The document is a confirmation page for the Common University Entrance Test (CUET) for the postgraduate level, detailing the candidate's personal information, qualification details, and exam center preferences. The candidate, Rakshita Sengar, has provided information regarding her education, family background, and payment status for the exam fee. It also includes a declaration affirming the accuracy of the information provided and understanding of the exam procedures.
The document is a confirmation page for the Common University Entrance Test (CUET) for the postgraduate level, detailing the candidate's personal information, qualification details, and exam center preferences. The candidate, Rakshita Sengar, has provided information regarding her education, family background, and payment status for the exam fee. It also includes a declaration affirming the accuracy of the information provided and understanding of the exam procedures.
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COMMON UNIVERSITY ENTRANCE
TEST CUET (PG)
Confirmation Page
Application Number 253510308519
Do Not Send this Page to National Testing Agency (NTA). Candidate is requested to retain the printout of Confirmation page for future Reference. यितगत योरा (Personal Detail) उमीदवार की जम ितिथ (Candidate उमीदवार का नाम (Candidate Name) Rakshita Sengar 10-02-2000 Date of Birth) िपता/अिभभावक का नाम िलंग (Gender) Female Sanjay Singh Sengar (Father/Guardian Name) माता/अिभभावक का नाम Seema Singh राटीयता (Nationality) Indian (Mother/Guardian Name) अिभभावक का नंबर (Guardian’s 9456073326 Number) Any Other Valid Govt पहचान संया (Identification पहचान का कार (Identity Type) 77783853708 Identity With Photograph Number) वग (Category) General या आप आरपीडयूडी अिधिनयम 2016 के ावधानों के अनुसार पीडयूडी उमीदवार ह (Are you a PwD candidate as per the NO provisions of the RPwD Act 2016 ?) या आपको मधुमेह ह (Are you वािषक पािरवािरक आय (Annual No Rs. 200001 - 300000 Diabetic?) Family Income) रोज़गार की िथित (Status Of Unemployed Employment) संपक योरा वतमान पता (Contact Details Present Address) पिरसर संया / नाम (Premises Liii 21 े (Locality) Sector D Lucknow No/Name) उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India राय/संघ (State/UT) Uttar Pradesh िज़ला (District) Lucknow िपन कोड (Pin Code) 226024 मेल पता (Email Address) singhmanu94560@gmail.com वै किपक मोबाइल नंबर (Alternate मोबाइल नंबर (Mobile Number) +91 7355905929 8979604581 Mobile Number) थायी पता (Permanent Address) पिरसर संया / नाम (Premises 156 Roop Bhawan Adarsh े (Locality) Kishani Road Bidhuna Auraiya No/Name) Nagar उप-मोहला (Sub-Locality(Optional)) NA दे श (Country) India राय/संघ (State/UT) Uttar Pradesh िज़ला (District) Auraiya िपन कोड (Pin Code) 206243 अय कोटा े णी िववरण (Other Quota Category Details) या आप गरीबी रे खा से नीचे ह (Do you या आप कमीरी वासी ह (Are you No No belong to Below Poverty Line ?) Kashmiri Migrant ?) रा कािमक/पूव सै िनकों का वाड (Ward एनसीसी कोटा के िलए दावा (Claim for of Defence Personnel / Ex- No No NCC Quota) Servicemen) खेल कोटा के िलए दावा (Claim for Sports Quota) No या आप िवविवालय कमचारी के वाड ह (Are you a ward of University No Employee ?) परीा कद और िववरण (Exam Center And Details) के िलए आवे दन (Apply For) CUET (PG) - 2025 परीा कद के िलए िवकप .सं. (S.No.) शहर का नाम (राय का नाम) (City Name (State Name)) (Choice For Exam Center) 1 1stChoice For Exam Center Lucknow ( Uttar Pradesh ) 2 2ndChoice For Exam Center Kanpur ( Uttar Pradesh ) 3 3rdChoice For Exam Center Jhansi ( Uttar Pradesh ) 4 4thChoice For Exam Center Agra ( Uttar Pradesh ) िपता/अिभभावक की योयता (Father िपता/अिभभावक का यवसाय Matriculate Business /Guardian Qualification) (Father/Guardian Occupation) माता/अिभभावक योयता (Mother माता/अिभभावक का यवसाय Post Graduate Government Service /Guardian Qualification) (Mother/Guardian Occupation) टे ट पे पर िववरण (Test Paper Details) .