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XAT

2012

XAT 2012
XAT REGISTRATION CONFIRMATION PAGE - CASH MODE
Note : Please put our signature in the space provided and send this form to Admissions Office, XAT 2012, XLRI, Circuit House Area (East), Jamshedpur-831001

XAT ID : XAT618268

Name of the Candidate : Mr. ABHAY KUMAR SINGH Father s / Husband's Name : SHIV POOJAN SINGH Date of Birth : 03/03/1990 Test City : BANGALORE Mailing Address (Valid upto 31st May 2012)
VILL. AND POST- PIPARA BRAHMAN , BARIGAV,

MAHARAJGANJ, UTTAR PRADESH Pincode :274301 Phone : 9456205296 Payment Details : Transaction Id : 0457697 Email Id : abha s221@gmail.com Date : 25/11/2011 Amount :900.00

Declaration :

I hereby certify that the information provided by me in this application as well as the online registration form is accurate and complete. I also agree to abide by the decision of the institute s authority on all matters regarding this application.

Date : ------------------------------------------------------------ ------------------------------------------------------------

Signature of the Candidate

Paste the XLRI's Cop of the XAT Pa -in-Slip 2012 in this space provided. Make sure that the Pa -in-Slip is dul signed & stamped b the bank.
Print Finish

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