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Application details of Registration-Id: 11103888453 for Engineering Services

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Examination - 2011

PART - I
Name BOKADE ANAND HARISH
Gender Male
Date of Birth 13-05-1987
Father's Name HARISH BOKADE
Mother's Name SUREKHA BOKADE
Nationality Indian
Physically Challenged No
Community General
Fee Remission Claimed No
18 C G H S COLONY
NEAR GAJANAN DHAM
KHAMLA ROAD
Address
NAGPUR
Maharashtra - 400025
Phone:0712 2282884
E-Mail anand.bokade@gmail.com
Age Relaxation Claimed No
Examination Centre Nagpur
Educational Qualification Already passed the requisite qualifiying Examination
Selected Branch Mechanical Engineering

PART - II
[Fee Payment Details, Photograph & Signature of Registration-Id: 11103888453]

Fee Payment Details (Subject to verification)


Registration- Transaction- Transaction Fee Paid (in Mode of
Agency Name
Id Id Date Rs) Payment
State Bank of
11103888453 015807689 07-02-2011 50 Cash
India
Specimen signature

Photograph

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