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8/16/2019 WBJEET2016
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West Bengal Joint Entrance Examinations Board
e-Admission System for WBJEEM-2016
Confirmation Page
Application No. 6146625 E
DO NOT SEND THIS PAGE TO WBJEEB.
CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.Personal DetailsName: ABHISHEK BHATTACHARYA Date of Birth: 07-12-1996
Mother's Name: SHELLEY BHATTACHARYA Category: General
Father's Name: DEBASISH BHATTACHARYA Person with Disability(PwD): No
Gender: Male Nationality: Indian
Have you applied in JEE(Main) - 2016 ? : No Place of Residence: Municipality/Corporation
Home District: KOLKATA Religion : Hindu
TFW : Yes Income Category : Below 2.5 Lakhs
Domicile: WEST BENGAL
Course Apply DetailsApplying For: Engineering
1st Choice of Exam Centre: Kolkata - Behala 2nd Choice of Exam Centre: Kolkata - Taratala
3rd Choice of Exam Centre: Kolkata - TollygunjeEducational DetailsQualification Pass
StatusCourse/Stream Name Board/University Name Year Of
PassingMarks (%) Roll No. Institute Name, Address & Pincode
10th orequivalent
Passed 10th INDIAN COUNCIL OFSECONDARY EDUCATION,INDIA
2013 83.66 T/4720/066 Vivekananda Mission School,VivekVille,Joka,Kolkata-700104
12th orequivalent
Passed (10+2)/I.Sc/Equivalentexamination passed
INDIAN SCHOOLCERTIFICATE
2015 74 5519028 Vivekananda Mission School,VivekVille,Joka,Kolkata-700104
Communication DetailsAddress: GOVT HOUSING ESTATE,AJANTA QUATER,D.H
ROAD,BEHALACity/Town/Village: KOLKATA
District: KOLKATA State: WEST BENGAL
Pin Code: 700038 Email Address: [email protected]
Mobile Number: 9038340641 Land Line Number: 9038340641
Fee Payment DetailsPayment Mode: Using eChallan of Allahabad bank Transaction ID: 30331
Exam Fee: 500 /- Date of Transaction: 2/24/2016 12:00:00 AM
Fee Submitted On: 24/02/2016
DECLARATION
I hereby 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 the WBJEEM-2016procedures. I shall abide by the terms and conditions thereon.
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