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15147249
LogoutSTEP1(Candidate Details)STEP2(Upload Files)STEP3(Pay your
Fee)STEP4(Confirmation)
Personal Detail
NAME OF CANDIDATEFATHER'S NAMEMOTHER'S NAMEDATE OF
BIRTHREGISTRATION NO. / APPLICATION IDMOBILE NO.GENDER
NATIONALITYPARENT'S DOMICILE STATE / UT (IF NON UP DOMICILE)
DISTRICT (IF NON UP DOMICILE)
Qualifying Detail
QUALIYFYING EXAM STATUS QUALIFYING EXAMINATION EXAMINATION
PASSED/APPEARED FROM YEAR OF PASSING MARKS OBTAINEDMAXIMUM
MARKS
Category Information
CATEGORY SUB CATEGORY RURAL WEIGHTAGE CLAIMED
Subject In Qualifying Examination 10 + 2
SubjectSelect Subject(s)
BIO-TECHNOLOGY
TECHINICAL VOCATION SUBJECT
COMPUTER SCIENCE
ENGINEERING DRAWING
PHYSICS
BIOLOGY
AGRICULTURE GROUP (AG-I,AG-II,AG-III)
MATHEMATICS
CHEMISTRY
ANY DISIPLINE (FOR BHMCT/BFAD/BFA)
Eligible Courses
CoursesSelect Course(s)
B.Tech.
B.Arch.
B.Pharm.
BHMCT
BFAD
BFA
B.Tech.(Bio-Technology)
B.Tech.(Agriculture Engg.)
Eligible Paper(s)
Paper NumberPaper(s)
Paper 1Mathematics, Physics and Chemistry
Choice of Cities for Examination
FIRST CHOICE SECOND CHOICE THIRD CHOICE
Communication Details
PRESENT ADDRESSPINCODEPERMANENT ADDRESSSame as Present
Address
PINCODE
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You are here:State Bank Collect > State Bank Collect
State Bank Collect Confirm NEFT Txn Reprint Remittance Form
Payment History
State Bank Collect02-Mar-2015 [04:20 PM IST]
Payment done successfully on -- : ISTPayment Details:
SBCollect Reference NumberDU12234642
CategoryMale - General and Male - OBC
Application Number15147249
Name of candidateSHAILENDRA
Date of Birth30/9/1997
Contact number7351964188
Application Fee700
Transaction ChargeINR 16.85
Total AmountINR 716.85
Remarks
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Application#15147249*Provide Star Rating*
NEST 2015Online FormSummary PageApplication number:15147249
1Name:SHAILENDRA
2Category:OBC
3Physically Disabled? (PD):NO
4Gender:Male
5Date of Birth:1997-09-30 [yyyy-mm-dd]
6State of Domicile:Uttar Pradesh (UP)
7Address for Correspondence:NEAR BRIJWASI SCHOOL EKTA NAGAR
PILIBHIT U.P
PIN Code:262001
8Contacts:Contact#:7351964188
e-mail ID:[email protected]
9Test Centre Choice:First:Delhi-South (DL)
Second:Delhi-East (DL)
10Academic Record:ClassYearBoard/CouncilPercentage
2012CBSE89.30
2014CBSE85.20
10th/ Equiv.
12th/ Equiv.
11Father's Name:PREM PAL
12Details of Guardian:Name:PREM PAL
Contact #:9897010618
Relationship:FATHER
13Payment Details:Mode: OnlineAmount:700 INR(Rupees Seven
hundred only)
SBCollect Ref#:DU12234642
Payment date:02-Mar 2015
Declaration by the candidate
I hereby declare that all the particulars stated in the
application are true to the best of my knowledge and belief. I have
read the information brochure and I shall abide by the terms and
conditions therein.
Yes, I have read the brochure and I agree to sign the
declaration.
