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3/16/2016

ApplicationtoRTOandMVIForm

Note: Applicationformhasbeenregisteredsuccessfully.KindlyclickonLogoutonthetoprightsideandlaterLoginwithyourLoginIDandPasswordtofillapplicationform.

NotificationNumber:R(2)131/201516/PSCDated:04022016

PersonalDetails
ApplicationNumber: 2052441
FullNameofTheCandidate: D.SAMSELIN
Father'sFullName: S.DAVIDRAJ
Mother'sFullName: R.GLORABAI
Gender: Male
DateofBirth: 09/02/1988
EmailID: samvid1988@gmail.com

Declaration
Ihereby,solemnlydeclarethatinformationprovidedbymeintheformistruetothebestofmyknowledgeandbelief.Iunderstandthatmycandidatureis
subjecttotheconditionslaiddownintheNotification.

Version11.00.02

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