XAT 2014

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XAT 2014
XAT REGISTRATION CONFIRMATION PAGE - ONLINE PAYMENT MODE

XAT ID : XAT362521

Name of the Candidate : SAMBIT PATRA Fathers / Husband's Name : TARAKANTA PATRA Date of Birth : 27/05/1988 Test City : BHUBANESWAR Mailing Address (Valid upto 31 May 2014)
PLOT NO-12/B , JAYADURGA NAGAR,
st

BHUBANESWAR, ODISHA Pincode :751006 Phone : 9132787527 Payment Details : Transaction Id : 9351965 Email Id : sambit2toshiba@gmail.com Date : 11/11/2013 Amount :950.00

Declaration :

I hereby certify that the information provided by me in this application as well as the online registration form is accurate and complete. I also agree to abide by the decision of the institutes authority on all matters regarding this application.

Date : Signature of the Candidate ------------------------------------------------------------ ------------------------------------------------------------

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25-Nov-13 4:05 PM