JAM 2019

3N1 K113U94
K113U94
(Enrolment ID)

Abhishek Gupta
(Full Name of the Applicant)

08 Oct 1998 Male GEN

(D.O.B) (Gender) (Category)

Indian National 9889821055 Ram Vishal Gupta

(Mobile Number of Parent/Guardian) (Name of Parent/Guardian)

Communication Address JAM Exam Details

2408 hudson lane-Gtb nagar-New Delhi JAM Paper Code(s)
2408 hudson lane-Gtb nagar-New Delhi
New Delhi
Delhi 110009
94503 66276 (Mobile No.)
CY
abhishekg433@gmail.com Chemistry
New Delhi, DL
(Exam City 1)
Qualification Details
B.Sc. Greater Noida, DL
(Exam City 2)
chemistry
Graduated: No; Year of Graduation: 2019 Gurugram, HR
(Exam City 3)
Ramjas College
New Delhi
Delhi 110007 JAM 2019 Office Contact
Payment Details Organizing Chairperson, JAM 2019
Online Rs. 1500.00 Indian Institute of Technology Kharagpur
Payment Ref. No: NALB6701798586 20/09/2018 Kharagpur - 721302

I have fully read and understood the Information Brochure and I shall abide by the Terms and Conditions
therein. The responsibility of following JAM 2019 website and meeting various deadlines lies with me. I
understand that the communications from JAM 2019 would be sent by email/ sms/ JOAPS portal and JAM
2019 will not be held responsible for internet/ mobile network failure for the same.

I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
belief. In the event of suppression or distortion of any fact in my application form, I understand that I will be
denied the opportunity to appear in JAM 2019. Further, if any suppression or distortion of facts is found after
appearing in the exam, any admission/ degree/ benefit acquired on the basis of JAM 2019 score/ marks is
liable to be cancelled.

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