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IILM Academy of Higher Learning

17-18, Knowledge Park-II. Institutional Area, Greater Noida-201306 Approved by AICTE, New Delhi & Affiliated to U.P. Techinal University, Lucknow

Fee Slip Form 2011-2012


1. Name of the Candidate NITISH BHARWAJ . 2. Date of Birth (dd-mm-yyyy) (20-09-1994) . 3. Fathers Name SHRI VISHAN AVATAR SHARMA . 4. Address for Correspondance H No-370, Devipura-I, . Bulandshahar U.P. . City Bulandshahar Distt Bulandshahar State U.P. Pin 203001 . Phone (with STD Code) Mobile 08410173356.
Signature Of Candidate Signature of Parent/ Guardian Date:-..................................... Place:- Greater Noida

Fee Details Name: Nitish Bharwaj Fathers Name Shri Vishan Avatar Sharma. Course R.M. Amount Deposited 65000/ . Security Amount 10000/ Tution Fee 51500/ . Exam Fee 3500/ Total 65000/ . DD/Bankers Cheque Date 29/07/2011 . Name of the Bank . Authorized Signatory

Date 29/07/2011 .

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