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Akshay Ramesh Applicationform PDF

1. The document is an application form for Akshay Ramesh to take the computer-based entrance test for undergraduate programs at Indian Maritime University for the 2020-21 academic year. 2. Akshay is an 18-year-old male from Irinjalakuda, Kerala with 10th and 12th grades completed in 2018 and 2020 respectively. 3. He applied to take the entrance test in Thrissur and paid the application fee of 1004.72 rupees online on July 17, 2020.

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Akshay Ramesh
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73 views3 pages

Akshay Ramesh Applicationform PDF

1. The document is an application form for Akshay Ramesh to take the computer-based entrance test for undergraduate programs at Indian Maritime University for the 2020-21 academic year. 2. Akshay is an 18-year-old male from Irinjalakuda, Kerala with 10th and 12th grades completed in 2018 and 2020 respectively. 3. He applied to take the entrance test in Thrissur and paid the application fee of 1004.72 rupees online on July 17, 2020.

Uploaded by

Akshay Ramesh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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INDIAN MARITIME UNIVERSITY

APPLICATION FORM FOR COMPUTER BASED ENTRANCE TEST FOR


THE ACADEMIC YEAR 2020-21

Personal Details
User ID CET20U98337

CET applying For UG (EXCEPT BBA)


Candidate Name AKSHAY RAMESH

Gender MALE
Parent's Name (as in 10th Std or 12th Std Certificate) RAMESH N P

Parent's Contact No. 9645235122


Date of Birth 30-Sep-2002
Age as on 05/10/2020 18 YEARS 0 MONTHS 5 DAYS
Category GENERAL
Are you Differently Abled? (Person with Disability) NO

Religion HINDU

Mother Tongue MALAYALAM


Parent Occupation PRIVATE SERVICE
Parent’s Annual Income (in Rupees) BELOW EIGHT LAKH
Are you a Native of any of the Special States/ NO
Union Territories?

Nationality INDIAN

Mobile Number 9072405677


Email ID [email protected]

Address Details

Permanent Address

Permanent Address Line 1 CHUNGATH HOUSE

Permanent Address Line 2 EDATHIRINJI.PO IRINJALAKUDA

City IRINJALAKUDA

State / Union Territories KERALA

Country INDIA

Pin Code 680122

Address for Correspondence

Correspondence Address Line 1 CHUNGATH HOUSE

Correspondence Address Line 2 EDATHIRINJI.PO IRINJALAKUDA

City IRINJALAKUDA

State / Union Territories KERALA

Country INDIA

Pin Code 680122


How did you get to know about Indian Maritime University SOCIAL MEDIA

Preferred Cities for CET


Preference-(City1) THRISSUR

Preference-(City2) COCHIN

Preference-(City3) KOLLAM

Academic Details
Overall Percentage /
Result Physics Chemistry Maths PCM Avg. English Register / Name of University/ Year of
Course / Degree Degree/ Course Name Specialization Final Year
Status (Percentage) (Percentage) (Percentage) (Percentage) (Percentage) Roll No. Board Completion Percentage)

10TH / S.S.L.C. PASS 73 4347993 CBSE 2018 69.00

12TH / HSC OR
EQUIVALENT 12TH / HSC PASS 66.5 67 65.5 66.33 71.5 7195392 HSC 2020 67.75
COURSE
Documents Uploaded
10th / SSLC Certificate MAIL (1).JPG
12th / HSC Certificate SCREENSHOT_20200717_144543.JPG

Payment Details
Payment Mode Online

Payment Status Success

Payment Amount (Rs.) 1004.72


Transaction Number 1170422309
Payment Date & Time 17-JUL-20 02:19:38 PM

Declaration : 1. I DECLARE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTOOD THE VARIOUS INSTRUCTIONS, ELIGIBILITY CRITERIA AND
OTHER CONDITIONS AND I HEREBY AGREE TO ABIDE BY THEM.
2. I DECLARE THAT ALL THE ENTRIES MADE BY ME IN THIS APPLICATION FORM ARE TRUE TO THE BEST OF MY KNOWLEDGE
AND BELIEF.
3. IF ANY PARTICULAR FURNISHED / STATEMENTS MADE BY ME IN THE APPLICATION ARE FOUND TO BE FALSE AT ANY STAGE, I
AM AWARE THAT I AM LIABLE TO BE DISQUALIFIED FOR ADMISSION.

Submitted Date 17-JUL-2020

(Signature of Applicant)

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