COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243550983905

Do Not Send this Page to National Testing Agency (NTA).
Candidate is requested to retain the printout of Confirmation page for future Reference.
यितगत योरा (Personal Details)
एबीसी आईडी (Abc ID) NA
उमीदवार का नाम (Candidate उमीदवार की जम ितिथ (Candidate
Mohd Taazim 15-08-2006
Name) Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Mohd Rafik Khan Tabassum Khanam
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Male राटीयता (Nationality) Indian
Any Other Valid Govt पहचान संया (Identification
पहचान का कार (Identity Type) 421861579735
Identity With Photograph Number)
वग (Category) General राय का अिधवास (State Domicile) Rajasthan
या आप पीडयूडी उमीदवार ह  (Are you a PwD Candidate?) No
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Doctorate Teaching / Research
/Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय
Graduate Others
/Guardian Qualification) (Mother/Guardian Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय (Annual
No Rs. 200001 – 300000
Diabetic?) Family Income)
या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन कर रहे
No
ह (Are you twin and both applying for CUET-UG 2024)
िनवास की जगह (Place Of तैयारी का तरीका (Mode of
URBAN Self-study
Residence) Preparation)
योयता परीा म अययन का मायम
(Medium of Study in Qualifying English
Examination)
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  (Do
या आप कमीरी वासी ह  (Are
you belong to Below Poverty Line No No
you Kashmiri Migrant ?)
?)
रा कािमक/पूव सै िनकों का वाड
एनसीसी कोटा के िलए दावा (Claim
(Ward of Defence Personnel / Ex- No Yes
for NCC Quota)
Servicemen)
खेल कोटा के िलए दावा (Claim for Sports Quota) No
या आप िवविवालय कमचारी के
वाड ह  (Are you a ward of No
University Employee ?)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises
New Taragarh Road े  (Locality) Abkari Ke Pass Ramganj
No./Name)
उप-मोहला (Sub-
Ajmer दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Rajasthan िज़ला (District) Ajmer
िपन कोड (Pin Code) 305001 मेल पता (Email Address) Badshahmohdtaazim@gmail.com
कं टी कोड (Country Code) +91 मोबाइल नंबर (Mobile Number) 9024346659
वै किपक मोबाइल नंबर (Alternate
NA
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
New Taragarh Road े  (Locality) Abkari Ke Pass Ramganj
No./Name)
उप-मोहला (Sub-
Ajmer दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Rajasthan िज़ला (District) Ajmer
िपन कोड (Pin Code) 305001
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Details)
पिरणाम िथित (Result Status)
योयता परीा (Qualifying Exam)
कू ली िशा का थान (Place of
Schooling)
योयता परीा दे श (Qualifying Examination Country)
योयता परीा राय (Qualifying
Examination State)
कू ल/कॉलेज का नाम पता
(School/College Name Address)
रोल नंबर (Roll Number)
पिरणाम मोड (Result Mode)
ात अंक(Obtained Marks)
12वीं योयता िववरण (12th Qualification Details)
पिरणाम िथित (Result Status)
योयता परीा (Qualifying Exam)
कू ली िशा का थान (Place of
Schooling)
योयता परीा दे श (Qualifying Examination Country)
योयता परीा राय (Qualifying
Examination State)
कू ल/कॉलेज का नाम पता
(School/College Name Address)
रोल नंबर (Roll Number)
िवविवालय/ िवषय चयन (University / Subject Selection)
.सं. (S.No.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
Passed उीण वष (Passing of Year) 2022
बोड /िवविवालय का नाम
10th Or Equivalent Central Board Of Secondary Education
(Board/University Name)
कू ल/कॉलेज का कार (Type of
Urban Private Unaided
School / College)
India
योयता परीा िजला (Qualifying
Rajasthan Ajmer
Examination District)
All Saints Sr Sec School कू ल/कॉलेज िपनकोड
305001
Beawar Road Ajmer (School/College Pincode)
11135398
Percentage कुल अंक (Total Marks) 500.00
404.00 ितशत % (Percentage %) 80.80
उीण वष /उपिथित (Passing of
Appearing 2024
Year/Appearing)
बोड /िवविवालय का नाम
12th Or Equivalent Central Board Of Secondary Education
(Board/University Name)
कू ल/कॉलेज का कार (Type of
Urban Private Unaided
School / College)
India
योयता परीा िजला (Qualifying
Rajasthan Ajmer
Examination District)
All Saints Sr Sec School कू ल/कॉलेज िपनकोड
305001
Beawar Road Ajmer (School/College Pincode)
11629955
िवविवालय का नाम िवविवालय काय म का नाम
िवषय नाम (Subject Names)
(University Name) (University Program Name)
Chemistry, Physics, English, Mathematics,
Alliance University B. Tech. In Mechanical Engineering
Computer Science / Informatics Practices
B.tech Mechanical Engineering With
Galgotias University Specialization In E-vehicles & English, Physics, Chemistry, Math
Autonomous Vehicles
Bachelor Of Technology -
Section I A (english) + Section Ii (physics +
Amity University Noida (mechanical Engineering) - 3
Chemistry + Mathematics)
Continent
Physics, Mathematics And Chemistry/computer
Hemvati Nandan Bahuguna
Mechanical Engineering Science/electronics/information Technology/
Garhwal University
Biology/informatics Practices/ Biotechnology
English, Computer Science / Informatics
Practices, Mathematics / Applied Mathematics/
Sharda University B.tech Mechanical Engineering (me)
Biology/ Biochemistry/ Biotechnology, Physics,
Chemistry
Apex University, Jaipur · Electrical· Mechanical· Civil General Test
· Computer Science · Artificial
Intelligence & Machine Learning ·
Apex University, Jaipur General Test
Cloud Technology & Information
Security· Data Science · Full Stack
Jagannath University, Jaipur English (code 101) Physics (code 322)
B.tech (mechanical Engineering)
(rajasthan) Mathematics (code 319)
Jagannath University, Jaipur English (code 101) Physics (code 322)
B.tech (agriculture Engineering)
(rajasthan) Mathematics (code 319)
English, Physics, Chemistry,
Aligarh Muslim University B.sc. (hons.) Community Science
Biology/mathematics/home Science
Electronics & Communication
Niit University Mathematics Or Physics
Engineering
Bachelor Of Engineering In
Rkdf University, Bhopal General Test
Mechanical Engineering (be-me)
Agriculture Or Physics, Chemistry, Maths Or
Rnb Global University Specilization In Agriculture
Physics, Chemistry, Biology
 टे ट पे पर / िवषय का मायम (Medium of Test
.सं. (S.No.) परीा प (Test Paper) िवषय (Subject)
Paper / Subject)
1 Test Paper 1 English English
2 Test Paper 2 Physics English
3 Test Paper 3 Mathematics / Applied Mathematics English
4 Test Paper 4 General Test English
परीा कद और िववरण (Exam Center And Details)
परीा कद के िलए िवकप
.सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name))
(Choice For Exam Center)
1 1st Choice For Exam Center Ajmer ( Rajasthan )
2 2nd Choice For Exam Center Bhilwara ( Rajasthan )
3 3rd Choice For Exam Center Jaipur ( Rajasthan )
4 4th Choice For Exam Center Udaipur ( Rajasthan )
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

