SERVICES PREPARATORY

INSTITUTE,
AURANGABAD
APPLICATION FORM FOR ADMISSION

Form Number:     7888 Examination Center:Pune

Examination Year:     2019 Roll Number:     P01057

DETAILS OF CANDIDATE
Student Name:     Yadav Animesh Prakash Date Of Birth:     15 Apr 2003
Are you a MAHARASHTRIAN dommicile ? :      Yes
Religion:     Hindu Caste:     Yadav
Parents / Guardians Name:     Prakash Yadav
Postal Address:     B-3 202 Pride Regency Viman Nagar Pune-14
District:     Pune Pin Code:     411014
Mobile :     9763747089 Mobile (2) :     
Email Address:     animesh.y46@gmail.com
Occupation (Father):     Business Occupation (Mother):     Business
Income (Father):     1200000 Income (Mother):     500000
Father Living:     Yes Mother Living:     Yes
I certify that i am appearing in 10th Exame in Feb/Mar Name of School:     Air force school chandan
2019:     YES nagar
Type of Board:     CBSE Medium of Instruction:     English
Archievement if any:          kalabharti art
Games Played:     Football
contest
Hobbies and other interests:     Reading books

DECLARATION
I hereby declare that all statements made in this application are true, complate and correct to the best of
my knowledge and belief. In the event of any informationbeing found false or incorrect or admission is
like to be cancelled. I have read the rules and conditions carefully and i hereby undertake to abide by
them. I further declare that i fulfill all the conditions of eligibility regarding age limits, qualifications,
physical standards etc. as given in the advertisement and in the SPI website.

Signature of candidate:
Candidate Name:     Yadav Animesh Prakash

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