Last saved : 2015, 02 Mar 16:23Signature of the candidate (as
uploaded)
Click to PrintIf photo & signature do not appear clearly in
their designated places, the application form may not be
accepted.Click for NEST Homepage
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State Bank CollectState Bank MOPSPay EPFO
You are here:State Bank Collect > State Bank Collect
State Bank Collect Confirm NEFT Txn Reprint Remittance Form
Payment History
State Bank Collect02-Mar-2015 [04:20 PM IST]
Payment done successfully on -- : ISTPayment Details:
SBCollect Reference NumberDU12234642
CategoryMale - General and Male - OBC
Application Number15147249
Name of candidateSHAILENDRA
Date of Birth30/9/1997
Contact number7351964188
Application Fee700
Transaction ChargeINR 16.85
Total AmountINR 716.85
Remarks
Top of FormClick here to view/download the e-Receipt
Return to State Bank Collect Home PageBottom of Form
Copyright OnlineSBIPrivacy Statement|Disclosure|Terms of Use
NISER-NESTNISER, INSTITUTE OF PHYSICS CAMPUS,SACHIVALYA MARG,
PO- SAINIK SCHOOL, BHUBANESWAR, , BHUBANESWAR-751005Date:--
e-Receipt for State Bank Collect Payment
SBCollect Reference NumberDU12234642
CategoryMale - General and Male - OBC
Application Number15147249
Name of candidateSHAILENDRA
Date of Birth30/9/1997
Contact number7351964188
Application Fee700
Transaction charge16.85
Total Amount (In Figures)716.85
Total Amount (In Words)Rupees Seven Hundred Sixteen and Paise
Eighty Five Only
Remarks
Notification1E-receipt generated after successful payment may be
printed and retained for future reference.
Notification2Examination fee, once deposited, would not be
refunded.
Click Here to PrintClose
CENTRAL BOARD OF SECONDARY EDUCATION, DELHIADMIT CARD FOR JOINT
ENTRANCE EXAMINATION JEE(MAIN)- 2015
Center Number:139060
Center of Examination :N K BAGRODIA PUBLIC SCHOOL, AHINSA MARG,
SECTOR 9, ROHINI, DELHI/NEW DELHI, DELHI, 110085
Candidate's Name :SHAILENDRA
Father's Name :PREM PAL
Candidate Mailing Address
Address :EKTA NAGAR COLONY NEAR BRIJWASHI SCHOOL
Locality:PILIBHIT
City / Town / Village :PILIBHIT
District :PILIBHIT
State :UTTAR PRADESH
Pin Code :262001
Email address :[email protected]
Mobile number :7351964188
Course
JEE(Main) Paper - 1 (B.E./B.Tech.) Only
Date of ExamPaperTimings
04/04/2015Paper - 10930-1230 Hours (IST)
Question Paper MediumDate of Birth
ENGLISH30/09/1997
GenderApplication No.
MALE50921486
State of Eligibility
UTTAR PRADESH
CategoryPerson With Disability
OBC- NCL (CENTRAL LIST)NO
Executive Director (JAB)
Roll Number
13930409
Signature of the Candidate
DIRECTIONS FOR CANDIDATES
## IST denotes INDIAN STANDARD TIME
1. Please check in the Admit Card carefully for your Name,
Course, Date of Birth, Gender, State of Eligibility, Category and
Question Paper Medium. In case of any discrepancy, communicate to
the CBSE immediately for necessary action.2. Candidates shall be
present at the examination Centre by 9 AM(IST) for Paper-1 and by
1:30 PM(IST) for Paper-2 i.e. atleast 30 minutes before the
commencement of the examination.3. No Candidate in any case will be
allowed to enter at the Examination Centre after the commencement
of the examination in each paper.4. No Candidate without Admit Card
shall be allowed to sit in the examination by the Centre
Superintendent.5. Candidates must preserve the Admit Card till the
allotment of seat in College/Institution.6. No Candidate shall be
allowed to leave the Examination Hall before the conclusion of the
test and without handing over the Answer Sheet to the Invigilator
concerned.7. Candidates should check and ensure that the Test
Booklet contains as many number of pages as written on the top of
the cover page.8. Candidate shall not remove any page(s) from the
Test booklet and if any page(s) is/are found missing from his/her
Test Booklet, he/she may be liable for criminal action.9.
