COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243550719619

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
Kush Kumar Daharia 10-08-2003
Name) (Candidate Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Vinod Kumar Sudha
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Male राटीयता (Nationality) Indian
पहचान संया (Identification
पहचान का कार (Identity Type) Election Card (epic No.) AXN5082151
Number)
राय का अिधवास (State
वग (Category) Sc Chandigarh
Domicile)
या आप पीडयूडी उमीदवार ह  (Are you a PwD
No
Candidate?)
िपता/अिभभावक की योयता िपता/अिभभावक का यवसाय
(Father /Guardian Graduate (Father/Guardian Public Sector Service
Qualification) Occupation)
माता/अिभभावक का यवसाय
माता/अिभभावक योयता (Mother
Graduate (Mother/Guardian Public Sector Service
/Guardian Qualification)
Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय
No Rs. 800001 and above
Diabetic?) (Annual Family Income)
या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन
कर रहे ह (Are you twin and both applying for CUET-UG No
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 English
Qualifying Examination)
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  या आप कमीरी वासी ह 
(Do you belong to Below Poverty No (Are you Kashmiri Migrant No
Line ?) ?)
रा कािमक/पूव सै िनकों का वाड
एनसीसी कोटा के िलए दावा
(Ward of Defence Personnel / No No
(Claim for NCC Quota)
Ex-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 3414 े  (Locality) Sector 35d
No./Name)
उप-मोहला (Sub-
NA दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Chandigarh िज़ला (District) Chandigarh
िपन कोड (Pin Code) 160022 मेल पता (Email Address) Vinoddaharia74@gmail.com
मोबाइल नंबर (Mobile
कं टी कोड (Country Code) +91 9464276040
Number)
वै किपक मोबाइल नंबर (Alternate
9463955202
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
House No 3414 े  (Locality) Sector 35d
No./Name)
उप-मोहला (Sub-
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) Sector 32, Chandigarh
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)
पिरणाम मोड (Result Mode)
ात अंक(Obtained Marks)
िवविवालय/ िवषय चयन (University / Subject Selection)
.सं. (S.No.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
NA दे श (Country) India
Chandigarh िज़ला (District) Chandigarh
160022
Passed उीण वष (Passing of Year) 2020
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
Chandigarh (Qualifying Examination Chandigarh
District)
St Annes Convent School, कू ल/कॉलेज िपनकोड
160032
(School/College Pincode)
13209504
Percentage कुल अंक (Total Marks) 500.00
364.00 ितशत % (Percentage %) 72.80
उीण वष /उपिथित (Passing
Passed 2022
of 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 Government School
School / College)
India
योयता परीा िजला
Chandigarh (Qualifying Examination Chandigarh
District)
Govt Model Sen Sec
कू ल/कॉलेज िपनकोड
School, Sector 19, 160019
(School/College Pincode)
Chandigarh
13610887
Percentage कुल अंक (Total Marks) 500.00
363.00 ितशत % (Percentage %) 72.60
िवविवालय का नाम िवविवालय काय म का नाम
िवषय नाम (Subject Names)
(University Name) (University Program Name)
Section I A English + Section Ii (physics + Chemistry
Amity University Punjab Bachelor In Pharmacy
+biology/maths)
Bachelor Of Science (medical Section I A English + Section Ii (physics + Chemistry +
Amity University Punjab
Lab Technology) Biology)
Bachelor Of Science In
Section I A English + Section Ii (physics + Chemistry
Amity University Punjab Human Genetics And
+biology/maths)
Molecular Medicine (honours)
Bachelor Of Science (food
Science Technology And Section I A English + Section Ii (physics + Chemistry
Amity University Punjab
Processing) (honours / +biology/maths)
Research)
Central University Of Integrated B.sc.-m.sc.
Chemistry
Haryana Chemistry
Chitkara University,
Bachelor Of Pharmacy Physics, Chemistry, Biology/mathematics
Punjab
Indian Council Of
Agriculture And Allied Physics, Chemistry, Mathematics, Biology, Agriculture/
Agricultural Research
Sciences* Inter-agriculture
(icar)
The Icfai University,
B.pharmacy Physics, Chemistry, Mathematics/ Biology, General Test
Himachal Pradesh
Physics, Chemistry, Mathematics/applied Mathematics, Any
University Of Delhi B.sc. (hons.) Chemistry
One Language
 Physics, Chemistry, Mathematics/applied Mathematics/
10. University Of Delhi B.sc. (hons.) Food Technology Biology/biologicalstudies/biotechnology/biochemistry, Any
One Language
Bachelor Of Science And 327- Teaching Aptitude , 306- Chemistry , 322- Physics,
11. Chandigarh University
Bachelor Of Education 304- Biology ,319- Mathematics, 501- General Test
Bachelor Of Science. (medical
Section I A English + Section Ii (physics + Chemistry +
12. Amity University Punjab Lab Technology) (honours /
Biology)
Research)
टे ट पे पर / िवषय चयन (Test Paper / Subject Selection)
टे ट पे पर / िवषय का मायम (Medium of Test Paper /
.सं. (S.No.) परीा प (Test Paper) िवषय (Subject)
Subject)
1 Test Paper 1 English English
Biology/biological
2 Test Paper 2 Studies/biotechnology English
/biochemistry
3 Test Paper 3 Chemistry English
4 Test Paper 4 Physics 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)
1st Choice For Exam
1 Chandigarh ( Punjab )
Center
2nd Choice For Exam
2 Sahibzada Ajit Singh Nagar ( Punjab )
Center
3rd Choice For Exam
3 Ambala ( Haryana )
Center
4th Choice For Exam
4 Karnal ( Haryana )
Center
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

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शु क भु गतान िववरण (Fee Payment Details)

लेन-दे न आईडी (Transaction
भु गतान का कार (Payment Mode) Online IK0CSBEPP3
ID)
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 1150 05-04-2024 08:04:16 AM
Submitted On)
शु क की पु िट ितिथ (Fee भु गतान गे टवे का नाम
05-04-2024 08:06:01 AM SBI Epay
Confirmed Date) (Payment 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.)
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