PHOTO

SIGNATURE

शु क भु गतान िववरण (Fee Payment Details)

भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) CPADQRPGE7
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 1400 22-03-2024 19:40:58 PM
Submitted On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
22-03-2024 19:42:32 PM SBI Epay
Date) Gateway Name)
घोषणा (Declaration)
म घोषणा करता हं ू िक आवे दन प म मे रे ारा दी गई जानकारी सभी कार से सय है और कुछ भी िछपाया नहीं गया है । यिद कोई िविट या जानकारी झठ ू ी पाई जाती
है , तो इससे मे रा वे श वत : र हो जाएगा और इसके अलावा म िवविवालय ारा उिचत समझी जाने वाली कारवाई के िलए भी उरदायी हो जाऊंगा। म एतद्ारा
वचन दे ता हं ू िक म ने कायम के िलए ॉपे टस म िनधािरत पाता शतों को यानपूवक पढ़ िलया है । म इस बात से सं तुट होने के बाद आवे दन कर रहा हं ू िक म पाता
शतों को पूरा करता हं ।ू यिद िकसी भी तर पर यह पाया जाता है िक म यूनतम िनधािरत मानदं ड को पूरा नहीं करता हं ,ू तो मे रा वे श, यिद िदया जाता है , र कर िदया
जाएगा और मु झे वे श का कोई अिधकार नहीं होगा। (I declare that information furnished by me in the application form is true in all respect and nothing is
concealed. In case any entry or information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such
actions as deemed fit by the University. I hereby undertake that I have carefully gone through the eligibility conditions prescribed in the prospectus for the
programme. I am applying after satisfying that I meet the eligibility conditions. If at any stage it is found that I do not fullfill the minimum prescribed
criteria, my admission, if granted, shall stand cancelled and I shall have no right to admission whatsoever.)
IP Address : 49.36.237.7 Date of Downloading : 23-03-2024 00:38:44 AM
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