COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243551340419

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
Darius Naorem 12-03-2007
Name) Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Naorem Dharmendra Thokchom Sobita Devi
(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) 310989616211
Identity With Photograph Number)
वग (Category) Obc(ncl) राय का अिधवास (State Domicile) Manipur
या आप पीडयूडी उमीदवार ह  (Are you a PwD Candidate?) No
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Post Graduate Government Service
/Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय
Graduate Not Applicable
/Guardian Qualification) (Mother/Guardian Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय (Annual
No Rs. 700001 – 800000
Diabetic?) Family Income)
या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन कर
Yes
रहे ह (Are you twin and both applying for CUET-UG 2024)
दसवीं का के माण प के अनुसार का 10वीं का रोल नंबर या इसके
दूसरे भाई/बहन का नाम (Name Of समक (Roll Number Of Class
No No
The Other Brother/sister As Per 10th Or Its Equivalent Of The
Class X Certificate) Twin)
िनवास की जगह (Place Of तैयारी का तरीका (Mode of
RURAL 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 No
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
House No 9 े  (Locality) Sagolband Tera
No./Name)
उप-मोहला (Sub-
Sapam Leirak दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Manipur िज़ला (District) Imphal West
िपन कोड (Pin Code) 795001 मेल पता (Email Address) Dariusnaorem@gmail.com
कं टी कोड (Country Code) +91 मोबाइल नंबर (Mobile Number) 7005263954
वै किपक मोबाइल नंबर (Alternate
9862284658
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
House No 9 े  (Locality) Sagolband Tera
No./Name)
उप-मोहला (Sub-
Sapam Leirak दे श (Country) India
Locality(Optional))
राय/संघ (State/UT)
िपन कोड (Pin Code)
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.
Manipur िज़ला (District) Imphal West
795001
Passed उीण वष (Passing of Year) 2022
बोड /िवविवालय का नाम
10th Or Equivalent Manipur Board Of Secondary Education
(Board/University Name)
कू ल/कॉलेज का कार (Type of
Rural Private Unaided
School / College)
India
योयता परीा िजला (Qualifying
Manipur Imphal West
Examination District)
St Josephs Hr Secondary कू ल/कॉलेज िपनकोड
795001
School , Sangaiprou (School/College Pincode)
44520
Percentage कुल अंक (Total Marks) 600.00
527.00 ितशत % (Percentage %) 87.83
उीण वष /उपिथित (Passing of
Appearing 2024
Year/Appearing)
बोड /िवविवालय का नाम
12th Or Equivalent Manipur Council Of Higher Secondary Education
(Board/University Name)
कू ल/कॉलेज का कार (Type of
Rural Private Unaided
School / College)
India
योयता परीा िजला (Qualifying
Manipur Imphal West
Examination District)
Herbert School , कू ल/कॉलेज िपनकोड
795140
Changangei (School/College Pincode)
15766
िवविवालय का नाम िवविवालय काय म का नाम
िवषय नाम (Subject Names)
(University Name) (University Program Name)
1. Subject Test – Biology (304) 2. Subject Test –
Banaras Hindu University B.sc.(hons.) Biology Group
Chemistry (306) 3. Subject Test – Physics (322)
University Of Delhi B.a. (hons.) English English+ Any Three From Section Ii
Physics, Chemistry, Mathematics/applied
University Of Delhi B.sc. (hons.) Chemistry
Mathematics, Any One Language
Physics, Chemistry, Biology/biological
University Of Delhi B.sc. (hons.) Zoology Studies/biotechnology/biochemistry, Any One
Language
Any One From Section I + Mathematics/applied
University Of Delhi B.a.(hons.) Economics
Mathematics + Any Two From Section Ii
Indian Council Of Physics, Chemistry, Mathematics, Biology,
Agriculture And Allied Sciences*
Agricultural Research (icar) Agriculture/ Inter-agriculture
5 Year Integrated M.sc. (chemical
University Of Hyderabad Chemistry, Physics, English
Sciences)
North-eastern Hill English From Section Ia, Economics/business
Major In Economics
University Economics Or General Test
North-eastern Hill English From Section Ia, Chemistry Or General
Major In Chemistry
University Test
Central University Of
B.sc.(chemistry) Physics, Chemistry, Mathematics/biology
Karnataka
306-chemistry,322-physics ,319- Mathematics,
B. Sc (hons/hons With Research) 304-biology, 308-computer Science / Informatics
Chandigarh University
Chemistry Practices/information Technology, 501- General
Test
 1. English 2. Three Domain Specific Subjects Of
Which Teaching Aptitude Subject Shall Be
Considered As Mandatory. Candidates Desiring
Admission To Honours Course In Physics Should
B. Sc. B. Ed. (4 Year Under
Have Physics And Maths/ Chemistry. Candidates
Graduate Course In Education) A.
Desiring Admission To Honours Course In
12. Assam University Physics (hons.) B.ed, B. Chemistry
Chemistry Should Have Chemistry And
(hons.) B.ed, C. Zoology (hons.)
Maths/physics. Candidates Desiring Admission To
B.ed, D. Botany (hons.) B.ed
Honours Course In Zoology Should Have Biology
And Chemistry. Candidates Desiring Admission To
Honours Course In Botany Should Have Biology
And Chemistry.
Central University Of
13. Integrated B.sc.-m.sc. Chemistry Chemistry
Haryana
Bachelor Of Commerce (honours /
14. Chandigarh University 501- General Test
Honours With Research)
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
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 General Test English
3 Test Paper 3 Chemistry English
4 Test Paper 4 Physics English
Biology/biological
5 Test Paper 5 English
Studies/biotechnology /biochemistry
6 Test Paper 6 Mathematics / Applied Mathematics English
परीा कद और िववरण (Exam Center And Details)
परीा कद के िलए िवकप
.सं. (S.No.) (Choice For Exam शहर का नाम (राय का नाम) (City Name (State Name))
Center)
1 1st Choice For Exam Center Imphal ( Manipur )
2nd Choice For Exam
2 Guwahati ( Assam )
Center
3rd Choice For Exam
3 Shillong ( Meghalaya )
Center
4th Choice For Exam
4 Silchar (assam) ( Assam )
Center
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) CPADQWUXX8
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 2025 26-03-2024 09:34:02 AM
Submitted On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
26-03-2024 09:38:26 AM 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 : 122.164.152.234 Date of Downloading : 26-03-2024 09:39:17 AM
Domain name : cuetug.ntaonline.in