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                Examination Details JEE (Main) – 2014 | 
        
        
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                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 | 
        
        
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                Question Paper Medium 
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                English / Hindi / Gujarati/ Marathi/ Urdu | 
        
        
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                Personal Details 
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                Candidate's Name 
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                Maximum 46 Characters | 
        
        
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                Mother's Name 
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                Maximum 46 Characters | 
        
        
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                Father's Name 
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                Maximum 46 Characters | 
        
        
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                State of Eligibility 
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                As per list of State from where the candidate has 
                passed/appearing in qualifying examination | 
        
        
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                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 | 
        
        
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                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 | 
        
        
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                Name of the Qualifying Examination passed/appearing 
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                As per list of Exams | 
        
        
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                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) | 
        
        
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                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 | 
         
        
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                Photograph of Candidate | 
            
                JPEG format | 
            
                4KB to 100KB | 
            
                3.5cm x 4.5cm | 
         
        
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                Signature of Candidate | 
            
                JPEG format | 
            
                1KB to 30KB | 
            
                3.5cm x 1.5cm | 
         
        
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                Thumb impression of Candidate | 
            
                JPEG format | 
            
                1KB to 30KB | 
            
                3.5cm x 1.5cm | 
         
     
     
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