COMMON UNIVERSITY ENTRANCE

TEST CUET (PG)

Confirmation Page

Application Number 253510483019

Do Not Send this Page to National Testing Agency (NTA).
Candidate is requested to retain the printout of Confirmation page for future Reference.
यितगत योरा (Personal Detail)
उमीदवार की जम ितिथ (Candidate
उमीदवार का नाम (Candidate Name) Harshpreet Singh Saluja 27-06-2004
Date of Birth)
िपता/अिभभावक का नाम
िलंग (Gender) Male Harjeet Singh Saluja
(Father/Guardian Name)
माता/अिभभावक का नाम
Jasbeer Kaur Saluja राटीयता (Nationality) Indian
(Mother/Guardian Name)
अिभभावक का नंबर (Guardian’s
NA
Number)
Class Xii Admit Card Issued
पहचान का कार (Identity Type) पहचान संया (Identification Number) 2221815559
By The Board
वग (Category) General
या आप आरपीडयूडी अिधिनयम 2016 के ावधानों के अनुसार
पीडयूडी उमीदवार ह  (Are you a PwD candidate as per the NO
provisions of the RPwD Act 2016 ?)
या आपको मधुमेह ह  (Are you वािषक पािरवािरक आय (Annual Family
No Rs. 400001 - 500000
Diabetic?) Income)
रोज़गार की िथित (Status Of
Unemployed
Employment)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises Ward - 16 Ramkund Opposite
1068 े  (Locality)
No/Name) Vivekanand Ashram
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Chhattisgarh िज़ला (District) Raipur
िपन कोड (Pin Code) 492001 मेल पता (Email Address) harshhh05@gmail.com
वै किपक मोबाइल नंबर (Alternate Mobile
मोबाइल नंबर (Mobile Number) +91 7898720959 9303825720
Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises Ward - 16 Ramkund Opposite
1068 े  (Locality)
No/Name) Vivekanand Ashram
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Chhattisgarh िज़ला (District) Raipur
िपन कोड (Pin Code) 492001
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह  (Do you या आप कमीरी वासी ह  (Are you
No No
belong to Below Poverty Line ?) Kashmiri Migrant ?)
रा कािमक/पूव सै िनकों का वाड (Ward
एनसीसी कोटा के िलए दावा (Claim for
of Defence Personnel / Ex- No No
NCC Quota)
Servicemen)
खेल कोटा के िलए दावा (Claim for Sports Quota) No
या आप िवविवालय कमचारी के वाड
ह  (Are you a ward of University No
Employee ?)
परीा कद और िववरण (Exam Center And Details)
के िलए आवे दन (Apply For) CUET (PG) - 2025
परीा कद के िलए िवकप
.सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name))
(Choice For Exam Center)
1 1stChoice For Exam Center Raipur ( Chhattisgarh )
nd
2 2 Choice For Exam Center Bhilai Nagar/durg ( Chhattisgarh )
3 3rdChoice For Exam Center Bilaspur (ch) ( Chhattisgarh )
4 4thChoice For Exam Center Ambikapur ( Chhattisgarh )
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Graduate Business
/Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय
Graduate Others
/Guardian Qualification) (Mother/Guardian Occupation)
टे ट पे पर िववरण (Test Paper Details)
.सं. (S.No.) टे ट पे पर (Test Paper) मयम (Medium)
1. COQP12-General - Management English
I hereby declare that I have chosen and verified the paper codes in the online Application Form for the CUET (PG) - 2025 examination as per the eligibility
criteria of the university/ies in which I intend to seek admission to suitable courses.
I understand that merely appearing in the CUET (PG) - 2025 examination does not make me eligible for admission into any course or university for
admission, I also have to fulfill the other eligibility conditions specified by the respective university/ies.
I take full responsibility for the accuracy of the information provided and understand that any discrepancy or non-compliance with the eligibility criteria may
lead to the rejection of my application or cancellation of my admission at any stage.
I further agree to abide by the rules and regulations of the National Testing Agency (NTA) and the participating universities regarding the CUET (PG) -
2025 examination and the admission process.
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2020
Year/Appearing)
कोस / टीम (Course/Stream) 10th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION
संथान का नाम और पता (Institute BHARAT MATA SR SEC
रोल नंबर (Roll Number) 12191496
Name And Address ) SCHOOL RAIPUR
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 339.00 ितशत % (Percentage %) 67.80
12वीं योयता िववरण (12th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2022
Year/Appearing)
कोस / टीम (Course/Stream) 12th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) CHHATISGARH BOARD OF SECONDARY EDUCATION
संथान का नाम और पता (Institute BHARAT MATA HR SEC
रोल नंबर (Roll Number) 2221815559
Name And Address ) SCHOOL
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 396.00 ितशत %(Percentage %) 79.20
नातक योयता िववरण (Graduation Qualification Details)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Appearing 2025
Year/Appearing)
कोस / टीम (Course/Stream) BBA
बोड /िवविवालय का नाम (Board/University Name) AMITY UNIVERSITY, RAIPUR
संथान का नाम और पता (Institute AMITY UNIVERSITY
रोल नंबर (Roll Number) A80306422098
Name And Address ) CHHATTISGARH
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

PHOTO

SIGNATURE

शु क भु गतान िववरण (Fee Payment Details)

ऑडर आईडी (Order ID) CUETPG_253510483019_1738916739
भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) 123142411919
शु क जमा िकया गया (Fee Submitted
परीा शु क (Exam Fee) 1400.0 07-02-2025 13:55:39 PM
On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment Gateway
07-02-2025 13:55:40 PM HDFC
Date) Name)
भु गतान की िथित (payment status) Success
घोषणा (Declaration)
I hereby declare that I have filled up this online application after carefully reading the Bulletin and fully understanding the provision/procedures mentioned
therein. I further declare that all the particulars given by me in this application are true to the best of my knowledge and belief. I agree that my result may be
withheld/not declared/ my candidature may stand cancelled. In case it is found at any point of time in future that false information has been furnished in this
application. I shall abide by these terms and conditions as well as those laid down in the Information Bulletin, Public Notice and Advisories issued by NTA
regarding this exam time to time.
IP Address : 106.219.89.129 Date of Downloading : 07-02-2025 13:56:46 PM
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