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ApplicationdetailsofRegistrationId:11533835505forNationalDefenceAcademy&NavalAcademy

Examination(II)2015

PARTI
Name:

ABHISHEKBHATT

Gender:

Male

DateofBirth:

24091998

Father'sName:

DEVENDRABHATT

Mother'sName:

SHASHIBHATT

Nationality:

Indian

MaritalStatus:

Unmarried

PhysicallyChallenged:

No

Community:

General

DoyoubelongtoMinority:

No

FeeRemissionClaimed:

No

Address:

H.NO.69CHETENDEVKUTIYA
KANKHAL
HARIDWAR
HARIDWAR
Uttrakhand249408
MobileNo.:9319224085

email:

abhihrds@gmail.com

AgeRelaxationClaimed:

No

EducationalQualification:

Passed12thclassof10plus2patternofschooleducation
oranequivalentexaminationwithbothPhysicsandMaths
amongthesubjects

Preferences:

Army:1|Navy:3|AirForce:2|NavalAcademy:4

WhetherStudentofSainik/MilitarySchool:

No

Whether Son of JCO/NCO/Other Rank officers and No


studyinginSainikMilitarySchool

PARTII
[FeePaymentDetails,ExaminationCenter,Photograph&SignatureofRegistrationId:11533835505]

FeePaymentDetails(Subjecttoverification)
RegistrationId:

11533835505

TransactionId:

115070493828413

TransactionDate:

04072015

FeePaid(inRs):

100

AgencyName:

StateBankofIndia

ModeofPayment:

Credit/DebitCard

ExaminationCenter

Dehradun
Specimensignature
Photograph

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