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6/2/2017

RegistrationDetails

CommissionerateofTechnicalEducation,GujaratState
AdmissionCommitteeforProfessionalCourses(ACPC)

Date:02/06/201707:00:43PM Course:DegreeEngineering RegistrationNo:822312

PersonalDetails

Name :KHAMARJAYRAKESHKUMAR Gender :Male


DateofBirth :14Aug2000 FatherName :RAKESHKUMARKHAMAR
ContactNo :8849922128 MotherName :DHARMISTHABENKHAMAR
:10RAJNAGARSOCIETYPART2KARANNAGAR
EMail :JAYKHAMAR14@GMAIL.COM Address
ROADKADIMehsana
GUJCETRollNo :822312 Category :OpenGeneral
Rank :0
Nationality Indian DateofRegistration :Jun120178:15PM
Familyincome: 50000
FeeWaiverScheme: Interested

12thandGUJCETMarksDetails

12thPassingDetails 12thandGUJCETMarksDetailsGroup:A
Board :GujaratBoard Subject 12thExam GUJCETExam PracticalMarks(Obtained/outof)
S.I.D.Number :15V227647 Physics 63 9.75 45/50
SchoolIndex/No :27.171 Chemistry 50 5.50 45/50
SeatNo :B449189 Maths 56 9.25
PassingYear :March2017 English 43
Computer 49 49/50
AggregateMarksObtained/Outof
Other 0
400/650

Declarationofthecandidate

Idoherebydeclarethatalltheparticularsindicatedabovearetrueandcorrecttothebestofmyknowledgeandbelief.IhavereadtheAdmissionRulesand
informationBrochure,andIshallabidebyalltherulesandothertermsandconditionsforadmission.Intheeventofsuppressionordistortionofany
informationprovidedbyme,IunderstandthattheadmissiongrantedbytheAdmissionCommitteeshallbeliableforcancellation.Ialsounderstandthatthe
decisionoftheAdmissionCommitteeregardingmyadmissionshallbefinalandIshallbeliablebyitsdecision.Further,ifadmitted,Ipromisetoabidebythe
rulesandregulationoftheInstituteasapplicableduringthecourseofstudy.Iamalsoawarethatraggingisbannedandif,foundguilty,Ishallbeliablefor
punishmentsundertherules.IabidetopaythefeesasdeterminedbytheFeeRegulatoryCommittee/stateGovt.

SignatureofParents/Guardian SignatureofStudent
PlaceandDate: PlaceandDate:

Thecandidatehastosubmitselfattestedcopiesofthedocumentsmentionedbelow

~SSC(10th)ExaminationMarksSheet
~HSC(10+2)ExaminationMarksSheet
~GUJCET2017ExaminationMarksSheet
~Schoolleavingcertificate/TransferCertificate
~Incomecertificate

IMPORTANTNOTE:Thecandidateshastosubmitabovementionedselfattesteddocumentsatanynearesthelpcentersbetween01/06/2017to12/06/2017
5:00PM.Otherwisehiscandidaturewillnotbeconsideredforadmission.

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