patel
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6/10/2014
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Registration Details
Commissionerate of Technical Education , Gujarat State
Admission Committee for Professional Courses (ACPC)
Date : 10/06/2014 10:41:44 AM Degree Engineering Registration No : 14900617
Personal Details
Name : PATEL PRIYANK KUMAR Gender : Male
Date of Birth : 22 Oct 1996 Father Name : dineshbhai
Contact No : 9998967419 Mother Name : varshaben
E-Mail : [email protected] Address: B-32,gayatri nagar soc.,opp-gayatri
temple,dabholi road,surat-4. Surat
JEE-MAIN Roll No : 14900617 Category : Open General
Fee Waiver Scheme : Interested Rank : 0
Date of Registration : Jun 10 2014 10:41:00:000AM
* Theory Marks of Qualifying Exam Entered by Candidate.Please Check Carefully.12th and JEE-MAIN Marks Details
Seat No: B722572 Marks Details - Group: A
Subject 12th Exam JEE-MAIN ExamPractical MarksObtained / out of
Physics 55 29.00 40 / 50Chemistry 63 39.00 42 / 50
Maths 60 14.00 Biology NA NA / NA
Computer 0 0 / 50
Other 62 Aggregate Marks Obtained/Out of
366 / 600
Board: Gujarat Board
Passing Year: March 2014
Declaration of the candidate
I do hereby declare that all the particulars indicated above are true and correct to the best of my knowledge and belief. I have read theAdmission Rules and information Brochure, and I shall abide by all the rules and other terms and conditions for admission. In the event ofsuppression or distortion of any information provided by me, I understand that the admission granted by the Admission Committee shall be liablefor cancellation. I also understand that the decision of the Admission Committee regarding my admission shall be final and I shall be liable by itsdecision. Further, if admitted, I promise to abide by the rules and regulation of the Institute as applicable during the course of study. I am alsoaware that ragging is banned and if, found guilty, I shall be liable for punishments under the rules. I abide to pay the fees as determined by theFee Regulatory Committee/state Govt.
Signature of Parents/Guardian Signature of StudentPlace and Date : Place and Date :
The candidate has to submit self attested copies of the documents mentioned below-
~ SSC(10th) Examination Marks Sheet
~ HSC (10+2) Examination Marks Sheet
~ JEE-MAIN-2014 Examination Marks Sheet
~ School leaving certificate
~ Income certificate
IMPORTANT NOTE: The candidates has to submit above mentioned self attested documents at any nearest help centers between 31/05/2014 to
12/06/2014 5:00 PM. Otherwise his candidature will not be considered for admission.