COMMON UNIVERSITY ENTRANCE TEST

CUET (UG) - 2024

Confirmation Page

Application Number 243550182795

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
Shuvadip Dutta 18-11-2006
Name) (Candidate Date of Birth)
िपता/अिभभावक का नाम माता/अिभभावक का नाम
Santosh Dutta Kakali Dutta
(Father/Guardian Name) (Mother/Guardian Name)
िलंग (Gender) Male राटीयता (Nationality) Indian
Class Xii Admit Card पहचान संया (Identification
पहचान का कार (Identity Type) 4422111204
Issued By The Board Number)
राय का अिधवास (State
वग (Category) General West Bengal
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 Illiterate (Father/Guardian Self-employment
Qualification) Occupation)
माता/अिभभावक योयता माता/अिभभावक का यवसाय
(Mother /Guardian Matriculate (Mother/Guardian Not Applicable
Qualification) Occupation)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय
No Rs. 100001 – 200000
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
RURAL 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 No (Are you Kashmiri Migrant No
Poverty 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
A6/172 े  (Locality) Paschim Vihar
No./Name)
उप-मोहला (Sub-
NA दे श (Country) India
Locality(Optional))
राय/संघ (State/UT) Delhi िज़ला (District) West Delhi
िपन कोड (Pin Code) 110063 मेल पता (Email Address) Shilpadutta98@gmail.com
मोबाइल नंबर (Mobile
कं टी कोड (Country Code) +91 9079804915
Number)
वै किपक मोबाइल नंबर
8159915377
(Alternate Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises
N0177 े  (Locality) Chuanpur Kadamtala Berhampore
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
West Bengal
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
West Bengal
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.
NA दे श (Country) India
West Bengal िज़ला (District) Murshidabad
742101
Passed उीण वष (Passing of Year) 2022
बोड /िवविवालय का नाम
10th Or Equivalent Council For The Indian School Certificate Examinations
(Board/University Name)
कू ल/कॉलेज का कार (Type
Urban Private Unaided
of School / College)
India
योयता परीा िजला
(Qualifying Examination Murshidabad
District)
Mary Immaculate School कू ल/कॉलेज िपनकोड
742101
Berhampore West Bengal (School/College Pincode)
7555332
Percentage कुल अंक (Total Marks) 500.00
370.00 ितशत % (Percentage %) 74.00
उीण वष /उपिथित (Passing
Appearing 2024
of Year/Appearing)
बोड /िवविवालय का नाम
12th Or Equivalent West Bengal Council Of Higher Secondary Education
(Board/University Name)
कू ल/कॉलेज का कार (Type
Rural Government School
of School / College)
India
योयता परीा िजला
(Qualifying Examination Murshidabad
District)
Khagra Gurudas
कू ल/कॉलेज िपनकोड
Tarasundari Institution 742103
(School/College Pincode)
Berhampore West Bengal
NA
िवविवालय का नाम िवविवालय काय म का नाम
िवषय नाम (Subject Names)
(University Name) (University Program Name)
G D Goenka University,
B.sc. (hons.) Forensic Science General Test
Gurugram, Ncr
Dr. A.p.j. Abdul Kalam
B.tech (bio Technology) Physics, Chemistry, Biology/mathematics
Technical University
Physics, Chemistry,
University Of Delhi B.sc. (hons.) Microbiology Biology/biologicalstudies/biotechnology/biochemistry, Any
One Language
Physics, Chemistry, Biology/biological
University Of Delhi B.sc. (hons.) Zoology
Studies/biotechnology/biochemistry, Any One Language
I. Physics (code 306)-section Ii Ii. Chemistry (code 322)-
Guru Gobind Singh
B.tech (bt) Section Ii Iii. Mathematics (code 319)-section Ii Iv. Biology /
Indraprastha University
Biotechnology (code 304)– Section Ii
I. Biology (code 304) – Section Ii Ii. Physics (code 322)–
Guru Gobind Singh Section Ii Iii. Chemistry (code 306)– Section Ii Iv. English
B Pharma
Indraprastha University (code 101) - Section Ia Languages V. General Test (code 501)
