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ApplicationdetailsofRegistrationId:11612400802forEngineeringServicesExamination2016

11612400802

2016

PARTI/I
Name/:

VIMAL

Gender/
:

Male

DateofBirth/:

05081994

Father'sName/:

SURESHYADAV

Mother'sName/:

GAYTRIDEVI

Nationality/L:

Indian

MaritalStatus/
:

Unmarried

PhysicallyChallenged/L
:

No

Community/
:

General

DoyoubelongtoMinority/
]
:

No

FeeRemissionClaimed/
:

No
VILLDANGALPARA
POSTMADHUPUR

Address/:

DEOGHAR
Jharkhand815353
MobileNo.:8877059249

email/
:

vvimalromi05@gmail.com

Alternativeemail/

vimalkrydv05@gmail.com

AgeRelaxationClaimed/

No

EducationalQualification/
:

Appearedorappearingattherequisitequalifiying
Examination

SelectedBranch/

MechanicalEngineering

PARTII/II
[FeePaymentDetails,ExaminationCenter,Photograph&SignatureofRegistrationId:11612400802]
[

:11612400802

,
,o ]
FeePaymentDetails(Subjecttoverification)

(
)
RegistrationId/

11612400802

TransactionId/

116031975564011

TransactionDate/

19032016

ExaminationCenter/

FeePaid(inRs)/

(
)
200
:
StateBankofIndia

AgencyName/
:
ModeofPayment/

Signature/

Credit/DebitCard

Photograph/o

Cuttack

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