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BITSAT-2025 form

The document contains personal details of a candidate named Shloke Singha Roy, including contact information, identification details, and educational background. It also outlines the candidate's application status, payment details, and test preferences for the BITSAT-2025 examination. Additionally, the candidate has declared the accuracy of the information provided and agreed to the terms and conditions of the examination.

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shloke singha roy
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15 views

BITSAT-2025 form

The document contains personal details of a candidate named Shloke Singha Roy, including contact information, identification details, and educational background. It also outlines the candidate's application status, payment details, and test preferences for the BITSAT-2025 examination. Additionally, the candidate has declared the accuracy of the information provided and agreed to the terms and conditions of the examination.

Uploaded by

shloke singha roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Candidate Personal Details

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess 25012889 SHLOKE SINGHA ROY
Date of Birth(DD-M Gender Father's Name
M-YYYY): Male BILWAMONGAL SING
17/May/2006 HA ROY
Mother's Name Email ID
MAYA SINGHA ROY shlokesingharoy1180
[email protected]
Mobile Number Parent's Contact Nu
+91 6291269928 mber
+91 9330590946

Candidate Domicile and Category Details

Nationality
Indian

Identification Details

Photo ID proof Identification Numb


PAN CARD er of Pan Card :
HMCPR3152M

Correspondence Address

Address Line 1 Address Line 2 Country


TATINI APARTMENT, F KAIKHALI CHIRIAMOR India
LAT NO. 501 BLOCK I E
State
West Bengal
City/District Pincode/Postal Code Is Permanent Addre
North 24 Parganas Ut 700136 ss Same as Correspo
tar 24 Parganas
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


TATINI APARTMENT, F KAIKHALI CHIRIAMOR India
LAT NO. 501 BLOCK I E
State
West Bengal
City/District Pincode/Postal Code
North 24 Parganas Ut 700136
tar 24 Parganas
lntermediate (12th) Details

Name of School pres Name of Examinatio Year of passing/app


ently studying in /la n Board earing
st attended Secondary Education 2025
HARIYANA VIDYA MA - All India Senior Scho Choose the subject t
NDIR ol Certificate Examina
tion [CBAT/CBSE] o be taken for Part I
V of BITSAT
Mathematics

BITSAT Online Test Options

Selected Test sessio Selected Test Center


n/sessions Option
Only 1st Session India and Nepal Cent
ers

Test Centre Preferences - Session -1

Preferred Test City 1 Preferred Test City 2 Preferred Test City 3


Kolkata Durgapur Dhanbad

Payment Details

Amount Payment Mode Payment Gateway


3500 online onlinePaytm
Payment Status Payment Transactio
Payment Success n No.
20250124210410000
08967083159462506
2

Documents Upload

Signature

Declaration

I hereby declare that all the statements made in this application form are tr
ue, complete, and correct to the best of my knowledge & belief. l am in poss
ession of all the certificates/documents in support of my claim made in the
application form. In the event of any information being found false or incorr
ect, or any ineligibility being detected at any time during or after the selecti
on process, my candidature may be cancelled. I have read and understood
all the instructions for appearing in BITSAT-2025. I shall abide by the terms
and conditions of BITSAT-2025.

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