You are on page 1of 1

Application details of Registration-Id: 11001372500 for Special Class

Railway Apprentices Examination - 2010

PART - I
Name: BHARAT BHUSHAN
Gender Male
Date of Birth: 08-02-1992
Father's Name: RAM CHANDRA
Mother's Name: SHASHI RANI
Nationality: Indian
Physically
No
Challenged
Community: General
Fee Remission
No
Claimed:
Vill- kanhauliPost- KhajauliP.S. khajauliMadhubaniBihar -
Address:
847228Phone:06276 207345
E-Mail: bharatbhushan22222@gmail.com
Age Relaxation
No
Claimed:
Examination Centre: Delhi
Educational
Already passed the requisite qualifying examination.
Qualification:

PART - II

[Fee Payment Details, Photograph & Signature of Registration-Id:


11001372500]

Fee Payment Details:

Registration-Id:
11001372500Tran
020284891
saction-Id:
Transaction Date: 13-09-2010
Photograph
Fee Paid (in Rs): 25
Agency Name: State Bank of India
Mode of Payment: Cash

Specimen signature

You might also like