You are on page 1of 1

Common University Entrance Test CUET (UG) - 2023

Application Number 233511560816


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 ANJALI GOSWAMI Father's Name RAJESH GOSWAMI
Mother's Name LAXMI GOSWAMI Guardian's Name RAJESH GOSWAMI
Candidate's Date of Birth 15-04-2005 Gender Female
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 Hindi 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 Yes
Test Paper / Subject(s) Selection Details with Medium of Examination(If Applicable)
304 : Biology/Biological Studies/Biotecnology/Biochemistry 501 : General Test (Medium:
Test Paper/Subject 1 Test Paper/Subject 2
(Medium: Hindi) Hindi)
Test Paper/Subject 3 306 : Chemistry (Medium: Hindi) Test Paper/Subject 4 Not Applicable
Test Paper/Subject 5 Not Applicable Test Paper/Subject 6 Not Applicable
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 JABALPUR (MP09) Center City Preference 2 SAGAR (MP15)
Present Address : WARD NO. 01 RAKSA, POST - FUNGA, RAKSA, RAKSA, ANUPPUR, MADHYA PRADESH, India, 484224
Permanent Address : WARD NO. 01 RAKSA, POST - FUNGA, RAKSA, RAKSA, ANUPPUR, MADHYA PRADESH, India, 484224
Contact Details : anj****************@gmail.com , 930****063 , 774****355
Images Uploaded by Candidate
Candidate's Photograph Candidate's Signature

Fee Payment Details


Application Number Amount Transaction Date Transaction ID Transaction Order ID
233511560816 ₹ 700.00 2023-03-30 18:12:52.0 20230330010820000848262637460045662 3056134CUET23233511560816
University / Programme Selection
DR. HARISINGH GOUR VISHWAVIDYALAYA : B.Sc. (Bio Group) (6 Semesters)
INDIRA GANDHI NATIONAL TRIBAL UNIVERSITY : Under Graduate Biotechnology, Under Graduate Botany, Under Graduate Zoology, Home Science
GURU GHASIDAS VISHWAVIDYALAYA : B. Sc. (Honours)- Botany, B. Sc. (Honours)- Zoology , B. Sc. (Honours)- Forensic Science , B.Sc. in Forestry, B.
Sc. (Honours)- Anthropology, B. Sc. (Honours)- Biotechnology

Application number 233511560816, IP Address : 14.139.231.164, Generated On : 20-05-2023 05:34:49 IST, Page 1 of 1

You might also like