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Home Application details of Registration-Id: 51108995115 for Combined Higher Secondary Level Examination - 2013
PA RT - I Ex am ination C e ntre Nam e Ge nde r Date of Birth Fathe r's Nam e Mothe r's Nam e Nationality Physically Handicappe d C om m unity Fe e Ex e m ption C laim e d W he the r Ex -Se rvice m an W he the r be long to Minority C om m unity Age R e lax ation C laim e d Em ail ID C R - Bare illy(3005) ABHIMANYU KUMAR Male 20-04-1991 BHIM SINGH USHA DEVI Indian No O BC No No No No abhim anyuk 63@gm ail.com C /O SHYAM BIHAR I YADAV NEAR BAC HPAN SC HO O L R AMLILA GR O UND ANAND NAGAR LINEPAR MO R ADABAD MO R ADABAD Uttar Prade sh - 244001 Mobile : 8909049147 English
Postal Addre ss
Sk ill Me dium
L D EO
Subject Mathematics
% of Marks 71.8
Medium English
PART - II [ Fee Payment Details, Photograph & Signature of Registration-Id: 51108995115] Fee Payment Details (Subject to verification) RegistrationId 51108995115 TransactionId 007473561 Transaction Date 31-07-2013 Fee Paid (in Rs) 100 Agency Name State Bank of India Mode of Payment Cash
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Specimen signature
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