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XLRI 2014

XLRI 2014
XLRI REGISTRATION CONFIRMATION PAGE - ONLINE PAYMENT MODE
Note : Please put your signature in the space provided and send this form to Admissions Office, XLRI, Circuit House Area (East), Jamshedpur-831001

XLRI ID : XLRI353292

Name of the Candidate : GITANJALI SINGH Father's / Husband's Name : DEVENDRA BAHADUR SINGH Date of Birth : 03/02/1992 Interview City : BANGALORE Mailing Address (Valid upto 31st May 2014)
URVASHI SAREES PVT LTD , SITAL SADAN, 33 T.C. ROAD,

KOLKATA, WEST BENGAL Pincode :700053 Phone : 8697287394 Email Id : aquarian.gitanjali@gmail.com Amount :1650.00 Payment Details : Transaction Id : 9325269 Date : 07/11/2013 Courses Opted 1. HUMAN RESOURCE MANAGEMENT 2. BUSINESS MANAGEMENT

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 institute's authority on all matters regarding this application.

Date : ------------------------------------------------------------ ------------------------------------------------------------

Signature of the Candidate

xlri.edu/xlriprnonpay.aspx

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