Xlri Pa Form

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XLRI 2011

XLRI PA Form ‐ Online Payment  


Note: Please put your signatures in space provided and send this form to XAT Office.
XAT ID: XAT413091
  XLRI 2011 

XAT ID:  XAT413091

NAME OF THE CANDIDATE:  kriti joshi  

INTERVIEW CITY OF THE CANDIDATE :  DELHI


PROGRAMMES OPTED : 
General Management Programme
Business Management
Human Resource Management

   
Please sign here

PAYMENT DETAILS :     
Transaction ID : 2000005521 Dated : 18‐Oct‐2010 Amount : 1691.99
     
PERSONAL DETAILS :      
Name of the candidate :   kriti joshi  
Date of Birth :   30‐Jul‐1989  
Test City :   Lucknow  
Mailing Address(valid upto 31 May 2011)    
SEC‐A, POCK‐B&C , FLAT#687 , VASANT KUNJ    

City :  NEW DELHI State : Delhi  


Pincode :  110070 Phone No: 9873880032  
Primary Email Id : joshikriti89@gmail.com    
     
I hereby certify that the information provided by me in this application as well
DECLARATION :
as in the online registration form,is accurate and complete .I also agree to
abide by the decision of the institute's authorities on all matters regarding this
 
application.
 Date : 

 
Signature of the
candidate:

   

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