rs015 Gauri Singh 48522 KS Saket PG College , Ayodhya, Faizabad REGISTRATION FORM REGISTRATION NUMBER sn APPLY FOR THE CLASS Bsc -Marnss APPLICANT'S NAME GOURISINGH DATE OF BIRTH 1509-1998 Gexoer FEMALE FATHER'S NAME ANIL KUMAR SINGH MOTHER'S NAME. MADHURI SINGH iP | PHOTO OF APPLICANT caTEcoRY GENERAL RESERVATION NONE Wwetcitrace NONE SURIECTIS LAST ATTENDED CLASS MOBILE NUMBER 2068377 STANDARD PASSING [TOTAL [OBTAINED \wergurrace [PERCENTAGE [RSTERWEDIATE|—_UP BOARD 2015 500, oa z 52 SUBJECT FOR THE APPLIED CLASS- I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND CORRECT TO ‘THE BEST OF MY KNOWLEDGE AND BELIEF I UNDERSTAND THAT IN THE EVENT OF ANY INFORMATION BEING FOUND MIS LEADING OR INCORRECT AT ANY STAGE OR MY NOT SATISFYING ANY OF THE ELIGIBILITY CRITERIA STIPULATED, MY CANDIDATURE IS LIABLE TO BE CANCELLED. PLACE : KHESUA e cick Fo print tps ekinemyselecioncomrint from php Gtausi Singh GOURI SINGH w