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Registration No.

: MTA23110881
MTA23110881
Personal Details
First Name Jatin
Middle Name Last Name Rathee

Father’s / Mother’s /
Anil Rathee
Guardian’s Name

ID Name Aadharcard Date of Birth 25/05/2008


Id Number 917885519167 Gender Male
Nationality IndianCitizen Mobile No. 9991300427
Email Id jatinriya1985@gmail.com

(I)
Alternative Alternative
9468400424 tousing49@gmail.com
Mobile No. Email Id
School Details
School Type Others School Name Green Valley
Class Tenth School Address Titoli
School Pincode 124001 School District Rohtak

School State Haryana Region Belong To Delhi

Board CBSE Medium ENGLISH


TA
Address Details
Permanent Address Current Address
Door No. 51 51
Street 51, officer's/revenue colony 51, officer's/revenue colony
Landmark near sector 14 near sector 14
City Rohak Rohak
District Rohtak Rohtak
State Haryana Haryana
M

Pincode 124001 124001

Subject IOQM Language ENGLISH

Centre Preference
Centre Name HRK0010 - KENDRIYA VIDYALAYA ROHTAK

Centre Preference 1 Centre Preference 2 Centre Preference 3

N/A N/A N/A

Payment Details
Amount 240 Transaction No 11000174438118

Transaction Date 15/07/2023 19:53:02 Status Success


Declaration
I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In case of any changes in
the information furnished above, the same will be informed forthwith. In the event, the information is found to be false or incorrect
my application may be considered null and void.

15/07/2023 19:53
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