ssnan0%7 ‘Alen Career Insie, Kota - Application Ferm Detals.
Corporate Offic
= LEN “SANKALP", CP-6, Indra Vihar, Kota, (Rajasthan) - 324005,
(CAREER, Te Ph.: +91-744-5162200
Website: dio.allen.acin | E-mail: dlo@allen,acin
tance Learning Programme (Session 2016-17)
Test Series Identity Card
No “eplcaton Form | 16402895 AANA AA) hot sranh
Student's Name: KRUSHNA DATTA BEHERA
Father's Name: BATAKRUSHNA BEHERA
Mothers Name: SOVA BEHERA
ender: MALE Medium: | ENGLISH
stream: PRE-MEDICAL IUSHIADATINSEHERA
‘Course Name / Course Code: | MAJOR TEST SERIES FOR NEET-UG/6101
Batch/Reg No: MLM1714
Test Conter: KOTAINDRA VIHAR
Tost Contor Address: | ALLEN SAVINAY (MILLENIUM TOWER) CP-1, INDRA VIHAR
Please Put Your Signature in the space provided for Student signature
«Without -Card you wll at be allowed to appear in antes
+ Tosppear in tests mandatory fr stunt to carry any poto ID along with tis Kent card
{To cece our result with cetaledsraysispease vist dsat.allen cin
5 You can cll at our dedicated helpline +91-744-5162200 for assistance between 10:00 AM to 07:00 PM
Date: Student's Signature
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