Application form for 12th Based Paramedical/MRT Courses
Application No: 112502202447
Application Status: Form submitted.!
Payment Done: Yes
Name: Azra jan Father's Name: Late Mohammad Ayoub Mir
Mother's Name: Nazira banu Gender: Female
Date Of Birth(As per 10th class
05-05-2005 Age as on 01-01-2025 19 years 07 months 27 days
certificate):
Category: Open Merit (OM) Examination Center: Anantnag
Sub Category: CDP Priority:
Issue Date Of Category Next Renewal Date Of
NA NA
Certificate: Category Certificate:
Date of issue of Domicile
Resident of UT of J&K ? Yes 02-01-2023
certificate:
Permanent Home Address:
Sadura Anantnag railway colony ,Sadura Astaan masjid Pin UT/State:UT of Jammu and
District:Anantnag
,Sadura Anantnag Code:192210 Kashmir
Communication Address:
Sadura Anantnag railway colony ,Sadura Astaan UT/State:UT of Jammu
Pin Code:192210
masjid ,Sadura Anantnag and Kashmir
Alternate
E-Mail: Azrajan199@[Link] Mobile:7889720561
Mobile:9103234384
Year College or
Of school from
Exam Passed/Appeared: Exam Status:
passing/ which passed
appearing /appeared
Govt Higher secondary
Higher Secondary (10 + 2 ) Passed 2024
school Vessu
Max Marks Marks Obtained Percentage
500 329 65.80
Marks in 10+2 (Physics): 49 Marks in 10+2 (Chemistry): 59 Marks in 10+2 (Marks): 0 Marks in 10+2 (Bio): 67
Course(S) PREFERENCES:
Para Medical: Yes
MedicalRecordTechnician: No
Photograph and Signature
Photograph: Signature: Thumb Impression:
Documents Uploaded
[Link]. Document Name Uploaded
1. Domicile Certificate Yes
2. Marks Secured in Qualifying Examination Yes
3. Reserve Category Certificate No
4. Date of Birth Yes
5. Subcategory(if any) Yes
Payment Receipt
Payment status SUCCESS Payment Gateway Transaction Id BHMPPO60GCJWN4
JKBOPEE Transaction ID JKBOPEE2025032312223696337 Payment Date 3/23/2025 12:22:36 PM
Total Application Fee 1000.00 INR Bank Reference No 592582
Print
Application form printed on:3/24/2025 1:00:10 PM