Joint Entrance Examination (Advanced) 2025
Indian Institutes of Technology
Registration Acknowledgement
Registration No. K41221065536
Candidate Details
JEE (Main) Application number 250311116914 Date of Birth 13/10/2007
Candidate's Name TANMAY CHATURVEDI Category SC
Mother's Name TULESHWARI CHATURVEDI Person with Disability (PwD) as per No
JEE(Main)
Father's Name NARENDRA PAL CHATURVEDI Nationality Status INDIAN
Complete Mailing Address
Address 1199
Country India
State CHHATTISGARH District BEMETARA
Locality WARD 13 Mobile Number 91 - 990****555
Whatsapp Mobile Number 91 - 990****555 City/Town/Village NAWAGARH
Email Address jio*************999@[Link] Pin Code / Postal Code 491337
Alternate Mobile number 91 - 917****313 Land Line Number 9179790313
Academic details of Class XII (or equivalent) examination
Year of Passing or Appearing 2025
School Board CENTRAL BOARD OF SECONDARY EDUCATION
Roll Number --
Name of the School / College GURUKUL, BHATAPARA, DIST. BALODA BAZAR, C.G.
Address of the School / College GURUKUL, BHATAPARA, DIST. BALODA BAZAR, C.G.
JEE (Main) Paper 1 Score
Physics: 92.2246203 Chemistry: 78.7373669 Maths: 84.8840821 Total: 89.4754028
Remarks : Eligible for JEE (Advanced) 2025.
Furnished Information for JEE (Advanced) 2025
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 2025
Exam (QE) Passed From Exam
Year of first attempt in JEE (Advanced) 2025 Color Blindness No
One Eyed Vision No Eligible for DS Seats No
Examination City for JEE (Advanced) 2025
1st Choice of Exam City CHHATTISGARH-BILASPUR 2nd Choice of Exam City CHHATTISGARH-RAIPUR
3rd Choice of Exam City CHHATTISGARH-BHILAI 4th Choice of Exam City MAHARASHTRA-NAGPUR
5th Choice of Exam City MADHYA PRADESH-BHOPAL 6th Choice of Exam City MADHYA PRADESH-INDORE
7th Choice of Exam City MADHYA PRADESH-GWALIOR 8th Choice of Exam City MADHYA PRADESH-JABALPUR
9th Choice of Exam City MADHYA PRADESH-UJJAIN 10th Choice of Exam City MADHYA PRADESH-SATNA
Payment Details
Payment Provider BILLDESK (EPG) Transaction ID BIC5Q3J0JLHWRB
Registration Fee INR 1600 Date of Transaction 2025/04/30T12:12:16
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) 2025. 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. In case, it is
found that I am ineligible to appear for JEE (Advanced) 2025 at any stage, I understand that my candidature will be cancelled and registration fee will be forfeited. I understand
that the data from JEE (Advanced) 2025 including personal details may be shared with other Government-funded institutes.
Certificates uploaded
Class-X or Birth Certificate Uploaded SC Certificate Uploaded