Professional Documents
Culture Documents
11612400802
2016
PARTI/I
Name/:
VIMAL
Gender/
:
Male
DateofBirth/:
05081994
Father'sName/:
SURESHYADAV
Mother'sName/:
GAYTRIDEVI
Nationality/L:
Indian
MaritalStatus/
:
Unmarried
PhysicallyChallenged/L
:
No
Community/
:
General
DoyoubelongtoMinority/
]
:
No
FeeRemissionClaimed/
:
No
VILLDANGALPARA
POSTMADHUPUR
Address/:
DEOGHAR
Jharkhand815353
MobileNo.:8877059249
email/
:
vvimalromi05@gmail.com
Alternativeemail/
vimalkrydv05@gmail.com
AgeRelaxationClaimed/
No
EducationalQualification/
:
Appearedorappearingattherequisitequalifiying
Examination
SelectedBranch/
MechanicalEngineering
PARTII/II
[FeePaymentDetails,ExaminationCenter,Photograph&SignatureofRegistrationId:11612400802]
[
:11612400802
,
,o ]
FeePaymentDetails(Subjecttoverification)
(
)
RegistrationId/
11612400802
TransactionId/
116031975564011
TransactionDate/
19032016
ExaminationCenter/
FeePaid(inRs)/
(
)
200
:
StateBankofIndia
AgencyName/
:
ModeofPayment/
Signature/
Credit/DebitCard
Photograph/o
Cuttack