COMMON UNIVERSITY ENTRANCE

TEST CUET (PG)

Confirmation Page

Application Number 253510165228

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) Akshita Yadav 24-08-2002
Date of Birth)
िपता/अिभभावक का नाम
िलंग (Gender) Female Ayodhya Prasad Yadav
(Father/Guardian Name)
माता/अिभभावक का नाम
Ranjana Yadav राटीयता (Nationality) Indian
(Mother/Guardian Name)
अिभभावक का नंबर (Guardian’s
NA
Number)
Any Other Valid Govt
पहचान का कार (Identity Type) पहचान संया (Identification Number) 993500096286
Identity With Photograph
े णी माणप आईडी/नं बर (Category
वग (Category) Obc-(ncl) RS455011832362020
Certificate ID / Number)
े णी माणप जारी करने वाले ािधकारी OFFICE OF THE SUB े णी माणप जारी करने की ितिथ
का नाम (Name of the authority DIVISION OFFICER (Category Certificate Issue Date) 28-01-2010
issuing the category certificate) REVENUE (DD/MM/YYYY)
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. 100001 - 200000
Diabetic?) Income)
रोज़गार की िथित (Status Of
Unemployed
Employment)
संपक योरा वतमान पता (Contact Details Present Address)
पिरसर संया / नाम (Premises House No 78 Ward No 17
े  (Locality) Parasia
No/Name) Parasia
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Madhya Pradesh िज़ला (District) Chhindwara
िपन कोड (Pin Code) 480441 मेल पता (Email Address) akshitay725@gmail.com
वै किपक मोबाइल नंबर (Alternate
मोबाइल नंबर (Mobile Number) +91 9302358653 7772042420
Mobile Number)
थायी पता (Permanent Address)
पिरसर संया / नाम (Premises House No 78 Ward No 17
े  (Locality) Parasia
No/Name) Parasia
उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India
राय/संघ (State/UT) Madhya Pradesh िज़ला (District) Chhindwara
िपन कोड (Pin Code) 480441
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 Bhopal ( Madhya Pradesh )
nd
2 2 Choice For Exam Center Indore ( Madhya Pradesh )
3 3rdChoice For Exam Center Ujjain ( Madhya Pradesh )
th
4 4 Choice For Exam Center Sagar ( Madhya Pradesh )
िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय
Matriculate Agriculture
/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 2018
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
K V Barkuhi रोल नंबर (Roll Number) 1214354
Name And Address )
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 251.00 ितशत % (Percentage %) 50.20
12वीं योयता िववरण (12th Qualification Detail)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2020
Year/Appearing)
कोस / टीम (Course/Stream) 12th Or Equivalent
बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION
संथान का नाम और पता (Institute
K V Barkuhi रोल नंबर (Roll Number) 19611554
Name And Address )
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00
ात अंक(Obtained Marks) 402.00 ितशत %(Percentage %) 80.40
नातक योयता िववरण (Graduation Qualification Details)
उीण वष /उपिथित (Passing of
पास की िथित (Pass Status) Passed 2023
Year/Appearing)
कोस / टीम (Course/Stream) B.A
बोड /िवविवालय का नाम (Board/University Name) CHHINDWARA UNIVERSITY
संथान का नाम और पता (Institute
Penchvally College Parasia रोल नंबर (Roll Number) 120326474
Name And Address )
पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 1200.00
ात अंक(Obtained Marks) 734.00 ितशत %(Percentage %) 61.17
उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)

PHOTO

SIGNATURE

CATEGORY CERTIFICATE View

शु क भु गतान िववरण (Fee Payment Details)
ऑडर आईडी (Order ID) CUETPG_253510165228_1737360481
भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) CPAESFSWE4
शु क जमा िकया गया (Fee Submitted
परीा शु क (Exam Fee) 1200.0 20-01-2025 13:38:01 PM
On)
शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment
20-01-2025 13:39:04 PM SBI Epay
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 : 110.227.52.243 Date of Downloading : 20-01-2025 13:39:04 PM
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