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REMINDER -I

Dear Student

We are in the process of updating our students data. In order to help us, kindly fill in this
document and return it along with a photocopy of your JEE-MAINS CUM ADVANCE / Other
Engineering Entrance Exams, 2013 Admit Card / Registration No. at NARAYANA INSTITUTE,
PLOT NO: 782GROUND FLOOR, RAAGA RESIDENCY, 100 FT ROAD, AYAPPA SOCIETY,
MADHAPUR, HYDERABAD-81, AP. through Courier/Post latest by 15th Jan, 2013.
The Narayana Team
Narayana Enrolment No. DOB .. Test Centre: ...
Name: .....
Address for Correspondence: ......

..
... Pin .
Telephone No. : . Mobile No. ......
Permanent Address

..
... Pin .
Telephone No. : ...Mobile No......
Friends / Relatives Address

..
... Pin..
Telephone No. : ..... Mobile No. ..

Note: You can send by MAIL or by SMS. (aits2009@gmail.com/9912717900)

Examination

Admit Card / Registration No.

Examination

JEE MAINS-2013

UP- SEAT

JEE ADVANCE-2013

OTHERS

Admit Card / Registration No.

I certify that all the above information is correct.

Date

..

Signature of the student

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