Candidates should bring good quality blue/black ball point pens for
the examination.USE OF PENCIL IS STRICTLY PROHIBITED.10. Candidates
should use blue/black ball point pen only to write particulars on
the cover page of Test Booklet, Answer Sheet and for darkening the
circles of response.11. Calculators,Log tables,Calculating
devices,Communication Devices like Cellular Phone/Pager/Docupen
etc.And Textual materials are not allowed in the Exam Hall.12. If a
candidate is found in possession of Cellular Phone/Paper/Docupen
during the exam, the same will be forfeited and his/her candidature
will be cancelled.13. Candidates must follow the instructions
strictly as contained in the Information Bulletin.14. The Admit
Card is issued provisionally to the candidate subject to his/her
satisfying the eligbility condition.15. On completion of the test,
candidate must handover the Answer Sheet to the invigilator in the
room/hall and take away with them only the Test Booklet.16. For
Aptitude Test Paper 2, the candidate must bring there own Geometry
Box Set,Pencils,Erasers and Colour pencils or Crayons. The
Candidates are NOT allowed to use water colours on Drawing
Sheet.17. For detailed guidelines and instructions regarding
examination, please refer to page 19-23 of Information Bulletin of
JEE(Main)-2015.18. The Physically Challenged(PwD) Candidates must
carry a copy of the disability certificate in the prescribed format
as at apendix 10 of the Information Bulletin.
Application form for admission to First Year Engineering
2015-16Application Fee :895
ELIGIBILITY CRITERIA FOR ADMISSION TO AIT:The Admission to Army
Institute of Technology isONLYfor the following: CHILDREN OF
ELIGIBLE SERVING ARMY PERSONNEL, ELIGIBLE EX-ARMY PERSONNEL &
WAR WIDOW OF ARMY ONLY. Candidates are required to submit the
relevant certificate as proof of their eligibility as per Para 17
of Prospectus 2015
Top of Form
IMPORTANT NOTICE:LAST DATE FOR FILLING ONLINE APPLICATION: APRIL
25, 2015.PLEASE DOWNLOAD PROSPECTUS AND READ THE RULES AND
REGULATIONS BEFORE FILLING UP APPLICATION.
PART I
1. Roll Number of JEE (Main) 2015 (please double check you have
entered the correct 8 digit ROLL NUMBER appearing on the top right
of your Admit Card.)Click here to view a sample admit card*
2. Personal Details:
a. Applicant`s Name (In First Name - Middle Name - Last Name
format)*
b. Gender:*MaleFemale
c. Date of Birth:* Month of Birth:* Year of Birth:* d. Place of
Birth:
e. Age as on 01 Jul, 2015 (For eg: 22 Years 7 Months 6 Days)
3. Father`s Name (In First Name - Middle Name - Last Name
format)
4. Mother`s Name (In First Name - Middle Name - Last Name
format)
5 a. Rank of the Father/Mother as applicable (Eg.: Colonel,
Subedar, Hav etc)*
b. Category 6 a. Year of appearing / passing the qualifying
examination: (10 + 2) or equivalent
b. Have you passed the qualifying examination with Physics,
Chemistry and Mathematics taken together?* c. If YES,TotalMarks
obtainedin Physics, Chemistry and MathematicsTotalMaximum Marksin
Physics, Chemistry and MathematicsPercentage of PCM
1
7 a. Are you a Citizen of India?*YesNo
b. Are you a person of Indian origin migrated from a foreign
country?*YesNo
8 a. Is your Father / Mother serving in Indian Army ('Upload
Certificate 1 at Para 17)* b. If Yes, then are/were they serving in
Indian Army as regular/re-employed person with minimum 10 years
continuous service 9. Is your father/mother retired/released from
Army / died during service (Upload Certificate 1 at Para 17) 10.
Are you a Step child/adopted child of an Army personnel (Upload
certificate 2 at Para 17)*YesNo
11. Does your father/mother belong to the following (Upload
certificate 3 at para 17) 12. Are you a Ward of War Widow? ( Upload
Appendix 'A' at para 18)*YesNo
13 a. Is your father/mother a Gallantry Award winner? ( Upload
relevant document at Para 18)*YesNo
b. If Yes,Mention name of the Award
c. Year of Award
14 a. Address of Correspondence*Street AddressAddress Line
2CityState / Province / RegionPostal / Zip Code Country b.
