9/25/2020
CENTRE FOR ELECTRONIC GOVERNANCE, JHALANA
DOONGRI, JAIPUR-302004
REAP-2020
Online Application Form
Date of Form
Form No : 2001457 : 8/2/2020
Submission
Transaction Transaction
: 597efbcb26bdfd6afa6a : 250/-(8/2/2020)
Number Amount & date
1. Name of Candidate: Chirag Saraswat
2. Father's Name: Ravindra Sharma
3. Mother's Name: Asha Sharma
4. Gender: Male
5. Category: GEN
6.Sub Category: NONE
7. Ex-Service Man No
8.TSP Area:
9. Date of Birth: 2002-11-28
B21 , Agrasen Nagar, Kalwar
10. Address: 11. Email [email protected]
Road,
12. Phone
9001918333 13. Mobile No:9001918333
No:
Exam. State Of Max. Marks
Passed/ROLLNO Board/University Year %
Details Study Marks Obt.
BOARD OF SECONDARY EDUCATION,
X PASSED RAJASTHAN 2018 600 522 87.00%
RAJASTHAN, AJMER
CENTRAL BOARD OF SECONDARY 80.20
XII 11643562 RAJASTHAN 2020 500 401
EDUCATION, DELHI %
Details of marks in XII
Subject Max Marks Obt Marks
Mathematics 100 67
Physics 100 84
Third Subject(Chemistry) 100 87
14. State of
Bonafide Residence:
RAJASTHAN --
15. Nationality : INDIAN 16. Religion: HINDU
17. Area of Residence URBAN 18. Domicile Distt. RAJASTHAN
19. Family Income from all Sources Less Than 8 Lakhs/Year
College Choice
College Name Branch Name
Number
COMPUTER SCIENCE &
1 Rajasthan Technical University, Kota
ENGG.(SFS)
ELECTRONICS AND
2 Rajasthan Technical University, Kota
COMM.(SFS)
INFORMATION
3 Rajasthan Technical University, Kota
TECHNOLOGY(SFS)
MECHANICAL
4 Rajasthan Technical University, Kota
ENGINEERING(SFS)
College of Technology and Engineering,
5 MINING(GAS)
Udaipur
Swami Keshvanand Inst. of Tech. Mgt. and COMPUTER SCIENCE &
6
Gramothan, Jaipur ENGG.(SFS)
Swami Keshvanand Inst. of Tech. Mgt. and INFORMATION
7
Gramothan, Jaipur TECHNOLOGY(SFS)
8 Swami Keshvanand Inst. of Tech. Mgt. and ELECTRONICS AND
1/2
9/25/2020
Gramothan, Jaipur COMM.(SFS)
Swami Keshvanand Inst. of Tech. Mgt. and
9 MECHANICAL(SFS)
Gramothan, Jaipur
I hereby solemnly and sincerely affirm that all the information furnished by me in this application form are true and correct. I have not concealed any
information. However, if any information furnished herein is found to be fraudulent, incorrect or untrue at any stage. I am liable to criminal prosecution and I
also agree to forgo my seat. Further that the selection and admission to the course is liable to be cancelled. I agree to abide by the Rules and Regulations
governing the Examination as contained in the Information Booklet, which I have duly gone through.
Signature of Candidate
2/2
