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APPLYING FOR

APPLYING FOR HAVE YOU BEEN ALLOTED A COMEDK SEAT

PCM-COMEDK UGET ONLY IN PREVIOUS YEARS
NO

Personal Details

APPLICATION STATUS APPLICATION NUMBER

PaymentSuccess KAR0083371
FULL NAME OF THE APPLICANT(As per CANDIDATE NAME AS PER GOVT ID PROOF
SSLC/10th Marks Card) P PRAVEEN
P PRAVEEN
EMAIL ADDRESS MOBILE NUMBER
pnagendrababu1973@gmail.com 9440304183
DATE OF BIRTH UNIQUE ID PROOF OF APPLICANT
14/Dec/2006 AADHAR CARD(OPTIONAL)
UNIQUE ID PROOF NUMBER OF APPLICANT GENDER
734814622936 MALE
NATIONALITY
Indian
PERSON WITH DISABILITY(PWD) WHETHER YOU NEED SCRIBE?
NO NA
PARENT'S ANNUAL INCOME
LESS THAN RS 6.5 LACS P.A

Parent's Information

FATHERS'S FULL NAME MOTHER'S NAME

P NAGENDRA BABU P DEVI
FATHER/MOTHER OCCUPATION OTHER OCCUPATION
OTHERS FARMER
PARENT'S MOBILE NUMBER PARENT'S UNIQUE ID PROOF
9440304183 OTHER GOVERNMENT ISSUED ID PROOF
PARENT'S OTHER GOVERNMENT ISSUED ID PARENT'S UNIQUE ID PROOF NUMBER
PROOF NAME 744054562002
AADHAR CARD

Present Address For Communication Purpose

ADDRESS NAME OF NEAREST POLICE STATION TO

2-23, KONAPALLE VILLAGE, YADAMARI YOUR PRESENT ADDESSS
MANDAL, CHITTOOR DISTRICT YADAMARI POLICE STATION
PRESENT ADDRESS STATE ADDRESS OTHER STATE
ANDHRA PRADESH NA
PRESENT ADDRESS DISTRICT PRESENT ADDRESS OTHER DISTRICT
CHITTOOR NA
PRESENT ADDRESS CITY PRESENT ADDRESS PIN CODE
CHITTOOR 517128
IS YOUR PERMANENT ADDRESS SAME AS
PRESENT ADDRESS?
Yes

Permanent Address

ADDRESS ADDRESS STATE

2-23, KONAPALLE VILLAGE, YADAMARI ANDHRA PRADESH
MANDAL, CHITTOOR DISTRICT ADDRESS OTHER STATE
NA
ADDRESS DISTRICT ADDRESS OTHER DISTRICT
CHITTOOR NA
ADDRESS CITY ADDRESS PIN CODE
CHITTOOR 517128

Category Details

BELONGS TO BIRTH/DOMICILE
NON KARNATAKA NA
DO YOU BELONG TO KALYANA KARNATAKA KALYANA KARNATAKA REGION(HK Region)
REGION (HK Region)? NA
NA CATEGORY
GENERAL MERIT (GM)

Academic Details

QUALIFYING EXAM OTHER QUALIFYING EXAM

12th STD NA
QUALIFYING EXAM COMPLETED/ PURSUING MONTH AND YEAR OF PASSING QUALIFYING
PURSUING EXAM
NA
NA
BOARD OF QUALIFYING EXAM
CBSE (CENTRAL BOARD OF SECONDARY
EDUCATION)
OTHER BOARD OF QUALIFYING EXAM NAME OF INSTITUTION LAST STUDIED
NA SUNBEAM SCHOOL OF EXCELLENCE
STATE IN WHICH YOUR INSTITUTION IS CITY IN WHICH YOUR INSTITUTION IS
LOCATED (LAST STUDIED) LOCATED(LAST STUDIED)
TAMIL NADU VELLORE
ROLL/REG/INDEX NO./UNIQUE ID OF 10TH ROLL/REG/INDEX NO./UNIQUE ID OF 12TH
STD MARKS CARD STD/2ND PUC MARKS CARD
2218102282 NA
OTHER ENTRANCE EXAM YOU ARE
APPEARING
IIT-JEE
OTHER STATE CET

Exam City Preferences

EXAM CITY PREFERENCE 1 EXAM CITY PREFERENCE 2

ANDHRA PRADESH-CHITTOOR ANDHRA PRADESH-TIRUPATHI
EXAM CITY PREFERENCE 3 EXAM CITY PREFERENCE 4
KARNATAKA-BENGALURU-NEAR KARNATAKA-BENGALURU-NEAR K R PURAM
BANASHANKARI EXAM CITY PREFERENCE 5
KARNATAKA-BENGALURU-NEAR KENGERI

Payment Details

Amount Payment Mode

1800 online
Payment Status Payment Transaction No.
SUCCESS 19466338209
Order ID Payment Request Time
KAR008337120240322212713 2024-03-22 21:27:13
Payment Response Time
2024-03-22 21:30:45

Student Documents

Photo Signature
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To view your SCANNED IMAGE OF APPLICANT'S SSLC/10th MARKS CARD: Click here.

Parents Documents

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Document
Download

To view your Signature: Click here.

To view your SCANNED IMAGE OF PARENT'S GOVT. ID PROOF AS DECLARED IN

Click here.
THE APPLICATION:

Declaration

I declare that I had read the prospectus, instructions and conversant with the Online process of
submission of application.
I understand that fees once paid will not be refunded under any circumstances.
I agree that if a Test City of my choice is not available COMEDK will allot me any other available Test
City.
I am fully aware that the application fee prescribed by COMEDK /Uni GAUGE (ERA Foundation) will
not be refunded for any reason including judicial and other statutory reasons
I hereby declare that the information given above is true and correct to the best of my knowledge
and belief. If the information provided by me is false then COMEDK has the authority to reject my
application/candidature. I further declare to submit all certificates in original at the time of
admission / Counseling relevant to my claims made in the application. I also agree to forfeit my
claim for admission in the event of failure to produce the relevant original certificates. I shall abide
by the Rules and Regulations of COMEDK/Uni GAUGE (ERA Foundation)