Email
c. Your Mobile Number
d. Father/Mother's Mobile Number
e. Telephone Number-
Tel. Number
Part II
15. Checklist (Submit the following original documents as
applicable at the time of admission. Refer to Prospectus for
proforma certificates 1/2/3, Appendix 'A', 'B' and 'C')Photostat
copy of JEE (Main) Hall ticketDocuments in support of Gallantry
Award winning CategoryProof of Age (Class X Certificate)Copy of
Mark sheet (10 +2)Certificate 1/2/3 (whichever is applicable)Proof
of War widows (Appendix A)Address for Correspondence (Appendix
B)Willingness Certificate (Appendix C)Copy of initial Pension Pay
Order
16. Please Upload your recent passport size(3.5 cm x 2.5 cm)
photograph (ONLY in .jpg format)
Uploaded File Name : 17. File Upload 1: Mandatory certificate
1/2/3 whichever is applicable.Refer prospectus for proforma.File
Name to be " Certificate 1", "Certificate 2" or "Certificate
3"(only in .pdf format)
Uploaded File Name : 18. File Upload 2: Proof of Gallantry Award
/ War widow/ Initial PPO whichever is applicable.Refer prospectus
for proforma.File Name to be "Award", "War widow" or "PPO" (only in
.pdf format)
Uploaded File Name :
N.B:1. If you are not able to upload themandatory documentshere,
then kindly email scanned & signed copies of the required
documents to [email protected] your application
number in every email that you send to us.2. Please check your
email regularly for any correspondence from the college.
*Application number is a system generated number that will be
displayed after successful submission of form online along with
application fee.
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For any technical issues, [email protected]
Success! Your application has been received.Print completed
formPrint acknowledgement receipt
Application No.: AIT/15_85 |Payment Transaction ID:
147007021
Your application has been submitted successfully. The admissions
committee will review your application and you will be informed of
the outcome via email and/or postal mail. For future reference and
any correspondence, pleaseensure that you mention your application
numberprinted above.
For any admissions-related questions, please email us
[email protected]. Quote the application number for easy
retrieval of your file. For any technical issues,
[email protected]. This also serves as an
acknowledgement that your application was received by the
institution. You can print your completed application form and
acknowledgement receipt for your own records.
[email protected]
Application Form For Admission / SET- 2015Save &
PrintWelcome SHAILENDRALogoutAdmission/ SET-2015 :Confirmation page
for application Number : (For Office Use Only)Confirmation Page-
Admission / SET 2015 Mode of admission For
BTechScholarshipApplication No150 385You have successfully
submitted Application On-line. Kindly take two printout of this
page. Paste your two recent photograph and sign in the specified
Box. Send one of this form along with Demand Draft to"NIAERM,
A-180, ROAD NO.-4, L.NO.-10,NEAR MADHUBAN HOTEL, OPP. INDIRA GANDHI
AIRPORT, NH-8, MAHIPALPUR, NEW DELHI- 110037"to reach latest by
31-march-2015.Candidate's Name :SHAILENDRADate of Birth
:30/09/1997Mother's Name :MOONGA DEVIGender :MALEFather's NamePREM
PALCategory :OBC- NCL (CENTRAL LIST)State of Eligibility :UTTAR
PRADESHNationality :INDIANSchool Board of Class 12th/Qualifying
Exam :CENTRAL BOARD OF SECONDARY EDUCATIONYear of Passing Class
10th or its Equivalent :2012Passing Year 12th/Qualifying
Exam2012AddressNEAR BRIJWASI SCHOOL GALI NO.5EKTA
NAGARPILIBHITDistrict :PILIBHITState :UTTAR PRADESHEmail
[email protected] :262001Contact
No0735196418Alternate Contact :9891244380Examination
CenterDelhiDECLARATIONI hereby solemnly and sincerely affirm that
all the particulars stated by me in this Application Form are true
and Correct. I have not concealed any Information. However, if any
information furnished herein is found fraudulent, incorrect or
untrue, I understand that I will be liable to criminal Prosecution
and I also agree to forego my Seat. Further that the selection and
admission to the course is liable to be cancelled. I agree to abide
by the Rules and Regulation governing the Examination as contained
in the SET Information Bulletin available on website, which I have
duly gone through.Paste your recent photo,attested with
principal/gazettedOfficerWrite Your Detail HereName :
__________________________________Father Name :
____________________________Address :
____________________________________________________________________________________________
Pin :- _______________Paste your recent photo, attested with
principal/gazettedOfficer
Detail of Demand Draft(write Registration No., Name and address
at the back of Demand Draft)Draft No. : 420281.Amount: 1000Date of
Issue: 15/12/2014Bank Name :ANDHRA BANK
Left Hand Thumb ImpressionSignature of the Candidate (not in
capital letter)countersignature of parents or guardians
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