| Application Format | |
| Examination Details JEE (Main) – 2014 | |
| Applying for | JEE (Main) Paper – 1(B.E. / B. Tech.) Only
JEE (Main) Paper – 2 (B. Arch. / B. Planning) Only JEE (Main) Paper – 1 & Paper –2 Both |
| Mode of Examination | Pen and Paper Based ExaminationComputer Based Examination |
| Choice of Examination Centre (any four) | As per list of Examination cities |
| Question Paper Medium | English / Hindi / Gujarati / Marathi / Urdu |
| Personal Details | |
| Candidate’s Name | Maximum 46 Character |
| Mother’s Name | Maximum 46 Character |
| Father’s Name | Maximum 46 Character |
| State of Eligibility | State from where the candidate has passed/appearing in qualifying examination |
| Category | General/ SC/ ST/ OBC – NCL(Central List) State list OBC Candidates who are not in OBC – NCL central list must choose General. State admission boardsshall verify State OBC list separately. |
| Person with Disability (PwD) | Yes/ No |
| If PwD, mention the percentage of disability? | |
| Whether you need scribe/reader | Yes/ No |
| Date of Birth (DD/MM/YYYY) | |
| Gender | Male / Female |
| In case of girl candidate, Are youthe only child of your parents? | Yes/ No |
| Nationality | Indian / OCI/PIO/ Foreign – Other than OCI,PIO (Foreign candidates are not eligible for admission to NITs, IIITs, CFTIs through JEE (Main) Channel) |
| Place of Residence | Rural / Urban |
| Complete Mailing Address | |
| Pin code of mailing address | |
| Unique Identification Number (UID)/ Aadhaar Number (if available) | |
| Academic Details | |
| Year of Passing Class 10th or its Equivalent | 1999-2012 |
| Place of 12th class schooling | Village / Town / City |
| Year of Passing or Appearing Class 12th/Qualifying Examination | 2012 / 2013 / 2014 |
| School Board of Class 12th / Qualifying Examination | As per list of Boards |
| Name of the Qualifying Examination passed / appearing | |
| Type of Institution of Class 12th / Qualifying Examination | Government / Private |
| Percentage of Marks obtained in Class 12th / Qualifying Examination (if passed) | As per Marks Statement |
| Roll Number of Class 12th / Qualifying Examination (if allotted) | |
| Appearing for Improvement of Class 12th/ Qualifying Examination | Y/N |
| Mode of Preparation | Self Study / Individual Tuition / Coaching/ Correspondence Courses/ Others |
| Name & Address of the School /College from where passed / appearing | |
| Contact Details | |
| Email Address | |
| Mobile No. | |
| Land line no. with STD code or any other contact no. | |
| Guardian Details | |
| Father’s Qualification | Illiterate / Matriculate / Graduate / Post Graduate / Others |
| Father’s Occupation | Agriculture/ / Business/ Medical/ Engineering /Law Practice /Government Service/ Public Sector Service/ Private Service/ Teaching or Research/ Architecture/ Pharmacy/ Self Employment/ Others (including House wife) |
| Father’s Annual Income | 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 |
| Mother’s Qualification | Illiterate / Matriculate / Graduate / Post Graduate / Others |
| Mother’s Occupation | Agriculture/ / Business/ Medical/ Engineering /Law Practice/ Government Service/ Public Sector Service/ Private Service/ Teaching or Research/ Architecture/ Pharmacy/ Self Employment/ Others (including House wife) |
| Mother’s Annual Income | 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 |
| 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. |
To be uploaded during the submission of online application form
| 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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