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. Personal Details Application Number 22010062000 Candidate Name YASHWANTH PARICHHA Father Name SAMANTA PARICHHA Mother Name SWARNA LATHA MUTTENI Gender Male Date of Birth 12-10-2003 Nationality Indian Domicile Others Religion CHRISTIANITY Category General Sub Category List Tuition Fee Waiver No Person with Disability No Other Informations Income Category Below 2.5 Lakhs Qualification Details Class 12th or Equivalent Marks Details Passing Status Passed Passing Year 2021 Board/Council/University Name CBSE I (CBSE INTERNATIONAL) Roll Number/Registration Number 22659417 Institute Pincode 804454 Result Mode Percentage Maximum Marks 500 Obtained Marks 385 Percentage Marks 77 Exam Center List State Name. Exam Center Name Exam Center Choice No. West Bengal Paschim Burdwan - Asansol 1 West Bengal Paschim Burdwan - Durgapur 2 West Bengal Kolkata - Salt Lake/New Town 3 Contact Details Correspondence Address Premise No./Name Shambhuganj Sub Locality/Colony(Optional) -- Locality/City/Town/Village Shambhuganj Country India State Bihar District BANKA Pin Code 813211 Mobile Number 778****417 Email Id yas*********************com Agree to Use for send Updates/Notifications Yes Agree to Use for send Updates/Notifications Yes Permanent Address Premise No./Name Shambhuganj Sub Locality/Colony(Optional) -- Locality/City/Town/Village Shambhuganj Country India State Bihar District BANKA Pin Code 813211 Fee Payment Details Registration Fee Transaction Number Transaction Amount Transaction Date WUR20701700267 500 09/01/2022 10:49:42 Registration Details Activity Date & Time IP Address Registration Form Submission Jan 5 2022 10:27PM 157.35.17.245 Application Form Submission Jan 9 2022 9:25AM 223.190.190.250 Uploded Documents Photograph Signature Declaration West Bengal Joint Entrance Examinations Board West Bengal Joint Entrance Examination (WBJEE) - 2022 Confirmation Page Application Number: 22010062000 Generated On: 09-01-2022 10:50:39 AM Page No. 1.

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. . I hereby declare that I have filled up this online application after carefully reading the Information Bulletin and fully understanding the provisions/ 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 automatically 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 Notices and Advisories issued by WBJEEB regarding this exam from time to time..