Examination Details JEE (Main) – 2014 |
Applying for
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JEE (Main) Paper - 1 Only
JEE (Main) Paper - 2 Only
JEE (Main) Paper - 1 & Paper –2 Both
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Mode of Examination
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Pen and Paper Based Examination
Computer Based Examination
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Choice of Examination Centre (Only one)
(For Computer Based Examination)
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As per list of Computer Based Examination cities |
Choices of Examination Centre (Four)
(For Pen and Paper Based Examination) |
As per list of Pen and Paper Based examination cities |
Question Paper Medium
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English / Hindi / Gujarati/ Marathi/ Urdu |
Personal Details
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Candidate's Name
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Maximum 46 Characters |
Mother's Name
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Maximum 46 Characters |
Father's Name
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Maximum 46 Characters |
State of Eligibility
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As per list of State from where the candidate has
passed/appearing in qualifying examination |
Category
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General/ SC/ ST/ OBC - NCL(Central List)
State list OBC Candidates who are not in OBC – NCL central list must choose
General. State admission boards shall verify State OBC list separately.
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Person With Disability (PwD)
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Yes/ No
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If PwD, mention the percentage of disability
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Whether you need Scribe/ Reader
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Yes/No
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Date of Birth (DD/MM/YYYY)
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Gender
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Male / Female
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In case of girl candidate, Are you the only child of your
parents?
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Yes / No
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Nationality
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Indian / OCI/PIO/ Foreign – Other than OCI,PIO
(Foreign candidates are not eligible)
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Place of Residence
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Rural / Urban
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Complete Mailing Address
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Pin code of mailing address
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Unique Identification Number (UID)/ Aadhaar (if available)
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Academic Details
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Year of Passing Class 10th or its Equivalent
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1999-2012 |
Place of 12th class schooling
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Village / Town / City
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Year of Passing or Appearing Class 12th / Qualifying
Examination
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2012 / 2013 / 2014
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School Board of Class 12th / Qualifying Examination
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As per list of Boards |
Name of the Qualifying Examination passed/appearing
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As per list of Exams |
Type of Institution of Class 12th / Qualifying Examination
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Government / Private
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Percentage of Marks obtained in Class 12th / Qualifying
Examination (if passed)
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As per Marks Statement
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Roll Number of Class 12th / Qualifying Examination (if
allotted)
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Appearing for Improvement of Class 12th/ Qualifying
Examination
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Y/N
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Mode of Preparation
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Self Study / Individual Tuition / Coaching/ Correspondence
Courses/Others
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Name & Address of the School / College from where passed /
appearing
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Contact Details
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Email Address
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Mobile No.
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Land line no. with STD code or any other contact no.
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Guardian Details
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Father’s Qualification
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Illiterate / Matriculate / Graduate / Post Graduate /
Others
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Father’s Occupation
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Agriculture/Business/ Medical/ Engineering /Law Practice/
Government Service/ Public Sector Service/ Private Service/ Teaching or
Research/ Architecture/ Pharmacy/ Self Employment/ Others (including H/w) |
Father’s Annual Income
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Up to 100000 /Rs. 100001 -200000 /
Rs. 200001 – 300000 /Rs. 300001 -400000 /
Rs. 400001 -500000 /Rs. 500001-600000 /
Rs. 600001-700000 /Rs. 700001-800000 /
Rs. 800001 and above
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Mother’s Qualification
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Illiterate / Matriculate / Graduate / Post Graduate /
Others
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Mother’s Occupation
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Agriculture/ / Business/ Medical/ Engineering /Law
Practice/ Government Service/ Public Sector Service/ Private Service/ Teaching
or Research/ Architecture/ Pharmacy/ Self Employment/
Others (including House wife)
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Mother’s Annual Income
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Up to 100000 /Rs. 100001 -200000 /
Rs. 200001 – 300000 /Rs. 300001 -400000 /
Rs. 400001 -500000 /Rs. 500001-600000 /
Rs. 600001-700000 /Rs. 700001-800000 /
Rs. 800001 and above
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Declaration by the candidate |
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 JEE procedures for both JEE (Main) and JEE(Advanced) – 2014.
I shall abide by the terms and conditions thereon.
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To be uploaded during the submission of online
application form
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File Format |
File Size |
Dimension |
Photograph of Candidate |
JPEG format |
4KB to 100KB |
3.5cm x 4.5cm |
Signature of Candidate |
JPEG format |
1KB to 30KB |
3.5cm x 1.5cm |
Thumb impression of Candidate |
JPEG format |
1KB to 30KB |
3.5cm x 1.5cm |
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