Jawaharlal Nehru University Entrance Examination

(JNUEE)-2019
Confirmation Page

Application No. 190810011828 -

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

Personal Details
Candidate's Name OMNARAYAN TIWARI Date of Birth 13-07-1999
Mother's Name MADHU TIWARI Category General
Father's Name JAY NARAYAN TIWARI Gender Male
Person with Disability (PwD) No Whether you need scribe NO
reader ?
Wards of Defense Personals No Are you a Kashmiri Migrant? No
Sub Category Not Applicable Are you an ward of JNU No
Group C or Group D
employee?
Country India Which area you belong Urban
Whether you belong to EWS Category? No Income Group Income from Rs. 12001 and
Above PM
State of Domicile UTTAR PRADESH Below Poverty Line (BPL) No
Seeking Deprivation Points for Quartile No If you have pursued Others
District Schooling in a

Apply For
Program of Study M.A./M.Sc./M.C.A. 1st Field of Study PHYSICS
2nd Field of Study Mathematics 3rd Field of Study
Name of Centre School of Physical Sciences Name of School/Special School of Physical Sciences
Centre
1st Choice for Exam City Roorkee 2nd Choice for Exam City Dehradun
3rd Choice for Exam City Gwalior 4th Choice for Exam City Agra

Details of Academic Qualification

Qualificat Pass Course/Stream Learnin Qualifyi Qualifyi Qualifyi Name of the Year of Result Marks Detail RollNo Institute
ion Status Name g Mode ng ng ng University/Bo Passing Mode Name &
Examin Examin Examin ard /appeari Addres
ation ation ation ng s
From State District
10th or Passed 10th Regular India UTTAR MAHOB U P BOARD 2013 Percent Obtained Marks: 529 1924897 SARAS
equivalent PRADE A OF HIGH age Total Marks: 600 WATI
SH SCHOOL AND Percentage: 88.17 VIDYA
INTERMEDIAT MANDI
E EDUCATION R
INTER
COLLE
GE
MAHOB
A
12th or Passed Class 12th Regular India UTTAR MAHOB U P BOARD 2015 Percent Obtained Marks: 453 1336257 SARAS
equivalent PRADE A OF HIGH age Total Marks: 500 WATI
SH SCHOOL AND Percentage: 90.6 VIDYA
INTERMEDIAT MANDI
E EDUCATION R
INTER
COLLE
GE
MAHOB
A
Graduate Appeari B.Tech Regular India UTTAR HARID Gurukul Kangri 2019 NA NA NA GURUK
ng AKHAN WAR Vishwavidyalay UL
D a, PO Gurukul KANGRI
Kangri, VISHW
Hardwar-249 AVIDYA
404, LAYA,
Uttarakhand. JAGJEE
(Deemed TPUR
University) HARID
WAR
Any Other Not NA NA NA NA NA NA 0 NA NA NA NA
Applicab
le

Additional Particulars
Are/Were you a student of No Are you a student of any Yes
JNU ? University at Present
Name of the University GURUKUL KANGRI VISHWAVIDYALAYA Course of Study B. Tech
HARIDWAR

Employment Details
Are you presently Employed: No

Permanent Address
Address RAM KATHA MARG GANDHI NAGAR MAHOBA Locality
City/Town/Village MAHOBA District MAHOBA
State UTTAR PRADESH Pin Code 210427
Email Address omn*********@gmail.com Mobile Number (+91) 700****055
STD code with --
Telephone No

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: QSBI7367220259
Exam Fee: 800 /- Date of Transaction: 26-03-2019 16:36:46
Fee Submitted On: 26/03/2019
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.

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Date of Printing : 26/03/2019 04:30:48 PM