Applicant COPY

ISRO COPY

142176

142176

Indian Space Research Organisation(ISRO)

Indian Space Research Organisation(ISRO)

ICRB - Registration Confirmation form (for Caste/Medical/Gender/Discharge Certificate)

Name of the Candidate Present Address B UMA MAHESWARI D NO 11-33-967 A/4 NEAR KRANTHI SCHOOL VENGAL RAO NAGAR KAVALI 03/2011 - 01(Assistant) OBC F No No

ICRB - Registration Confirmation form (for Caste/Medical/Gender/Discharge Certificate)

Name of the Candidate Present Address B UMA MAHESWARI D NO 11-33-967 A/4 NEAR KRANTHI SCHOOL VENGAL RAO NAGAR KAVALI 03/2011 - 01(Assistant) OBC F No No

Advt. Details Category Sex PH Ex-servicemen

Advt. Details Category Sex PH Ex-servicemen

Signature of the Candidate Date : 03-Dec-2011 Signature of the Candidate Date : 03-Dec-2011

Note : This part is to be retained by the candidate.

Note : This part is to be sent to ISRO HQ along with copy of required certificate.