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Name of the candidate SHIRIN PANDITA

(as on Aadhaar/ passport)

Date of birth 10-10-2007


Place of birth DEHRADUN, INDIA
Aadhaar/ passport number P3578875
Contact number: 9923139003
Email Address: shirinpand
10 Digit Participant number
(in case you are a registered student of any
Goethe-Institut)

Examination Level : A1/ A2/ B1/ B2 / C1 / C2 A1


In case of modular examinations (B1/ B2/ C2),  Gesamtprüfung
highlight relevant modules which you wish to  Lesen
appear. In case you want to apply for all the  Hören
modules, highlight “Gesamtprüfung”.  Schreiben
 Sprechen
Date of Examination
Amount transferred
Name of the account holder Vishal Pandita
Account Number (from 000501601312
which account the payment has been made)
Name of the Bank ICICI Bank Ltd
IFSC Code
Date of transaction
Transaction Reference number / ID/ UTR

EXAMINATION FEE PAYMENT DETAILS (NEFT ONLY)

*** Kindly note:


1. All further communication will be with Email address provided in the table.
2. If your Aadhaar card is not with updated photo and complete date of birth, do
provide your passport number as your valid identity proof.

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