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  • Application Details of Registration

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    Sushil Chandra Pandey
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    Sushil Rautela, a 17-year-old Indian male from Uttarakhand, applied for the Combined Defence Services Examination (I) - 2012. He has passed/appeared/appearing for the final year of a degree with Physics and Maths at the 10+2 level. His preferences are IMA: 0, NA: 0, AFA: 0, and OTA: 1. He does not have an NCC 'C' certificate or serve in the armed forces. He paid a fee of 100 rupees on November 28, 2011 via credit/debit card through State Bank of India for his application with registration number 11204350927.

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    Sushil Rautela, a 17-year-old Indian male from Uttarakhand, applied for the Combined Defence Services Examination (I) - 2012. He has passed/appeared/appearing for the final year of a degree with Physics and Maths at the 10+2 level. His preferences are IMA: 0, NA: 0, AFA: 0, and OTA: 1. He does not have an NCC 'C' certificate or serve in the armed forces. He paid a fee of 100 rupees on November 28, 2011 via credit/debit card through State Bank of India for his application with registration number 11204350927.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    18 views2 pages

    Application Details of Registration

    Uploaded by

    Sushil Chandra Pandey
    Sushil Rautela, a 17-year-old Indian male from Uttarakhand, applied for the Combined Defence Services Examination (I) - 2012. He has passed/appeared/appearing for the final year of a degree with Physics and Maths at the 10+2 level. His preferences are IMA: 0, NA: 0, AFA: 0, and OTA: 1. He does not have an NCC 'C' certificate or serve in the armed forces. He paid a fee of 100 rupees on November 28, 2011 via credit/debit card through State Bank of India for his application with registration number 11204350927.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    Application details of Registration-Id: 11204350927 for Combined Defence Services Examination (I) - 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: Educational Qualification: Preferences: Whether having/likely to have NCC 'C' Certificate Sr. Division: Whether Serving in Armed Forces: SUSHIL RAUTELA Male 17-10-1988 LS RAUTELA MEERA RAUTELA Indian Unmarried No General No No SAINIK COLONYMALLI BAMORIPOST OFFICEBHOTIA PARAOHALDWANIUttrakhand 263139Phone:05946 283530Mobile:9627424254 rautela.sushil@gmail.com No Dehradun Passed /appeared /appearing the final year degree or equi. exam with Physics and Maths(at 10+2 Level) IMA: 0 | NA: 0 | AFA: 0 | OTA: 1 None

    No

    PART - II [Fee Payment Details, Photograph & Signature of Registration-Id: 11204350927]

    Fee Payment Details: Registration-Id: 11204350927 Transaction-Id: Fee Paid (in Rs): Agency Name: 111112805871403 Photograph

    Transaction Date: 28-11-2011 100 State Bank of India

    Mode of Payment: Credit/Debit Card Specimen signature

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