Scribd
Upload
26 views

Adobe Scan 17 Jul 2021

The document is an application acknowledgement for the KEAM 2021 entrance exam in Kerala. It provides details of the candidate such as name, date of birth, course opted, gender, address, payment details, and a declaration signed by the candidate.

Uploaded by

Saad Raffi
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
26 views

Adobe Scan 17 Jul 2021

The document is an application acknowledgement for the KEAM 2021 entrance exam in Kerala. It provides details of the candidate such as name, date of birth, course opted, gender, address, payment details, and a declaration signed by the candidate.

Uploaded by

Saad Raffi
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
You are on page 1/ 1

Office of the Commissioner for Entrance Examinations, Kerala

APPLICATION ACKNOWLEDGEMENT- KEAM 2021


Email:
[email protected] Phone: 0471-2525300

1163375
Application Number

Theinformation shown below is based on the data filled by the candidate in the online
application form:
Candidate Details
Name of Candidate
SAAD MoHAMED RAFFI Date of Birth 16-07-2002
Course Opted Engineering, Medical &Allied
Centre of Examination
Gender Male
Kodungallur Taluk / Mukundapuram Taluk (Thrissur District)
Communication Address KALLUNGAL HOUSE, AZHICODE LIGHT HOUSE ROAD, P OAZHICODE, Thrissur, Kerala,
680666
Email ID
[email protected] Mobile No. 9048221950
Uploaded Documents Proof DOB, Nativity,Reservation Claim, Income,Minoriy
Payment Details
Application Fee Paid Rs.900/-
Payment Mode Online
Transacion ID KEA211163375NA501925 - VUR20029823016

DECLARATION
Ihereby declare that I have downloaded and read various Clauses in the Prospectus for Admission to Professional Degree Courses
2021carefulyand1agree to abide bythem I also declare that all the infomation fumished in the KEAM online application are true,
complete and corect to the best of my knowledge and belief and that in the event of any information being found false or incorrect or
fraudulent or ineligibiitly being detectedeither before or after the examination/allotmentladmission, I understand that lam liable to face
legal action and the Commissioner for Entrance Examinations can cancel my candidature

Date: 10-06-2021

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 notsend the Acknovwledgement Page or certificates to CEE offce.
Candidates are advised to regularly visit the CEE Website www.cee.kerala.gov.in

Printed on 10-06-2021 11:28:17 Last Upload on:10-06-2021 11:36:21 IP:1.39.78.63

You might also like