सं. (S.No.) टे ट पे पर (Test Paper) मयम (Medium) 1. COQP14-L.L.M. NA 2. LAQP01-English NA I hereby declare that I have chosen and verified the paper codes in the online Application Form for the CUET (PG) - 2025 examination as per the eligibility criteria of the university/ies in which I intend to seek admission to suitable courses. I understand that merely appearing in the CUET (PG) - 2025 examination does not make me eligible for admission into any course or university for admission, I also have to fulfill the other eligibility conditions specified by the respective university/ies. I take full responsibility for the accuracy of the information provided and understand that any discrepancy or non-compliance with the eligibility criteria may lead to the rejection of my application or cancellation of my admission at any stage. I further agree to abide by the rules and regulations of the National Testing Agency (NTA) and the participating universities regarding the CUET (PG) - 2025 examination and the admission process. योयता िववरण (Qualification Details) 10वीं योयता िववरण (10th Qualification Detail) उीण वष /उपिथित (Passing of पास की िथित (Pass Status) Passed 2015 Year/Appearing) कोस / टीम (Course/Stream) 10th Or Equivalent बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION संथान का नाम और पता (Institute Rapid Global School रोल नंबर (Roll Number) 5020198 Name And Address ) अिधकतम ग े ड वाइंट (Max Grade पिरणाम मोड (Result Mode) CGPA 10.00 Point) सीजीपीए ितशत % (CGPA सीजीपीए ात िकया(Obtained CGPA) 8.00 76.00 Percentage %) 12वीं योयता िववरण (12th Qualification Detail) उीण वष /उपिथित (Passing of पास की िथित (Pass Status) Passed 2017 Year/Appearing) कोस / टीम (Course/Stream) 12th Or Equivalent बोड /िवविवालय का नाम (Board/University Name) CENTRAL BOARD OF SECONDARY EDUCATION संथान का नाम और पता (Institute Rapid Global School रोल नंबर (Roll Number) 54830 Name And Address ) पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00 ात अंक(Obtained Marks) 286.00 ितशत %(Percentage %) 57.20 नातक योयता िववरण (Graduation Qualification Details) उीण वष /उपिथित (Passing of पास की िथित (Pass Status) Passed 2023 Year/Appearing) कोस / टीम (Course/Stream) BA.LLB बोड /िवविवालय का नाम (Board/University Name) Babu Banarsi Das University, Lucknow संथान का नाम और पता (Institute BABU BANARSI DAS रोल नंबर (Roll Number) 1180992039 Name And Address ) UNIVERSITY अिधकतम ग े ड वाइंट (Max Grade पिरणाम मोड (Result Mode) CGPA 10.00 Point) सीजीपीए ितशत %(CGPA सीजीपीए ात िकया(Obtained CGPA) 8.42 72.40 Percentage %) उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate)
PHOTO
SIGNATURE
शु क भु गतान िववरण (Fee Payment Details)
ऑडर आईडी (Order ID) CUETPG_253510308519_1738167259 भु गतान का कार (Payment Mode) Online लेन-दे न आईडी (Transaction ID) ZIC5B6U0BSMEED शु क जमा िकया गया (Fee Submitted परीा शु क (Exam Fee) 1400.0 29-01-2025 21:44:19 PM On) शु क की पु िट ितिथ (Fee Confirmed भु गतान गे टवे का नाम (Payment 29-01-2025 21:44:58 PM CANARA Date) Gateway Name) भु गतान की िथित (payment status) Success घोषणा (Declaration) I hereby declare that I have filled up this online application after carefully reading the Bulletin and fully understanding the provision/procedures mentioned therein. I further declare that all the particulars given by me in this application are true to the best of my knowledge and belief. I agree that my result may be withheld/not declared/ my candidature may stand cancelled. In case it is found at any point of time in future that false information has been furnished in this application. I shall abide by these terms and conditions as well as those laid down in the Information Bulletin, Public Notice and Advisories issued by NTA regarding this exam time to time. IP Address : 152.59.178.102 Date of Downloading : 29-01-2025 21:45:01 PM Domain name : 1