COMMON UNIVERSITY ENTRANCE
TEST CUET (PG)
Confirmation Page
Application Number 253510014657
Do Not Send this Page to National Testing Agency (NTA).
Candidate is requested to retain the printout of Confirmation page for future Reference.
यितगत योरा (Personal Detail)
उमीदवार की जम ितिथ (Candidate
उमीदवार का नाम (Candidate Name) Abhay Kumar Saha 18-10-2001
Date of Birth)
िपता/अिभभावक का नाम
िलंग (Gender) Male Ajay Kumar Saha
(Father/Guardian Name)
माता/अिभभावक का नाम
Kusum Saha राटीयता (Nationality) Indian
(Mother/Guardian Name)
अिभभावक का नंबर (Guardian’s
7004695980
Number)
Any Other Valid Govt
पहचान का कार (Identity Type) पहचान संया (Identification Number) 808317086808
Identity With Photograph
वग (Category) General
या आप आरपीडयूडी अिधिनयम 2016 के ावधानों के अनुसार
पीडयूडी उमीदवार ह (Are you a PwD candidate as per the NO
provisions of the RPwD Act 2016 ?)
या आपको मधुमेह ह (Are you वािषक पािरवािरक आय (Annual Family
No Rs. Up to 100000
Diabetic?) Income)
रोज़गार की िथित (Status Of
Unemployed
Employment)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises New Area Hamidganj
े (Locality) Medininagar
No/Name) Refugee Colony
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Jharkhand िज़ला (District) Palamu
िपन कोड (Pin Code) 822101 मेल पता (Email Address) abhaykrs611@gmail.com
वै किपक मोबाइल नंबर (Alternate
मोबाइल नंबर (Mobile Number) +91 7070664132 7004695980
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises New Area Hamidganj
े (Locality) Medininagar
No/Name) Refugee Colony
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Jharkhand िज़ला (District) Palamu
िपन कोड (Pin Code) 822101
अय कोटा े णी िववरण (Other Quota Category Details)
या आप गरीबी रे खा से नीचे ह (Do you या आप कमीरी वासी ह (Are you
Yes No
belong to Below Poverty Line ?) Kashmiri Migrant ?)
रा कािमक/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 िवविवालय कमचारी के वाड
ह (Are you a ward of University No
Employee ?)
परीा कद और िववरण (Exam Center And Details)
के िलए आवे दन (Apply For) CUET (PG) - 2025
परीा कद के िलए िवकप
.सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name))
(Choice For Exam Center)
1 1stChoice For Exam Center Ranchi ( Jharkhand )
nd
2 2 Choice For Exam Center Ramgarh ( Jharkhand )
rd
3 3 Choice For Exam Center Bokaro ( Jharkhand )
th
4 4 Choice For Exam Center Dhanbad ( Jharkhand )
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Matriculate Others
/Guardian Qualification) (Father/Guardian Occupation)
माता/अिभभावक योयता (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) मयम (Medium)
1. SCQP17-Life Science NA
2. SCQP28-Zoology NA
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.
योयता िववरण (Qualification Details)
10वीं योयता िववरण (10th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2017
Year/Appearing)
कोस / टीम (Course/Stream) 10th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) JHARKHAND ACADEMIC COUNCIL
S S VIDYA MANDIR
संथान का नाम और पता (Institute
HIGH SCHOOL, रोल नंबर (Roll Number) 0039
Name And Address )
DALTONGANJ
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 445.00 ितशत % (Percentage %) 89.00
12वीं योयता िववरण (12th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2019
Year/Appearing)
कोस / टीम (Course/Stream) 12th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) JHARKHAND ACADEMIC COUNCIL
संथान का नाम और पता (Institute ST XAVIERS COLLEGE,
रोल नंबर (Roll Number) 10436
Name And Address ) RANCHI
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 425.00 ितशत %(Percentage %) 85.00
नातक योयता िववरण (Graduation Qualification Details)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Appearing 2025
Year/Appearing)
कोस / टीम (Course/Stream) B.sc
बोड /िवविवालय का नाम (Board/University Name) DR. SHYAMA PRASAD MUKHERJEE UNIVERSITY
DR SHYAMA PRASAD
संथान का नाम और पता (Institute
MUKHERJEE रोल नंबर (Roll Number) 21B160465
Name And Address )
UNIVERSITY, RANCHI
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)
PHOTO
SIGNATURE
शु क भु गतान िववरण (Fee Payment Details)
ऑडर आईडी (Order ID) CUETPG_253510014657_1738146919
भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) 122142801110
शु क जमा िकया गया (Fee Submitted
परीा शु क (Exam Fee) 1400.0 29-01-2025 16:05:19 PM
On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
29-01-2025 16:05:19 PM HDFC
Date) Gateway 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 : 152.58.189.31 Date of Downloading : 29-01-2025 16:06:14 PM
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