1/24/2019 :: NATA 2019 Application Form ::

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Print

NATA-
2019

Online
Application
Form

Application Number : 70002437

Personal Details

Name of the Candidate GAGANDEEP R

Father's Name RAMASWAMY
Mother's Name GANGA

Guardian Name NAVYASHREE R

Gender MALE

Date of Birth 18-Apr-2001

Category SC
Appearing for Test First Test(14 April 2019)

Physically challenged No
Nationality Indian

Place of Residence Rural

Aadhar No 636751611493

ID Proof Aadhar
ID Proof Number 636751611493

OBAJJIHALI
Communication Address MAIN ROAD OPPOSITE OF WATER TANK
KADLE BALU POST

City DAVANAGERE
Pincode 577589
State Karnataka
Phone No. (With STD Code) -
Mobile No. 9980514989
Email ID gagan18401@gmail.com

Test Center Preferences

Test Center Preferences for Test 1(14 April 2019)

preference centre 1 Hubli

preference centre 2 Bengaluru

preference centre 3 Mangalore

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1/24/2019 :: NATA 2019 Application Form ::

Details of Examination Passed

Name of the Roll Institute Name,

Name of the Year of Total Marks %
Pass Status Board / No/Enroll address & Pin
Examination Passing marks Secured Secured
University No Code
JAWAHAR NA
Central Board O VODAYA VIDY
Class 10th* Passed f Secondary Ed 2017 500 390 78 4081092 ALAYA GAJAN
ucation UR SHIMOGA
577202
Central Board O
Class 12th* Appearing f Secondary Ed
ucation

Payment Details

Payment Type : ICICI Payment Gateway

Transaction ID 19012445357990
Fee Paid (Rs) 1500.00

Status Success
Date 24-Jan-2019

Form filled On : 24-Jan-2019 21:42:13 Form printed On : 24-Jan-2019 21:42:17

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