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Application details of Registration-Id: 11215734796 for Civil Services (Preliminary) Examination - 2012

PART - I Name: Gender Date of Birth: Father's Name: Mother's Name: Nationality: Marital Status Physically Challenged Community: If you belong to Minority Fee Remission Claimed: Address: E-Mail: Age Relaxation Claimed: Examination Centre: No of Attempts Already Made: Educational Qualification: KESHAV JHA Male 02-05-1987 SHUBH CHANDRA JHA RENUKA JHA Indian Unmarried No General No No C/o N.kukaram3/66 MGR StreetKarapakkamChennaiTamil Nadu 600096Mobile:9884874465 keshav2may@gmail.com No Chennai 0 Already passed the degree or equivalent Examination.

Specific Details for Civil Services (Main) Examination: Are you claiming exemption from appearing No in Indian Language paper: Language: Optional Subject 1: Optional Subject 2: Centre for CSM Examination: Medium of written Examination: HINDI PUBLIC ADMINISTRATION PSYCHOLOGY Chennai ENGLISH

PART - II [Fee Payment Details, Photograph & Signature of Registration-Id: 11215734796]

Fee Payment Details: Registration-Id: Transaction-Id: 11215734796 IG95515102

Transaction Date: 04-03-2012 Fee Paid (in Rs): Agency Name: 50 State Bank of India Photograph

Mode of Payment: Internet Banking

Specimen signature

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