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COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024


Confirmation Page

Application Number 243550702596


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) 478396478793
उमीदवार की जम ितिथ (Candidate
उमीदवार का नाम (Candidate Name) Madhav Sharma 18-10-2006
Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Hemraj Sharma Poonam Sharma
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Male राटीयता (Nationality) Indian
Any Other Valid Govt
पहचान का कार (Identity Type) पहचान संया (Identification Number) 959835952414
Identity With Photograph
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
Graduate Government Service
/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 Family
No Rs. 700001 – 800000
Diabetic?) 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
URBAN तैयारी का तरीका (Mode of Preparation) Self-study
Residence)
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
you belong to Below Poverty Line No No
Kashmiri Migrant ?)
?)
रा कािमक/पूव सै िनकों का वाड (Ward
एनसीसी कोटा के िलए दावा (Claim for
of Defence Personnel / Ex- No No
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 H No-08 Bhuwneshwari
े  (Locality) Karni Palace Road
No./Name) Vatika-c
उप-मोहला (Sub-
Panchyawala दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Rajasthan िज़ला (District) Jaipur
िपन कोड (Pin Code) 302034 मेल पता (Email Address) Madhav55zx@gmail.com
कं टी कोड (Country Code) +91 मोबाइल नंबर (Mobile Number) 9461866255
वै किपक मोबाइल नंबर (Alternate
9414810611
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises H No-08 Bhuwneshwari
े  (Locality) Karni Palace Road
No./Name) Vatika-c
उप-मोहला (Sub-
Panchyawala दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Rajasthan िज़ला (District) Jaipur
िपन कोड (Pin Code) 302034
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Details)
पिरणाम िथित (Result Status) Passed उीण वष (Passing of Year) 2022
बोड /िवविवालय का नाम
योयता परीा (Qualifying Exam) 10th Or Equivalent Central Board Of Secondary Education
(Board/University Name)
कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of School /
Urban Government Aided Private
Schooling) College)
योयता परीा दे श (Qualifying Examination Country) India
योयता परीा राय (Qualifying योयता परीा िजला (Qualifying
Rajasthan Jaipur
Examination State) Examination District)
कू ल/कॉलेज का नाम पता Defence Public School कू ल/कॉलेज िपनकोड (School/College
302021
(School/College Name Address) Vaishali Nagar Jaipur Pincode)
रोल नंबर (Roll Number) 11166842
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 402.00 ितशत % (Percentage %) 80.40
12वीं योयता िववरण (12th Qualification Details)
उीण वष /उपिथित (Passing of
पिरणाम िथित (Result Status) Appearing 2024
Year/Appearing)
बोड /िवविवालय का नाम
योयता परीा (Qualifying Exam) 12th Or Equivalent Central Board Of Secondary Education
(Board/University Name)
कू ली िशा का थान (Place of कू ल/कॉलेज का कार (Type of School /
Urban Government Aided Private
Schooling) College)
योयता परीा दे श (Qualifying Examination Country) India
योयता परीा राय (Qualifying योयता परीा िजला (Qualifying
Rajasthan Jaipur
Examination State) Examination District)
कू ल/कॉलेज का नाम पता Defence Public School कू ल/कॉलेज िपनकोड (School/College
302021
(School/College Name Address) Vaishali Nagar Jaipur Pincode)
रोल नंबर (Roll Number) 11662121
िवविवालय/ िवषय चयन (University / Subject Selection)
िवविवालय का नाम िवविवालय काय म का नाम
.सं. (S.No.) िवषय नाम (Subject Names)
(University Name) (University Program Name)
Jagannath University, Jaipur English (code 101) Physics (code 322)
1. B.tech -computer Science Engineering
(rajasthan) Mathematics (code 319)
Central University Of B.tech. In Computer Science &
2. Mathematics And Physics
Haryana Engineering
1. Subject Test – Chemistry (306) 2. Subject
3. Banaras Hindu University B.sc.(hons.) Mathematics Group Test – Mathematics (319) 3. Subject Test –
Physics (322)
Any One From Section I +
4. University Of Delhi B.sc. (hons.) Mathematics Mathematics/applied Mathematics + Any
Two From Section Ii
Section Ia Languages (any Of The Listed
Babasaheb Bhimrao
5. B.tech. In Computer Engineering Languages May Be Chosen.). Section Ii/iii-
Ambedkar University
Physics/ Chemistry/ Mathematics (all Three)
Vivekananda Global
6. Computer Science & Engineering. Mathematics
University
B Tech Computer Science And
Physics, Mathematics And English As
7. Manipal University Jaipur Engineering (artificial Intelligence And
Compulsory Subjects
Machine Learning)
B.tech. Computer Science & Engineering
Suresh Gyan Vihar
8. With Specialization In Artificial Physics, Chemistry, Mathematics
University Jaipur
Intelligence & Machine Learning
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
टे ट पे पर / िवषय का मायम (Medium of
.सं. (S.No.) परीा प (Test Paper) िवषय (Subject)
Test Paper / Subject)
1 Test Paper 1 English English
2 Test Paper 2 Physics English
3 Test Paper 3 Chemistry English
4 Test Paper 4 Mathematics / Applied Mathematics English
Physical Education/national Cadet Corps
5 Test Paper 5 English
(ncc)/ Yoga
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 Jaipur ( Rajasthan )
2 2nd Choice For Exam Center Ajmer ( Rajasthan )
3 3rd Choice For Exam Center Sikar ( Rajasthan )
4 4th Choice For Exam Center Alwar ( 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) CPADQUTTO5
शु क जमा िकया गया (Fee Submitted
परीा शु क (Exam Fee) 1800 24-03-2024 19:41:28 PM
On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
24-03-2024 19:44:58 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 : 49.36.239.21 Date of Downloading : 25-03-2024 17:11:36 PM
Domain name : cuetug.ntaonline.in

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