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STATUS OF ONLINE APPLICATION OF

Pre Agriculture Test/ Pre Horticulture Test/ Pre Veterinary
Polytechnic Test (PAT/PVPT) 2020

Exam Applied For: BIOLOGY GROUP (Physics, Chemistry, Biology)

(आवे दत परी ा)

Do you want to take NO

admission in Veterinary
Polytechnic course?

Registration Information:-

Registration ID: PAT201000480714

Basic Information:-

Candidate's Name: ANSITA TIWARI

Father's Name: SUJAI TIWARI
Mother's Name: KIRAN TIWARI
Date of Birth: 18/01/2000
Gender: Female
Category (Caste): GENERAL
Fee: Rs. 200.0

CG Domicile: YES
Class: OTHER Person With Disability No
(PWD):

Selected Income Type : APL(Above Poverty Line)

Are you an employee of NO
Agriculture Directorate ?
Are you J&K Migrant ? NO Do you belong NO
KRISHAK(कृषक) Family ?

AADHAR No:

Contact Information :-

House No.: B-131 Street Name: Shaktinagar

City/ Village: Jarhi Post Office: Bhatgoan
State: CHHATTISGARH District: Surajpur
Pincode: 497235 Region: Urban(शहरी)
Exam Center :-

Exam City Preference: Sarguja (Ambikapur) Payment Status: SUCCESS

Payment Details:-

Transaction No.: 1103647616 Transaction Date: 10/05/2020

Transaction Status: SUCCESS Amount: 200.0
Payment Date: 10/05/2020 Payment Gateway: HDFC

Decalaration Given By Candidate :-

म यह घोषणा करता/करती हॅू क, मेरे ारा ऑनलाइन आवेदन प म वयं के नाम, ेणी, वग, ज म त थ, डाक पता एवं अ य द गई
सूचना मेरी जानकारी एवं व ास म सही है, जसके स यतापूवक और सही होने क म घोषणा करता/करती हॅू । मने वभाग ारा जारी
वेश नयम एवं ापम के नयम को पढ़ा है एवं समझा है । य द ऊपर द गई कोई भी जानकारी अस य पायी जाती है तो चयन या
के कसी भी तर पर मुझे पूव सूचना दये बना मेरी अ य थता समा त क जा सकती है ।

I do hereby declare, that I am an Indian Citizen and the information given above related to my Name,
Category, Gender, Date of Birth, Address and all other information given above are correct and I truthfully
declare it to be correct.I have gone through the rules and other information related to the exam notified by
the department and Vyapam and understood the same .If any information given above is found to be
incorrect at any stage, my candidature may summarily be terminated without any prior notice or
information to me.

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