Unified International Mathematics Olympiad - 2021 UIM2 Date of Exam : 29 - 01 - 2021 (Friday) Unified International Prete w a taal PAIBEDIEOURCID Mathematics Olympiad Souabe ste tinct ‘School's Name School's Address ‘School's Phone Number(s) District Pin Code (with STD code) Email: Name of the Principal (Mr. Ms.[] ) Name of the Teacher-In-Charge (Mr. [[] Ms.) } Syllabus followed (CBSE/ICSE/State Board / other (please specify)) Payment transfer details - Bank Ref. No. or D.D.No, Name of the Bank Unified Council's Regional Co-ordinator's ID No. & Name {ifhe/she has approaches) ‘Mobile No. *Mobile No. Amount Date Amount : Class Total No. of students No. of students participating No. of students. ‘opting OF Signature of the Teacher-In-Charge * Essential for a better service. All updates are made through SMS. Signature of the Principal ‘with seal of the school Please turn overleafied International Mathematics Olympiad - 2021 jons - UIMO-2021 TRC SLi cab ec ALL IE Class ‘opp. SNo. Name of the Student Father's Name (Nameric) (vesNo) Note: * Please use photocopies of this page for more number of students. + If possible please send the above list of students as an excel file to support@unifiedcour tohelp us to issue error-free hall tickets and certificates. Page No.