You are on page 1of 1

Common University Entrance Test CUET (UG) - 2023

Application Number 233511100666


DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA)
CANDIDATE IS REQUIRED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE
Personal Details
Candidate's Name Tanishk Patidar Father's Name Gopal Patidar
Mother's Name Ranjana Patidar Guardian's Name --
Candidate's Date of Birth 16-10-2005 Gender Male
Nationality Indian Mode of Preparation Self
Category OBC-NCL Are you Diabetic No
Are you a PwBD Candidate ? No
Benchmark Disability of 40% or more Not Applicable Scribe Required Not Applicable
State/ UT from where 12th/ Equivalent Passed/
MADHYA PRADESH
Appearing
Medium of Schooling in 12th/Equivalent Examination English Are you Kashmiri Migrant No
Are you a ward of University Employee No Claim for Sports Quota No
Ward of Defence Personnel / Ex-Servicemen No Claim for NCC Quota No
Do you belong to Below Poverty Line No
Test Paper / Subject(s) Selection Details with Medium of Examination(If Applicable)
Test Paper/Subject 1 101 : English Test Paper/Subject 2 306 : Chemistry (Medium: English)
308 : Computer Science/Informatics Practices 319 : Mathematics/Applied Mathematics (Medium:
Test Paper/Subject 3 Test Paper/Subject 4
(Medium: English) English)
Test Paper/Subject 5 322 : Physics (Medium: English) Test Paper/Subject 6 501 : General Test (Medium: English)
Test Paper/Subject 7 Not Applicable Test Paper/Subject 8 Not Applicable
Test Paper/Subject 9 Not Applicable Test Paper/Subject 10 Not Applicable
Examination Center City Selection Details
Center City Preference 1 NEEMUCH (MP12) Center City Preference 2 RATLAM (MP13)
Present Address : 110,Ward N-17, Gram Khokhra, Khokhara, Mandsaur, MANDSAUR, MADHYA PRADESH, India, 458664
Permanent Address : 110,Ward N-17, Gram Khokhra, Khokhara, Mandsaur, MANDSAUR, MADHYA PRADESH, India, 458664
Contact Details : tpa********@gmail.com , 940****499 , 626****368
Images Uploaded by Candidate
Candidate's Photograph Candidate's Signature

Fee Payment Details


Application Number Amount Transaction Date Transaction ID Transaction Order ID
233511100666 ₹ 1400.00 2023-03-12 15:30:11 CPACOHFLD4 2210596CUET23233511100666
University / Programme Selection
UNIVERSITY OF ENGINEERING AND TECHNOLOY ROORKEE : B.Tech CSE specialization with Artificial Intelligence & Machine Learning, B.Tech CSE
specialization with Cyber Security
CHHATRAPATI SHIVAJI MAHARAJ UNIVERSITY : B.Tech. Computer Science & Engineering, B.Tech. Computer Science & Engineering in Artificial
Intelligence and Machine Learning (AI & ML)
APEX UNIVERSITY, JAIPUR : B. Tech. in Computer Science, B. Tech. in Artificial Intelligence & Machine Learning
NIIT UNIVERSITY : B.Tech. (Computer Science & Engineering), B.Tech. (Cyber Security)

Application number 233511100666, IP Address : 49.35.252.69, Generated On : 17-05-2023 19:00:55 IST, Page 1 of 1

You might also like