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UPSC - Candidate's Application Details (Registrati...

http://upsconline.nic.in/printapp.php?reg_id=21aee...

Application details of Registration-Id: 11112571408 for Combined Defence Services Examination (II) - 2011

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05/30/2011 11:36 AM

UPSC - Candidate's Application Details (Registrati...

http://upsconline.nic.in/printapp.php?reg_id=21aee...

PART - I Name: Gender Date of Birth: Father's Name: Mother's Name: Nationality: Marital Status Physically Challenged Community: If you belong to Minority Fee Remission Claimed: BIKRAM KUM AR SHARMA Male 16-06-1988 MADAN SHARM A VIMLA DEVI Indian Unmarried No General No No C/O Ashok karadiya H.No-81/174 Pratap Nagar Sec-8, Sanganer Jaipur Rajasthan - 303906 Mobile:9887557220 bikram 1619@gmail.com No Jaipur Passed/appeared/appearing the final year of Engineering degree examination. IMA: 0 | NA: 0 | AFA: 0 | OTA: 1 None No

Address:

E-Mail: Age Relaxation Claimed: Examination Centre: Educational Qualification: Preferences: W hether having/likely to have NCC 'C' Certificate Sr. Division: W hether Serving in Armed Forces:

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05/30/2011 11:36 AM

UPSC - Candidate's Application Details (Registrati...

http://upsconline.nic.in/printapp.php?reg_id=21aee...

PART - II [Fee Payment Details, Photograph & Signature of Registration-Id: 11112571408]

Fee Payment Details: Registration-Id: Transaction-Id: 11112571408 IG52597774 Photograph

Transaction Date: 30-05-2011 Fee Paid (in Rs): Agency Name: 100 State Bank of India

Mode of Payment: Internet Banking

Specimen signature

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