Joint Entrance Examination (Advanced) 2024

Indian Institutes of Technology

Registration Acknowledgement

Registration No. M61421085492

Candidate Details
JEE (Main) Application number 240310069265 Date of Birth 11-07-2006
Candidate's Name DEOTARE ANUSH AVINASH Category OBC-(NCL) As Per Central List
Mother's Name ARTI Person with Disability (PwD) as per No
JEE(Main)
Father's Name AVINASH Nationality INDIAN
Complete Mailing Address
Address BHUMIPUTRA COLONY,
Country India
State MAHARASHTRA District Amravati
Locality NEAR COLONY GARDEN Mobile Number 91 916****880
City/Town/Village NA Email Address AVI********ARE@[Link]
Pin Code / Postal Code 444606 Alternate Mobile number 91 942****823
Land Line Number Alternate Email Address anu**********e18@[Link]
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2024
School Board MAHARASHTRA STATE BOARD OF SEC. & HR. SECONDARY EDUCATION
Roll Number NA
Name of the School / College maharashi junior college amravati
Address of the School / College maharshi square, navsari, amravati
OBC-NCL Certificate details
Do you have a Valid OBC-NCL I have not been able to collect the said State / UT issuing the OBC Certificate
Certificate? certificate as of now. I will upload the
Declaration in Lieu of OBC-NCL Certificate.
OBC-NCL certificate will be uploaded by
reporting at the time of JoSAA.
OBC-NCL Caste / Community
Entry No. of OBC-NCL Caste / 0
Community
JEE (Main) Paper 1 Score
Physics: 96.6819835 Chemistry: 94.2510266 Maths: 89.4060271 Total: 95.5712796
Remarks : Eligible for JEE (Advanced) 2024.
Furnished Information for JEE (Advanced) 2024
Do you have disability and having No
difficulty in writing
Need scribe/reader No Do you want to avail compensatory time No
as of GoI guidelines/ memorandum?
Class XIIth (or equivalent)/ Qualifying India Year of first appearance in Class XII 2024
Exam (QE) Passed From Exam
Year of first attempt in JEE (Advanced) 2024 Color Blindness No
One Eyed Vision No Eligible for DS Seats No
Examination City for JEE (Advanced) 2024
1st Choice of Exam City MAHARASHTRA-AMRAVATI 2nd Choice of Exam City MAHARASHTRA-WARDHA
3rd Choice of Exam City MAHARASHTRA-NAGPUR 4th Choice of Exam City MAHARASHTRA-AKOLA
5th Choice of Exam City MAHARASHTRA-YAVATMAL 6th Choice of Exam City MAHARASHTRA-PUNE
7th Choice of Exam City MAHARASHTRA-MUMBAI 8th Choice of Exam City MAHARASHTRA-NASHIK
Payment Details
Payment Mode EPG Transaction ID ZIC51953347032
Registration Fee INR 3200 Date of Transaction 2024/05/01T18:02:09
DECLARATION
I hereby declare that all the particulars stated in this Registration Form are true to the best of my knowledge and belief. I understand that, if any of the information provided by me
is found to be false / incorrect at any later time, my candidature will be cancelled and I shall be debarred from writing JEE (Advanced) 2024. I understand that an exam city not
mentioned in my preferred choices may be allotted to me under exceptional circumstances and any request for the change of the exam city will NOT be entertained. This is my
first/second attempt in JEE (Advanced). In case, it is found that I am ineligible to appear for JEE (Advanced) 2024 at any stage, I agree that my candidature will be cancelled and
registration fee will be forfeited. I understand that the data from JEE (Advanced) 2024 including personal details may be shared with other Government-funded institutes such as
IISc, IISER etc.
Certificates uploaded
Class-X or Birth Certificate Uploaded Declaration by the candidate in lieu of Uploaded
OBC-NCL Certificate