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    FIRDOSH JELET APPLICATION (1)

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    firdoshansari
    The document is a confirmation page for an application to the West Bengal Joint Entrance Examinations Board (JELET) in 2020 by MD Firdaus Ansari, who is applying for lateral entry into a BTech/BPharm program after completing a diploma in engineering and technology. It provides personal details of the applicant as well as details of their academic qualifications, communication information, exam city preferences, and payment receipt for the application fee.

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    FIRDOSH JELET APPLICATION (1)

    Uploaded by

    firdoshansari
    38 views1 page
    The document is a confirmation page for an application to the West Bengal Joint Entrance Examinations Board (JELET) in 2020 by MD Firdaus Ansari, who is applying for lateral entry into a BTech/BPharm program after completing a diploma in engineering and technology. It provides personal details of the applicant as well as details of their academic qualifications, communication information, exam city preferences, and payment receipt for the application fee.

    Original Description:

    Jelet Application

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    The document is a confirmation page for an application to the West Bengal Joint Entrance Examinations Board (JELET) in 2020 by MD Firdaus Ansari, who is applying for lateral entry into a BTech/BPharm program after completing a diploma in engineering and technology. It provides personal details of the applicant as well as details of their academic qualifications, communication information, exam city preferences, and payment receipt for the application fee.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views1 page

    FIRDOSH JELET APPLICATION (1)

    Uploaded by

    firdoshansari
    The document is a confirmation page for an application to the West Bengal Joint Entrance Examinations Board (JELET) in 2020 by MD Firdaus Ansari, who is applying for lateral entry into a BTech/BPharm program after completing a diploma in engineering and technology. It provides personal details of the applicant as well as details of their academic qualifications, communication information, exam city preferences, and payment receipt for the application fee.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    West Bengal Joint Entrance Examinations Board

    (JELET) - 2020

    Confirmation Page

    Application No. 2009 0003 194 -


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

    Personal Details
    Candidate's Name MD FIRDOSH ANSARI Date of Birth 02-03-1999
    Mother's Name GULSHAN BANO Category OBC-A
    Father's Name RASHID ANSARI Gender Male
    Person with Disability (PwD) No Nationality Indian
    Home District PASCHIM BURDWAN Religion Muslim
    Domicile WEST BENGAL Blood Group B+

    Apply For
    Qualifying Stream Diploma in Engg. & Tech. Course applied for Lateral entry in BTech/BPharm
    1st Choice of Exam City WEST BENGAL - Asansol 2nd Choice of Exam City WEST BENGAL - Durgapur
    3rd Choice of Exam City WEST BENGAL - Burdwan

    Academic Details
    Qualifying Pass Status Course/Stream Board/Council/Univer Year of Result Marks Detail RollNo Institute Institute
    Examination Name sity Name Passing/appe Mode Name & Pin
    (Dip./B.Sc.) aring Addres code
    s
    Diploma/B.S.c Appearing Diploma in Engg. Any Recognised Board/ 2020 NA NA D12005 ASANS 713302
    & Tech. University/ Open school 0005009 OL
    - WEST BENGAL 10 POLYT
    STATE COUNCIL OF ECHNIC
    TECHNICAL & ,
    VOCATIONAL SOUTH
    EDUCATION AND DHADK
    SKILL DEVELOPMENT A

    Communication Details
    Premises No/ Name KUARDI COLLIERY NO.- 12 Locality POST.- KALIPAHARI
    Sub locality ASANSOL Country India
    State WEST BENGAL District PASCHIM BURDWAN
    Pin Code 713339 Email Id fir********@gmail.com
    Mobile no 629****140 Land Line No. with 91 - 6294468213
    STD code or any
    other Contact No.

    Fee Payment Details


    Payment Mode: Online Payment Transaction ID: SSM28676799958
    Exam Fee: 500 /- Date of Transaction: 03-04-2020 11:51:28
    Fee Submitted On: 03/04/2020
    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.

    Images Uploaded by Candidate


    Photograph Signature

    List of Document Uploaded


    Photograph,Signature

    IP Address : 157.43.245.163 Date of Downloading : 03/04/2020 11:53:31 AM

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