| 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 |
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| Pin code of mailing address |
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| 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 |
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| Contact Details |
| 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 |
| 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. |
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