Joint Entrance Examination (Main) 2019

NATIONAL TESTING AGENCY

CONFIRMATION PAGE

Application No. 190310705157

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Personal Details
Name: MANYAM RAMAKRISHNA REDDY Date of Birth: 23/12/2001
Mother's Name: M VIJAYALAKSHMI Category: GENERAL
Caste Name: NA Father's Name: M GOPAL REDDY
Person with Disability(PwD): NO State of Eligibility: TELANGANA
Percentage of Disability: -- Gender: MALE
Are you Diabetic: NO Nationality: INDIAN
Place of Residence: URBAN Do you need scribe: NO

Examination Details
Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
1st Choice of Exam City: HYDERABAD 2nd Choice of Exam City: RANGA REDDY
3rd Choice of Exam City: NALGONDA 4th Choice of Exam City: WARANGAL

Academic Details
Year of passing class 10th: 2017 Place of 12th class schooling: CITY
Year of Passing or Appearing class 12th/Qualifying Exam: 2019 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
School Board of class 12th/Qualifying Exam: TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION
Name of the Qualifying Exam passed / appearing: Intermediate or two-year Pre-University examination conducted by a recognized Board/ University.
Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
Appeared/Appearing for Improvement of Class NO Mode of preperation: COACHING
12th/Qualifying Exam:
Roll Number of Class 12th/Qualifying Exam of --
Improvement Exam:
Name and Address of the School/College from where SRIGAYATRI JUNIOR COLLEGE MEHDIPATNAM,HYDERABAD
passed/appearing:

Candidate's Mailing Address

Country: India State: TELANGANA
District: RANGA REDDY Address: 1-2-1/4
Locality: BUDVEL City/Town/Village: RAJENDRANAGAR
Pin Code: 500030 Email Address: sun*******@gmail.com
Mobile Number: 901****979

Guardian Details
Qualification Occupation Annual Income
Father's/Guardian's: MATRICULATE GOVERNMENT SERVICE RS. 200001 - 300000
Mother's: MATRICULATE OTHERS --

Payment Details
Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
Fee Type: Examination Fee Transaction Amount: 500 /-
Transaction ID: CPK0543646 Date of Transaction: 25/09/2018 16:35:09
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.

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