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6/4/13

Verification Application

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Central Board of Secondary Education - Region : AJMER Print Application for Verification for (MAIN) Examination 2013
To, The Regional Officer CBSE Central Board of Secondary Education Todarmal Marg Ajmer-305 030 Class Application/Case Number Date of Application Roll No. Name of Candidate XII 23407 04/06/2013 1612940 JUSTIN JOSEPH Subject(s) Applied 042 - PHYSICS Amount to be Paid (Rs.) 200 Correspondance Address: 5/82 N.E.B HOUSING BOARD ALWAR - 301001 RAJASTHAN Mobile: 8233777128 E-mail: justinjoseph04@gmail.com DD No. 339271 DD Date 04/06/2013 Bank ORIENTAL BANK OF COMMERCE

Payment Details

Application acceptancy is sub ject to realisation of DD/Cash payment Signature of Applicant Please send the application with requisite amount Demand Draft to the Reginal Office address given ab ove

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