JOINT ENTRANCE EXAMINATION (Main) - APRIL 2020
Confirmation Page
Application No.
200320027619
-
DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA).
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.
Personal Details
Candidate's Name
A CH ROHIT
Candidate's Date of Birth
08-10-2002
Mother's Name
A CH SASHIBALA
Category
SC
Father's Name
M ANAND PRATAP
Gender
Male
If you are a PwD Candidate, do you have
No
benchmark disability (40% or more /
“Severe” where percentage is not defined)
?
Nationality
Indian
Place of Residence
Urban
State Code of Eligibility
TAMIL NADU
Are You Diabetic?
NO
Medium of Instructions/Study English
- Physics, Chemistry and
Mathematics in Class
11th/12th/equivalent
Mode of Preparation
Self Study
Apply For
Apply For
B.E./B.Tech. Only
Question Paper Medium
English
Exam City 1st
TAMIL NADU - CHENNAI
Exam City 2nd
TAMIL NADU - KANCHIPURAM
Exam City 3rd
TAMIL NADU - TIRUVALLUR
Exam City 4th
TAMIL NADU - VELLORE
Additional Details
Are you a Twin
No
Contact Details
Address
NO-11B,PLOT NO23,1ST STREET KRISHNARAJA
NAGAR,ADAMBAKKAM,CHENNAI-600088
Locality
KANCHEEPURAM
City/Town/Village
CHENNAI
District
CHENNAI
State
TAMIL NADU
Pin Code
600088
Email Address
roh********@gmail.com
Mobile Number
984****614
Land Line No. with
STD code or any
other Contact No.
--
Fee Payment Details
Payment Mode:
Pay through HDFC Bank
Transaction ID:
9932501591
Exam Fee:
325 /-
Date of Transaction:
27/02/2020 10:06:12
Fee Submitted On:
27/02/2020
DECLARATION
I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the time
of admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. In
case I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein. No
Candidate should adopt any unfair means, or indulge in any unfair examination practices. If at any stage, it is found that the candidate has submitted multiple
Applications and/or appeared in more than one date/shift, then the candidature will be cancelled and legal action will be taken including debarring in all future
examinations conducted by NTA
Images Uploaded by Candidate
Photograph
Signature
List of Document Uploaded
Photograph,Signature,12th Admit Card/Marksheet/Certificate
IP Address : 27.62.128.132
Date of Downloading : 27/02/2020 10:08:28 PM