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Applicant Details for BTech Admission

The document contains the application details of Vishesh Chandok for an undergraduate BTech program, including personal information, contact details, and payment information. It confirms his eligibility and understanding of the admissions process, along with a declaration of the accuracy of the provided information. The application also states that any false information may lead to cancellation of admission and specifies the jurisdiction for disputes.

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visheshchandok3
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11 views1 page

Applicant Details for BTech Admission

The document contains the application details of Vishesh Chandok for an undergraduate BTech program, including personal information, contact details, and payment information. It confirms his eligibility and understanding of the admissions process, along with a declaration of the accuracy of the provided information. The application also states that any false information may lead to cancellation of admission and specifies the jurisdiction for disputes.

Uploaded by

visheshchandok3
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

APPLICANT DETAILS

Name VISHESH CHANDOK Application Number 125247345

Email ID visheshchandok3@[Link] Mobile Number +919305093961

Gender Male Date of Birth 15/11/2006 Nationality Indian

CATEGORY DETAILS

Category General Sub Category General

PROGRAM DETAILS

Program Level Undergraduation - UG Stream Engineering

Course BTech

Tentative Test Location 1 Allahabad Tentative Test Location 2 Kanpur Tentative Test Location 3 Lucknow

PARENT OR GUARDIAN DETAILS FOR COMMUNICATION

Full Name Vikas Chandok

Email chandokvikas@[Link] Mobile Number 919935428711

ADDRESS DETAILS

Address Type Address 1 Address 2 City State Country Pincode

Correspondence Address Meerapur Sabzi Mandi Meerapur Prayagraj Uttar Pradesh India 211001

Permanent Address Meerapur Sabzi Mandi Meerapur Prayagraj Uttar Pradesh India 211001

PAYMENT DETAILS

Transaction Id 113736183654 Date 22/04/2025 Amount INR 2000.00

DECLARATION

• I hereby confirm that the above-mentioned details are correct. I 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 all provisions of the admissions process and agree to abide by them. I
also affirm that I fulfill the eligibility requirements for the program(s) applied. I
understand that I can only apply once for each group. In case I apply more than once, only
one of my applications will be accepted, and the application and entrance test fees remitted
will not be refunded.
• If it is found at a later stage, during active verification, that I have provided false, incorrect
or untrue information w.r.t educational qualifications, marks, nationality, etc., or submitted an
eligibility document from an unrecognized board or university, my admission or degree will
be canceled without notice, with forfeiture of all fees paid.
• Jurisdiction for disputes, if any, shall be at the Udupi Court, Karnataka, India only.

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