Uttar Pradesh Combined Entrance Test For UG- 2021

Confirmation Page

Application No. 2125 1001 5395 -

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Personal Details /
Name : MO FAIJ Date of Birth : 06-06-2000
Mother's Name : SHABIYA KHATOON Category : UPGE
Father's Name : MO AKHATAR 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 : DIPLOMA (ENGG. and TECHNOLOGY)
Entrance Examination City UTTAR PRADESH - LUCKNOW Entrance Examination City UTTAR PRADESH - SITAPUR
1st : 2nd :
Entrance Examination City UTTAR PRADESH - KANPUR Entrance Examination City UTTAR PRADESH - KANPUR DEHAT
3rd : 4th :

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
DIPLOMA Passed DIPLOMA (ENGG. Any Recognised Board/ 2020 Percentage Obtained Marks: 1836 E17222 Luckno 226023
(ENGG. and and University/ Open school Total Marks: 2492 3300006 w
TECHNOLOG TECHNOLOGY) - Board of technical Percentage: 73.68 4 polytech
Y) education uttar pradesh nic,
lucknow
krishna
nagar
kanpur
road
lucknow

Seeking Admission & Course Applied For Details

Seeking Admission For SECOND YEAR
2nd Year (Lateral Entry) B.Tech. 2nd Year (For Diploma Holder In Engg.)

Present Address :
Communication VILL. GODVA BHOOP POST HIYA DISTT. HARDOI Locality :
Address :
City/Town/Village : VILLAGE GODVA BHOOP Country India
State : UTTAR PRADESH District : HARDOI
Pin Code : 241201 Email Address : mof*******@gmail.com
Mobile Number : 951****422 Land Line No. with --
(+91) STD Code :

Fee Payment Details

Payment Mode: Pay through SBI Transaction ID: CPAAUOGXL8
Exam Fee: 1300 /- Date of Transaction: 27/04/2021 23:47:15
Fee Submitted On: 27/04/2021
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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IP Address : 223.189.212.250 Date of Downloading : 27/04/2021 11:47:26 PM