DATE: 10th Jan, 2021

NOTICE for

GMP collection

This is to inform all the JEE aspirants of JEE-2021 that you can collect GMP (GRAND

MASTER’S PACKAGE) and Review Booklets from FIITJEE BOOK STORE at SBIV by

submitting your 2 colour passport size Photograph and Photocopy of IITJEE 2021

Application Form along with filled in Student INFORMATION proforma . You must

carry your FIITJEE ID card or Fee Receipt copy to collect the said package.

It is highly advisable to all of you that kindly collect your package as soon as you

receive all the above mentioned documents.

* There will be no study material distribution on Mondays and National holidays.

* You can collect the study packages between Tuesday to Sunday (from 11:00 am to 05:30 pm) from Shiksha

Bhawan-4 Book Store, Ground Floor, Oriental Bank of Commerce Building, Near FIITJEE Admission Office

,KaluSarai.

*Only one student/parent/guardian is allowed to avoid overcrowding. Please wait for your turn, if required

and ensure to follow Govt guidelines of social distancing.

Academic Operations

FIITJEE SOUTH DELHI

JEE(Main) 2021

Application No. -DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA).

CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal DetailsCandidate's Name Candidate Date of BirthMother's Name Category GeneralFather's Name Gender MaleIf you are a PwD Candidate, do you havebenchmark disability (40% or more /“Severe” where percentage is not defined)?

No Nationality Indian

Place of Residence Urban State/ UT from where 12th/Equivalent Passed/ Appearing

DELHI (NCT)

Are You Diabetic? NO Mode of Preparation Tutorial ClassesMedium of Schooling in QualifyingExamination

English

Applied ForApply For B.E./B.Tech. Only Question Paper Medium EnglishSession(s) of Exam Apply For February, March, April, May Exam State/ City-1st choice DELHI (NCT) - DELHI/NEW DELHIExam State/ City-2nd choice HARYANA - GURUGRAM Exam State/ City-3rd choice UTTAR PRADESH - NOIDA/GREATER NOIDAExam State/ City-4th choice HARYANA - FARIDABAD

Additional DetailsAre you a Twin No

Present AddressAddress FLAT NO 2291, FF, GREEN GLADE APARTMENTS, B2, Locality VASANT KUNJ

City/Town/Village NEW DELHI Country IndiaState DELHI District SOUTH WEST DELHIPin Code 110070 Email AddressMobile Number Alternate Contact No.

Fee Payment DetailsPayment Mode: Transaction ID:Exam Fee: 2600 /- Date of Transaction: 25/12/2020 11:57:11Fee Submitted On: 25/12/2020

DECLARATIONI hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the timeof admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. Incase I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein.

Images Uploaded by CandidatePhotograph Signature

List of Document UploadedPhotograph (with 80% face without mask),Signature

IP Address : 106.223.41.207 Date of Downloading : 25/12/2020 11:58:30 AM

XXXXXXXXX XX-XX-XXXXXXXXXXXXXXXXXXXXXX

********@gmail.comxxxxxxxxxx xxxxxxxxxx

Pay through 0000000000

XXXXXXXXXXXXConfirmation Page (Sample)

FIITJEE House, 29-A, Kalu Sarai, Sarvapriya Vihar, New Delhi - 110016. PH: 46106068/64/67/10/13/15/19/20, Website: www.fiitjee.com

L I M I T E D

Dear Student,

We are updating data of our students who will be appearing for JEE (Main), 2021. Kindly fill the below

mentioned Student Information Proforma & attach a photocopy of your Application Form

Confirmation Page for JEE (Main), 2021 along with your recent 2 (Two) passport size color

photographs.

Kindly show your FIITJEE I-Card / Fee Receipt while collecting GMP.

Please submit the same at the earliest to FIITJEE South Delhi Book Store.

This will ensure that you become eligible for Rewards*.

Wishing you success in all your endeavors,

TEAM FIITJEE SOUTH DELHI

STUDENT INFORMATION PERFORMA – A

FIITJEE Batch Code: _________________________

FIITJEE Enrolment No: __________________________ (Date Of Birth): ___________________________

Name:________________________________________________________________________________

(As mentioned in JEE (Main) Application Form)

FIITJEE Program Joined: _________________________________________________________________

Correspondence Address:_________________________________________________________________

___________________________________________________________ Pin Code: _________________

Mobile No.(Registered with JEE Main): ____________________________________________________

Alternate Mobile No.: ____________________________________________________________________

E-Mail ID (in capital letter)(Registered with JEE Main)

_____________________________________________________________________________________

Alternate E-Mail ID (in capital letter) ________________________________________________________

Permanent Address: _____________________________________________________________________

__________________________________________________________ Pin Code: __________________

Parent /Guardian Mobile No.:_____________________ Telephone (with STD):______________________

Examinations, 2021 Application No.

JEE (MAIN ), 2021

Please (� ) the following:

(i) Class XII: studying Pass (ii) Category-GE Others (Pls specify)

I certify that all above details are correct.

Date: Signature of the student

*Please visit www.fiitjee.com/rewards.htm for Information on Rewards.