APPLICANT DETAILS
Name SHAURYA RATHORE Application Number 125195268
Email ID shauryarathore30@[Link] Mobile Number +917023391841
Gender Male Date of Birth 06/07/2007 Nationality Indian
CATEGORY DETAILS
Category General Sub Category General
PROGRAM DETAILS
Program Level Undergraduation - UG Stream Engineering
Course BTech
Tentative Test Location 1 Jaipur Tentative Test Location 2 Agra Tentative Test Location 3 Delhi
PARENT OR GUARDIAN DETAILS FOR COMMUNICATION
Full Name Vijeta Singh
Email vijetaviveksingh1234@[Link] Mobile Number 916396855154
ADDRESS DETAILS
Address Type Address 1 Address 2 City State Country Pincode
Correspondence Address B-905 bhavya green luxuria near skit college Jaipur Rajasthan India 302017
Permanent Address B-905 bhavya green luxuria near skit college Jaipur Rajasthan India 302017
PAYMENT DETAILS
Transaction Id 113679972547 Date 12/03/2025 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.