Common Entrance Test - 2016

Government of NCT of Delhi

Department of Training and Technical Education
Confirmation Page

Application No.

1003156

DO NOT SEND THIS PAGE TO BOARD.

CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Name:

RISHABH JHA

Date of Birth:

21-09-2001

Mother's Name:

MRS.BABITA JHA

Category:

General

Father's Name:

MR.ANUJ KUMAR JHA

Person with Disability(PwD):

No

National Cadet Corps(NCC):

No

Defence Personnel(DP):

No

Jammu and Kashmir(J&K):

No

State of Eligibility:

Delhi

Gender:

Male

Nationality:

Indian

Religion :

Hindu

TFW :

No

Course Apply Details

Applying For:

Test 1

Educational Details
Qualification

Pass
Status

Course/Stream Name

10th or
equivalent

Appearing 10th

Board/University Name

Year Of
Passing

OTHERS

2016

Marks (%)

Roll No.

Institute Name, Address & Pincode

Columbia Foundation

Communication Details
Address:

D-309B, STREET NO.55A, MAHAVIR ENCLAVE PART3

City/Town/Village:

DELHI

District:

DELHI

State:

DELHI

Pin Code:

110059

Email Address:

rishabhkumar9891@gmail.com

Mobile Number:

9891666569

Land Line Number:

9868997496

Fee Payment Details

Payment Mode:

Online Payment

Transaction ID:

FURP4392846090

Exam Fee:

418 /-

Date of Transaction:

02-04-2016 11:47:32

Fee Submitted On:

02/04/2016
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 Board
procedures. I shall abide by the terms and conditions thereon.

Images Uploaded by Candidate

Photograph

Signature

Thumb Impression