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Final Application Form

This document is an application acknowledgment for KEAM 2024 for candidate Kashish Choudhary, who has opted for Medical & Allied courses. The acknowledgment includes personal details, payment information, and a declaration of the accuracy of the provided information. Candidates are advised to keep their documents ready for admission and to regularly check the CEE website for updates.

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kashishchoudhary286
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18 views1 page

Final Application Form

This document is an application acknowledgment for KEAM 2024 for candidate Kashish Choudhary, who has opted for Medical & Allied courses. The acknowledgment includes personal details, payment information, and a declaration of the accuracy of the provided information. Candidates are advised to keep their documents ready for admission and to regularly check the CEE website for updates.

Uploaded by

kashishchoudhary286
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Office of the Commissioner for Entrance Examinations, Kerala

APPLICATION ACKNOWLEDGEMENT - KEAM 2024


E-mail: ceekinfo.cee@kerala.gov.in Phone: 0471-2525300

1116608
Application Number

The information shown below are based on the data filled by the candidate in the online application form:
Candidate Details
Name of Candidate KASHISH CHOUDHARY Date of Birth 29-11-2005
Course Opted Medical & Allied Gender Male
Examination
Centre(s) opted
Nationality / Nativity Indian / Non-Keralite II Inter-caste --
Category Claimed --
Special Reservation
Communication NEAR BIGHAR CHUNGI KE PASS, RATIA COLONY, FATEHABAD, HARYANA, FATEHABAD,
Address Fatehabad, Haryana, 125050
Email ID rajesh9467562963@gmail.com Mobile No. 9467562963
Payment Details
Total Fee to be Paid Rs. 625/-
KEA241116608NA1784703-
Fee Paid Rs. 625/- Transaction ID Mode Online
ZHMP1871458144

DECLARATION

I hereby declare that I have downloaded and read various Clauses in the Prospectus for Admission to Professional Degree Courses
2024 carefully and I agree to abide by them. I also declare that all the information furnished in the KEAM online application are true,
complete and correct to the best of my knowledge and belief and that in the event of any information being found false or incorrect or
fraudulent or ineligibility being detected either before or after the examination/allotment/admission, I understand that I am liable to face
legal action and the Commissioner for Entrance Examinations can cancel my candidature. I hereby declare that I have not applied for
KEAM-2024 previously and am willing to provide biometric data on the examination day.

Date: 01-04-2024

Signature of Candidate
Note : -

Keep all the uploaded Documents (Original) for producing before the admission authority on demand.
Preserve the Acknowledgement Page for future reference.
Do not send the Acknowledgement Page or certificates to CEE office.
Candidates are advised to regularly visit the CEE Website www.cee.kerala.gov.in

Printed on 01-04-2024 11:49:36 Last Upload on:01-04-2024 11:42:51 IP:103.208.70.170

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