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PART - I

Examination Centre MPR - Raipur(6204)


Name SOHRAB KHAN
Gender Male
Date of Birth 01-01-1989
Father's Name MUBARAK ALI
Mother's Name KHAIRUN NISHA
Nationality Indian
Physically Handicapped No
Community General
Fee Exemption Claimed No
Whether Ex-Serviceman No
Whether belong to
No
Minority Community
Age Relaxation Claimed No
HIGH SPEED TRANSPORT COMPANY
RING ROAD NO.-1 RAIPURA CHOWK
RAIPUR
Address RAIPUR
Chattisgarh - 492001
Phone:0771 3203505
Mobile: 9300201030
Preference Code Preference Code
Inspector of Income Tax / Inspector(central
Assistant Enforcement Q Excise/Preventive O
Officer Officer/Examiner)

Educational Qualification Subject % of Marks Medium


BBA Business Administration 55 English

PART - II
[Fee Payment Details, Photograph & Signature of Registration-Id:
51000709362]
Fee Payment Details (Subject to verification)

Fee Paid (in Rs) Agency Name Branch Code Mode of Payment
Registration-Id
51000709362
State
Transaction-
23-02- Bank Internet
Id IG17486238 100 INB
2010 of Banking
Transaction
India
Date

Specimen signature

Photograph

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