Jharkhand Combined Entrance Competitive Examination Board

Para Medical Entrance Competitive Examination - 2022

Online Application Form

Registration No. - 100957

Candidate's Name: Father's Name: Mother's Name:

SONI KUMARI AMIT KUMAR GUPTA REENA DEVI

Category: BC-I

Gender: Date of Birth: Mobile No:

FEMALE 23-07-2004 9334014199

Course Name: Father's / Mother's Occupation: Nationality:

Diploma in Pharmacy / Para Medical Course (PCB) Self Employed INDIAN

Email Id: Residential Status:

rajankumargupta42488@gmail.com Permanent Resident of Jharkhand

Exam City: Annual Family Income:

1. RANCHI 80000

Correspondence Address:
Q no- 1269 BELGARIA COLONYDHANBAD,DHANBAD,JHARKHAND,828201

Permanent Address:
Near High School,SINGHRAWAN,HAZARIBAGH,HAZARIBAGH,JHARKHAND,825406

Registration Date: 18-09-2022 Print Date: 9/18/2022 17:0:50

Fee Details: Unique Reference Number : YUR21419400030, Fee Amount : 450.00

Subject Total Mark Marks Obtained Marks Obtained in %

PHYSICS 100 82 82.00

CHEMISTRY 100 76 76.00

BIOLOGY 100 62 62.00

Over all Percentage of Subject's 73.33

Educational Qualification
Exam Board/Institute Roll No Passing Year Percentage(%)

10th Central Board of Secondary Education 22275749 2020 67.60

10+2 ( PCB ) Jharkhand Academic Council 10045 2022 74.20

Note:
1. Visit offical website www.jceceb.jharkhand.gov.in regularly for latest updates.
2. Keep one hard copy of the form itself for future use.
Declaration: I hereby declare that I have read and understood the conditions of eligibility for the professional courses for which I
am appearing in Jharkhand Combined Entrance Competitive Examination-2022. I fulfill the minimum eligibility criteria and I have
provided the necessary information in this regard. In the event of the information being found incorrect or misleading, my
candidature shall be liable to cancellation at any time and I shall not be entitled to get any refund of fee paid by me. Further, I
have carefully read all the instructions and I accept them and shall not raise any dispute in future over the same.

(Signature of the Candidate)