- Section Iii
B.sc. Forensic Sciences 3yrs/
Geeta University, Panipat, B.sc. (h) Forensic Sciences
Physics(322), Chemistry(306)
Delhi-ncr, Haryana 4yrs/ B.sc.forensic Sciences
(h) With Research 4yrs
306-chemistry, 304- Biology, 322-physics Or 306-chemistry,
Chandigarh University B.sc Forensic Science
319-mathematics, 322-physics
Chandigarh University Biotechnology 101-english,304-biology,306-chemistry,322-physics
 G D Goenka University, Bachelor Of Pharmacy English/physics/chemistry/mathematics Or
10.
Gurugram, Ncr (b.pharm.) Physics/chemistry/biology
11. Jamia Hamdard Biotechnology Biology
Physics(322), Chemistry(306),
12. Sgt University Bachelor Of Pharmacy
Mathematics(319)/biology(304), English(101)
Bachelor Of Science (hons) Physics(322), Chemistry(306),
13. Sgt University
(forensic Science) Mathematics(319)/biology(304), English(101)
Bachelor Of Science Physics(322), Chemistry(306),
14. Sgt University
(biotechnology) Mathematics(319)/biology(304), English(101)
B.tech Bio Technology
Specilization In Stem Cell & English, Physics, Chemistry, Biology/ Biochemistry/
15. Sharda University
Tissue Engineering/ Genetic Biotechnology
Engineering
English, Physics, Chemistry, Biology/ Biochemistry/
16. Sharda University B.tech Bio Technology
Biotechnology
English, Biology/ Biochemistry/ Biotechnology, Physics,
17. Sharda University B. Sc. Forensic Science
Chemistry
B. Pharm (4 Years Under
1. English 2. Three Domain Specific Subjects Viz; Physics,
18. Assam University Graduate Course In
Chemistry And Biology Or Mathematics.
Pharmaceutical Science)
Dr. Harisingh Gour B.pharm. (bio/math Groups) "three Domain Subjects (physics, Chemistry And Mathematics
19.
Vishwavidyalaya (8 Semesters) Or Biology) From Section Ii + General Test From Section Iii "
Guru Ghasidas B. Sc. (honours)- Forensic
20. General Test
Vishwavidyalaya Science
Guru Ghasidas B. Sc. (honours)-
21. Biology
Vishwavidyalaya Biotechnology
Noida International Bachelor Of Science (forensic
22. Physics, Mathematics, Chemistry
University Science)
Noida International
23. Bachelor Of Pharmacy Chemistry, Biology/ Biochemistry/ Biotechnology
University
Noida International Bachelor Of Science
24. Chemistry, Biology/ Biochemistry/ Biotechnology
University (biotechnology)
Bachelor Of Science (forensic Section I A (english) + Section Ii (biochemistry / Biology +
25. Amity University Noida
Science) (honours / Research) Chemistry)
Bachelor Of Science
Section I A (english) + Section Ii (biochemistry / Biology /
26. Amity University Noida (biotechnology) (honours /
Biotechnology)
Research)
27. Amity University Noida Bachelor Of Pharmacy Section I A (english) + Section Ii (chemistry + Biology)
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 Physics English
2 Test Paper 2 General Test English
Biology/biological
3 Test Paper 3 Studies/biotechnology English
/biochemistry
4 Test Paper 4 Chemistry 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 Delhi/new Delhi ( Delhi )
Center
2nd Choice For Exam
2 Gurugram ( Haryana )
Center
3rd Choice For Exam
3 Faridabad ( Haryana )
Center
4th Choice For Exam
4 Noida/greater Noida ( Uttar Pradesh )
Center
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)
 PHOTO

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शु क भु गतान िववरण (Fee Payment Details)

भु गतान का कार (Payment लेन-दे न आईडी (Transaction
Online 93603487461
Mode) ID)
शु क जमा िकया गया (Fee
परीा शु क (Exam Fee) 1400 31-03-2024 16:54:19 PM
Submitted On)
शु क की पु िट ितिथ (Fee भु गतान गे टवे का नाम
31-03-2024 16:54:19 PM HDFC
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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