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Q & A Information Form

Q&A
S. No. F12 Date of Session 12-Jul-2020
Session Details

Name

Date Month Year


DOB

Personal
DoB Proof - PN BC SC PP DL Other
Details
Gender M F

Mobile No.

Email-Id

Father’s
Name

Mother’s
Name
Parent’s
Details
Father’s
Mobile No

Alternate
No.

Residence
Address
Details
Distt City

State Pin

Self I hereby confirm that I have not participated in a Q&A


Sign
Declaration session earlier.

म पुि करता/करती ँ िक मने पहले िकसी सवाल जवाब


घोषणा ह ा र
काय म म भाग नहीं िलया है ।

Name
Sewadar’s
Column
Comments

Final Reason for


BO Column A H Sign
Status H

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