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 JANISTA Father's Name IQBAL Mother's Name SARJINA Guardian's Name -- Candidate's Date of Birth 19-07-2004 Gender Female Nationality Indian Mode of Preparation Self Category General/Unreserved 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/ HARYANA 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 No Test Paper / Subject(s) Selection Details with Medium of Examination(If Applicable) Test Paper/Subject 1 501 : General Test (Medium: Hindi) Test Paper/Subject 2 314 : History (Medium: Hindi) Test Paper/Subject 3 101 : English 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 FARIDABAD (HR02) Center City Preference 2 GURUGRAM (HR03) Present Address : Bhimsika, Malai (272), Palwal Hathin Haryana, PALWAL, HARYANA, India, 121103 Permanent Address : Bhimsika, Malai (272), Palwal Hathin Haryana, PALWAL, HARYANA, India, 121103 Contact Details : phe*******@hotmail.com , 981****493 , 981****964 Images Uploaded by Candidate Candidate's Photograph Candidate's Signature
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Application Number Amount Transaction Date Transaction ID Transaction Order ID 233511320037 ₹ 750.00 2023-03-28 11:55:49 CPACPOMOI9 2662138CUET23233511320037 University / Programme Selection JAMIA MILLIA ISLAMIA : B.A.( Hons) History
Application number 233511320037, IP Address : 157.38.228.209, Generated On : 16-07-2023 20:04:04 IST, Page 1 of 1