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Application Form for TRPS Enrollment Exam

---------------------------------------------------------------------------------------------------------------------------------------------------APPLICATION ID : TRPS0000052610 Centre Preference :


Preference I Centre code Preference II Centre code Preference III Centre code : Delhi-West : 019 : Delhi-East : 020 : Delhi-North : 017 : SHWETA : : AGARWAL : Mr. MR.PRABHAT KR.AGARWAL : 05-April-1990 : 21 : Female : WZ-622 A,GALI NO.9 : RAMGARH COLONY : NEAR BASAI DARA PUR : : NEW DELHI : DELHI : 110015 : WZ-622 A,GALI NO.9 : RAMGARH COLONY : RAMGARH COLONY : : NEW DELHI : DELHI : 110015 : shwetaaggy@gmail.com : 011 : 25106846 : 9811530263 : Credit/Debit Card : 5126520112262964 : 20-August-2012 : 100 : B.Com : Commerce : DELHI UNIVERSITY : May-2009 : 892 : 1350 : 66.07

Personal Details :
First Name Middle Name Last Name/Surname Father / Husband's Name Date of Birth Age completed as on 01.04.2012 Sex

Correspondence Address :
Address Field 1 Address Field 2 Address Field 3 Address Field 4 Town / City / District State /Union Territory Pincode

Permanent Address :
Address Field 1 Address Field 2 Address Field 3 Address Field 4 Town / City / District State /Union Territory Pincode

Contact Details :
E-mail ID STD Code Phone Mobile No

Application Fee :
Payment Mode Online Reference ID. Date of Deposit Application Fee Degree Subject/Stream University/ Board Month/Year of passing Marks Obtained Maximum Marks % of Marks

Qualification Details(as on 01.04.2012):

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