20/04/2019 :: NATA 2019 Application Form ::

Print
NATA-
2019

Online
Application
Form

Application Number : 70056508

Personal Details

Name of the Candidate VANSHIKA BANSAL

Father's Name NEERAJ BANSAL
Mother's Name NAINA BANSAL
Guardian Name

Gender FEMALE
Date of Birth 27-Nov-2000

Category GEN

Appearing for Test Second Test(07 July 2019)

Physically challenged No

Nationality Indian
Place of Residence Urban

Aadhar No 361015132490
ID Proof Aadhar

ID Proof Number 361015132490

A-6/262 KAMLA NAGAR AGRA
Communication Address

City AGRA
Pincode 282005
State Uttar Pradesh
Phone No. (With STD Code) -94125096
Mobile No. 9412509626
Email ID neeraj.bansal891@gmail.com

Test Center Preferences

Test Center Preferences for Test 2(07 July 2019)

preference centre 1 Agra

preference centre 2 Gwalior

preference centre 3 Delhi

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20/04/2019 :: NATA 2019 Application Form ::

Details of Examination Passed

Institute
Name of the Roll Name,
Name of the Year of Total Marks %
Pass Status Board / No/Enroll address
Examination Passing marks Secured Secured
University No & Pin
Code
ST. PAT
Council For In
RICKS
dian School Ce
JUNIO
Class 10th* Passed rtficate Exami 2017 600 445 74.17 6457627
R COLL
nations,New D
EGE AG
elhi
RA
Central Board
Class 12th* Appearing Of Secondary 2019
Education

Payment Details

Payment Type : PayU Payment Gateway

Transaction ID 8336316913

Fee Paid (Rs) 1800.00

Status Success
Date 20-Apr-2019

Form filled On : 20-Apr-2019 17:32:10 Form printed On : 20-Apr-2019 17:32:21

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