Uttar Pradesh State Entrance Examination for UG - 2020

Confirmation Page

Application No. 2001 0048 155 -

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

Personal Details /
Name : SAMMAAN HUSAIN Date of Birth : 30-01-2002
Mother's Name : MUSHAHIDA PINKI Category : UPGE
Father's Name : HASEEN HUSAIN Gender : Male
SubCategory : Not Applicable Nationality : Indian
Rural weightage claimed : No Parent Domicile : UTTAR PRADESH
Qualifying examination passed/appeared UTTAR PRADESH
from college situated in :

Applying For :
Apply For : UG Qualifying Exam : INTERMEDIATE
Entrance Examination City UTTAR PRADESH - Bareilly Entrance Examination City UTTAR PRADESH - Lucknow
1st : 2nd :
Entrance Examination City UTTAR PRADESH - Moradabad
3rd :

Education Details :
Qualification Pass Status Course/Stream Board/University Year of Result Marks Detail RollNo/ Institute Institute
Name Name Passing/appe Mode Enroll Name & Pincode
aring No. Addres
s
INTERMEDIAT Passed INTERMEDIATE CENTRAL BOARD OF 2019 Percentage Obtained Marks: 288 5642662 vidya 243001
E SECONDARY Total Marks: 500 bhavan
EDUCATION Percentage: 57.6 school
vaibhav
nagar

Subject in 10+2 :
Chemistry (Theory + Practical) , English , Mathematics , Physics (Theory + Practical)

Seeking Admission & Course Applied For Details :

Seeking Admission For : FIRST YEAR
Courses Applied For 1st Year Admission : B.Tech.
Paper(S) In Which You Wish To Appear In UPSEE : Paper 1

Contact Details :
Communication 162 163 SARAY PUKHTA THANA QILA Locality :
Address :
City/Town/Village : BAREILLY District : BAREILLY
State : UTTAR PRADESH Pin Code : 243001
Email Address : rah***********@gmail.com Mobile Number : 807****210
Land Line No. with --
STD Code :

Fee Payment Details

Payment Mode: Pay through SBI(MOPS) Transaction ID: CPAAAPHKG8
Exam Fee: 1300 /- Date of Transaction: 16/02/2020
Fee Submitted On: 16/02/2020
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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