Registration No.

: MTA23127406
MTA23127406
Personal Details
First Name Arka
Middle Name Last Name Pal

Father’s / Mother’s /
Biswanath Pal
Guardian’s Name

ID Name Aadharcard Date of Birth 26/07/2006

Id Number 835920007287 Gender Male
Nationality IndianCitizen Mobile No. 9477716136
Email Id somap982@gmail.com

(I)
Alternative Alternative
9432993291 bpal1802@gmail.com
Mobile No. Email Id
School Details
School Type Others School Name Central Modern School
Class Eleventh School Address 156, MNK Road(South), Baranagar
School Pincode 700036 School District KOLKATA

School State WEST BENGAL Region Belong To West Bengal

Board ICSE Medium ENGLISH

TA
Address Details
Permanent Address Current Address
Door No. 48/B 48/B
Street P.W.D. Road P.W.D. Road
Landmark Dunlop Dunlop
City BARANAGAR BARANAGAR
District KOLKATA KOLKATA
State WEST BENGAL WEST BENGAL
M

Pincode 700108 700108

Subject IOQM Language ENGLISH

Centre Preference
Centre Name WBM0009 - PATHFINDER HIGHER SECONDARY PUBLIC SCHOOL

Centre Preference 1 Centre Preference 2 Centre Preference 3

N/A N/A N/A

Payment Details
Amount 240 Transaction No 11000176962690

Transaction Date 31/07/2023 20:17:05 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.

31/07/2023 20:17
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