You are on page 1of 1
® urs Boal Copsey ION PUBLIC SERVICE COMMISSION Application details of Registration-Id: 11600004514 for Engineering Services Examination - 2016 ‘daeerur gitear 1 1600004514 & soitmatt tar ster - 2016 & fare saga aa Name /=00: Gender: Date of Bie em Fathers Name Rererer: Meters Name area: Nason: seas: Mare Stats /taeaEU Physically Challenged ert fer: Community BAETE: Do soubdoas to Maorty/eraroreaiersE os Remusion Came G53 #06 = Addres (50: email $3: Alternative email afr Eo: ‘ge Rexzain Chained argon area: ovcatons Quaniadon fe hres: Saectd Branch (ears TEST CANDIDATE NAME, Mae o1o-1980 ‘TESTFATHERNAME ‘TESTMOTHERNAME nnanist ‘TESTADORESS 1 ‘TESTADDRESS 2 ‘TESTADORESS 3 Dati 111111 ‘MebilaNe 9999900009 tseQuetcom, tes @ter com Ne Ausacy paned te agusite qulnyieg Examination (Chil Engioaing PART =I / smr-IE [Fee Payment Details,txamination Center,Photosraph & Signature of Registration-Id: 11600004514] [Sstacor Sear :11600004514 qew ema ee, ste &z, stare 3H FETE] Serre ges ec eer (gear tO) esistratonte tor ea sigooonest¢ transaction e/tata sew: o9ov000000 ransaction Date! sate fa: Bane Fee Bae Gn Ro ager Per rr gor 6H): 200 agency Name cia = ‘sueBuakofledia Mode oPaymt Ea HEH ct Fxamiuation Center ster oh: Sigance/ Serer Paotegaph RETIRE a

You might also like