I Like to B Essay

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JEE(Main)-2013: Confirmation Page for Application Number :30914317 Page 1 of 2 Click Here to Print This Page CENTRAL BOARD OF SECONDARY EDUCATION, DELHI CONFIRMATION PAGE - JEE(Main) 2013 Application No. 30914317 You have successfully submitted Application On-line. Kindly take the printout of this page. Paste your two recent photographs, put le and sign in the specified box. Send the CONFIRMATION PAGE through Registered/ Speed Post only along with original Demand Dr Demand Draft) so as to reach positively by 26/12/2012 in the CBSE office to Executive Director, JEE (Main) Secretariat, Centra Education, PS-1-2, Institutional Area, I.P.Extn. Patparganj, Delhi-110 092. Apply for Mode of Exam Paper-1 Exam Cities - JEE(Main) Candidate's Name Mother's Name Father's Name State of Eligibility Mobile No. Email Id Board/University of Q.E. Name of Q.E. passed/appearing Interested in JEE(Advanced) Exam cities - JEE(Advanced) JEE (Main) Paper - 1 & Paper –2 Both ( 3) PEN AND PAPER BASED EXAMINATION Question Paper Medium Mode of Exam Paper-2 1st : JAM NAGAR ( 821), 2nd : VEJALPUR (AHMEDABAD-RURAL) ( 824), 3rd : ANAND ( 816), 4t RANGANI UTTAM SHOBHANABEN KANTILAL GUJARAT ( 12) 9426168437 SARDARPATELVIDHYAMANDIR@GMAIL.COM GUJARAT SECONDARY EDUCATION BOARD 01 Yes 1st : AHMEDABAD ( 102), 2nd : VADODARA ( 104), 3rd : SURAT ( 103) Date of Birth Gender Category Person with Disability Is Blind Candidate Nationality Q.E. Marks(%) Q.E. passing/appearing in DECLARATION: I hereby declare that all the particulars stated in this application form are true to the best of my knowledge understood the JEE procedures for both JEE (Main) and JEE(Advanced) – 2013. I shall abide by the terms and conditions thereon. Complete Mailing Address in Capital Letters: Name Address Lef Pin Code: Signature of the

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