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Personal Details
Application Seq No :
GS2021MTHPHD013572
Date of Birth :
06/Aug/1997
WBBSE Male
8250046839 2019mas1020@iitrpr.ac.in
Present Address
Address Line 1:
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1/17/2021 TIFR GS2021
Village P.O-Junbedia
District/City : State/U.T. :
Pincode :
722155
Mathematics Ph.D.
Degree Details
Latest Degree : Branch:
M.Sc. Mathematics
Accepted
I would like to apply for the programme in TIFR, Mumbai and the following
Centres/Programmes
TIFR Mumbai : CAM Bengaluru :
Yes Yes
ICTS Bengaluru :
Yes
Yes
No
No
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1/17/2021 TIFR GS2021
No
Chandigarh Jalandhar
Preference 3 :
Mandi
Payment Details
Payment Mode : Payment Amount :
Photo Signature
Declaration
I hereby, declare that the information provided above, is true and correct to the best of my
knowledge. I understand that to falsify information is grounds for refusing me the examination
Hall Ticket.
Version 13.09.00
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