
equivalent Equivalent SECONDARY Total Marks: 500 VIGYAN
Examination EDUCATION Percentage: 84.2 VIHAR

Contact Details
Premises No/ Name AYUSH KUMAR Locality
Sub locality SAHIBABAD District GHAZIABAD
State UTTAR PRADESH Pin Code 201005
Email Id say******@gmail.com Mobile no 701****164
Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details


Payment Mode: Online Payment Transaction ID: RHMP8172287171
Exam Fee: 700 /- Date of Transaction: 05/11/2019 21:13:00
Fee Submitted On: 05/11/2019
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.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Signature

IP Address : 47.31.138.100 Date of Downloading : 05/11/2019 09:13:23 PM

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