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Application No. 2001 0048 155: Uttar Pradesh State Entrance Examination For UG - 2020

This document is a confirmation page for an application to the Uttar Pradesh State Entrance Examination for an undergraduate program in 2020. It provides personal details of the applicant such as name, date of birth, category, and contact information. It also lists the course applied for, qualifying examination details, payment details, and documents uploaded with the application.

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Rahil Shamsi
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114 views1 page

Application No. 2001 0048 155: Uttar Pradesh State Entrance Examination For UG - 2020

This document is a confirmation page for an application to the Uttar Pradesh State Entrance Examination for an undergraduate program in 2020. It provides personal details of the applicant such as name, date of birth, category, and contact information. It also lists the course applied for, qualifying examination details, payment details, and documents uploaded with the application.

Uploaded by

Rahil Shamsi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Uttar Pradesh State Entrance Examination for UG - 2020

Confirmation Page

Application No. 2001 0048 155 -


DO NOT SEND THIS PAGE TO BOARD.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details /
Name : SAMMAAN HUSAIN Date of Birth : 30-01-2002
Mother's Name : MUSHAHIDA PINKI Category : UPGE
Father's Name : HASEEN HUSAIN Gender : Male
SubCategory : Not Applicable Nationality : Indian
Rural weightage claimed : No Parent Domicile : UTTAR PRADESH
Qualifying examination passed/appeared UTTAR PRADESH
from college situated in :

Applying For :
Apply For : UG Qualifying Exam : INTERMEDIATE
Entrance Examination City UTTAR PRADESH - Bareilly Entrance Examination City UTTAR PRADESH - Lucknow
1st : 2nd :
Entrance Examination City UTTAR PRADESH - Moradabad
3rd :

Education Details :
Qualification Pass Status Course/Stream Board/University Year of Result Marks Detail RollNo/ Institute Institute
Name Name Passing/appe Mode Enroll Name & Pincode
aring No. Addres
s
INTERMEDIAT Passed INTERMEDIATE CENTRAL BOARD OF 2019 Percentage Obtained Marks: 288 5642662 vidya 243001
E SECONDARY Total Marks: 500 bhavan
EDUCATION Percentage: 57.6 school
vaibhav
nagar

Subject in 10+2 :
Chemistry (Theory + Practical) , English , Mathematics , Physics (Theory + Practical)

Seeking Admission & Course Applied For Details :


Seeking Admission For : FIRST YEAR
Courses Applied For 1st Year Admission : B.Tech.
Paper(S) In Which You Wish To Appear In UPSEE : Paper 1

Contact Details :
Communication 162 163 SARAY PUKHTA THANA QILA Locality :
Address :
City/Town/Village : BAREILLY District : BAREILLY
State : UTTAR PRADESH Pin Code : 243001
Email Address : rah***********@gmail.com Mobile Number : 807****210
Land Line No. with --
STD Code :

Fee Payment Details


Payment Mode: Pay through SBI(MOPS) Transaction ID: CPAAAPHKG8
Exam Fee: 1300 /- Date of Transaction: 16/02/2020
Fee Submitted On: 16/02/2020
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board
procedures. I shall abide by the terms and conditions thereon.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph : ,Signature :

IP Address : 139.167.183.133 Date of Downloading : 16/02/2020 10:41:17 PM

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