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  • Document Prakash

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    prakash nayak
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    This document is an application form for the Vidyarakshak programme of the Sarojini Damodaran Foundation in Bangalore. It provides details of the student applicant such as name, parents' names, address, school details including class, date of birth, gender and blood group. It also lists contact details of the student including mobile number, email and alternate contact number. Bank details including name, bank name, branch name, IFSC code and district are also specified. The applicant certifies that the provided information is correct and includes a readable photocopy of the relevant bank passbook page.

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    This document is an application form for the Vidyarakshak programme of the Sarojini Damodaran Foundation in Bangalore. It provides details of the student applicant such as name, parents' names, address, school details including class, date of birth, gender and blood group. It also lists contact details of the student including mobile number, email and alternate contact number. Bank details including name, bank name, branch name, IFSC code and district are also specified. The applicant certifies that the provided information is correct and includes a readable photocopy of the relevant bank passbook page.

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    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
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    7 views1 page

    Document Prakash

    Uploaded by

    prakash nayak
    This document is an application form for the Vidyarakshak programme of the Sarojini Damodaran Foundation in Bangalore. It provides details of the student applicant such as name, parents' names, address, school details including class, date of birth, gender and blood group. It also lists contact details of the student including mobile number, email and alternate contact number. Bank details including name, bank name, branch name, IFSC code and district are also specified. The applicant certifies that the provided information is correct and includes a readable photocopy of the relevant bank passbook page.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as txt, pdf, or txt
    of 1

    APPLICATION FOR VIDYARAKSHAK PROGRAMME OF SAROJINI DAMODARAN FOUNDATION,BANGALORE,

    KARNATAKA-560078

    TO,

    SAROJINI DAMODARAN FOUNDATION,


    BANGALORE, KARNATAKA-560078.

    NAME OF THE STUDENT : S.S.SATYAPRAKASH STUDENT ID : 041147112008577


    Mother's Name : Jharana Mishra(Nayak) Father's Name : Prakash chandra
    Nayak
    Address : Paramilitary Force Name : Prakash chandra
    Naik
    Force Reference No : 031433914
    house No. C/1, Plot No. 15/2418,
    Trinath Bazar, Baramunda,
    Bhubaneswar, Odisha-751003

    STUDENT'S DETAILS: NAME OF SCHOOL AND ADDRESS :

    Class of study : X-B Kendriya Vidyalaya NO. 2


    Date of Birth : 28/05/2006 CRPF , Campus, Bhubaneswar
    Gender : Male Khurdha, Odisha-751011
    Blood Group : B+ve

    CONTACT DETAILS : BANK DETAILS :

    Mobile No. 9437495480 Name ( as per Bank Pass Boom ): Prakasha


    Chandra Naik
    Alternate phone number: 9778385068 Name of the Bank : State Bank Of India
    E-MAIL ID: prakashnayak555@gmail.com Name of Branch : Priyadarshini
    market, Bhubaneswar
    IFSC code of Branch : SBIN0009027
    District Name : Khurdha

    1. It is certified that the above information are correct.


    2. Readable photo copy of the page of Bank Account (Mentioned above)Pass Book
    attached.

    Attested (with office seal)


    By the Force concerned

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