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UPSC - Candidate's Application Details (Registration-Id: 11209553058)

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Application details of Registration-Id: 11209553058 for Civil Services (Preliminary) Examination 2012

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: ANNEPU SURESH Male 26-07-1983 ANNEPU VENKATA RAO ANNEPU NIRMALA DEVI Indian Unmarried No OBC No No D.No.39-33-75/5, MIG-150, Madhavadhara, Vuda Colony, Marripalem Visakhapatnam Andhra Pradesh - 530018 Phone:0891 2566289 Mobile:9958094777 vibrantsuresh@gmail.com No Delhi 3 Already passed the degree or equivalent Examination.

Address:

E-Mail: Age Relaxation Claimed: Examination Centre: No of Attempts Already Made: Educational Qualification:

Specific Details for Civil Services (Main) Examination: Are you claiming exemption from appearing in Indian Language paper: Language: Optional Subject 1: No HINDI SOCIOLOGY

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2/22/2012

UPSC - Candidate's Application Details (Registration-Id: 11209553058)

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Optional Subject 2: Centre for CSM Examination: Medium of written Examination:

MATHEMATICS Delhi ENGLISH

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2/22/2012

UPSC - Candidate's Application Details (Registration-Id: 11209553058)

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PART - II [Fee Payment Details, Photograph & Signature of Registration-Id: 11209553058]

Fee Payment Details: Registration-Id: Transaction-Id: 11209553058 IG90876603 Photograph

Transaction Date: 07-02-2012 Fee Paid (in Rs): Agency Name: 50 State Bank of India

Mode of Payment: Internet Banking

Specimen signature

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2/22/2012

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