Dr A.P.J.

Abdul Kalam Technical University, Uttar Pradesh

UPTAC B.Tech. Counselling 2023
Candidate Profile

Personal Details
JEE (Main) Application 230310444253 Candidate Name AVNISH SRIVASTAVA
No
Father Name MANEESH SRIVASTAVA Mother Name VANDANA SRIVASTAVA
Gender Male Date of Birth 27-12-2004
Domicile Uttar Pradesh Qualifying Examination Uttar Pradesh
From
Category General-EWS

Rank Details
All India Rank (B.Tech) 335952
Sub Category List
Physically Handicapped No
Armed Forces No
Freedom Fighter No
Tuition Fee Waiver No
Other Informations
Having Rural Weightage NO
Qualification Details
Class 12th or Equivalent Details
Passing Status Passed
Passing Year 2023
Subject/Year/Semester Wise Marks Details
Name Passing Status Total Max Total Obtained
Physics Passed 100 93
Mathematics Passed 100 91
Chemistry Passed 100 93
Subject/Year/Semester Max Marks : 300 | Subject/Year/Semester Obtained Marks: 277 | Subject/Year/Semester Percentage: 92.33
Contact Details
Correspondence Address
Premises No./Village Name 548 GHA/2C
Sub Locality/Colony/Police Station(Optional) Teji Khera, Lal Kothi Parisar
Locality/City/Town/Village/Post Office Lucknow
Country India
State Uttar Pradesh
District LUCKNOW
Pin Code 226011
Mobile Number 638****407
Email Id sri*******************com
Permanent Address
Premises No./Village Name 548 GHA/2C
Sub Locality/Colony/Police Station(Optional) Teji Khera, Lal Kothi Parisar
Locality/City/Town/Village/Post Office Lucknow
Country India
State Uttar Pradesh
District LUCKNOW
Pin Code 226011
Fee Payment Details
Registration Fee
Transaction Number Transaction Amount Transaction Date
99915561 1000 11/08/2023 21:03:27
Registration Details
Activity Date & Time IP Address
Registration Form Submission Jul 27 2023 10:39PM 103.164.211.240
Application Form Submission Jul 27 2023 10:55PM 103.164.211.240
Uploded Documents
10th Marksheet/Certificate
Mark sheet of Class 12th or Equivalent
General EWS Certificate (Accepted only, if issued on/ after 1st April 2023)
JEE(Main) Admit Card
JEE(Main) Score Card
Declaration
JEE (Main) Application No: 230310444253 Generated On: 11-08-2023 09:04:13 PM Page No. 1
 Dr A.P.J. Abdul Kalam Technical University, Uttar Pradesh
UPTAC B.Tech. Counselling 2023
Candidate Profile

I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
procedures.

I hereby agree to the following terms and conditions of UPTAC-2023 Counselling:

1. I have gone through and understood the contents of Information Brochure /Counseling Process of UPTAC 2023 Counselling for JEE(Main) Candidates
and eligibility criteria prescribed therein. I shall abide by rules and admission process as specified by the UPTAC 2023.
2. I know that during verification of the documents, if any discrepancy is detected in original documents: Mark sheet of the qualifying examination and/or
the certificates related to the category, subcategory, parent domicile, gender, rural weightage etc., whichever are applicable to me, and then I may not
be considered for UPTAC 2023 seat Allotment.
3. I declare that I will not disclose or share my login password with anybody. I understand that I am solely responsible for safe guarding my password and
neither UPTAC nor NIC is responsible for misuse of my password.
4. The Verification of Original Documents should be performed by Allotted Institution at the time of Physical Reporting .
5. I understand that choices locked by me are final and same shall be used for seat allotment in all later round of counseling in which I participate.
6. I understand that the choice locking is subject to successful verification of relevant documents as per the schedule notified. In case, I fail to produce any
relevant documents within due time then my UPTAC-2023 Profile may get updated accordingly.
7. You are required to preserve this document as a proof of choice locking and produce whenever asked in future.
8. If the seat is allotted under TFW (tuition fee waiver) and Institute/Course is closed for any reason. The university has right to shift the candidate to other
institute and institute may charge full fee
9. Note: Note: It is strongly recommended that the OTP sent to the applicant for any activity like reset password etc. must not be shared with anyone. This
OTP is the confidential and to be used by the applicant only. Neither UPTAC nor NIC will be responsible for violation or misuse of the password/OTP.

Signature of Candidate
(AVNISH SRIVASTAVA)

JEE (Main) Application No: 230310444253 Generated On: 11-08-2023 09:04:13 PM Page No. 2