Registration No.

: MTA23180885
MTA23180885
Personal Details
First Name Chetan
Middle Name Anand Last Name Pali

Father’s / Mother’s /
Harveer Singh Pali
Guardian’s Name

ID Name SchoolID Date of Birth 28/06/2008

Id Number 13851 Gender Male
Nationality IndianCitizen Mobile No. 8178526303
Email Id hspdtu@gmail.com

(I)
Alternative Alternative
8076729852 harvirsinghpali@gmail.com
Mobile No. Email Id
School Details
School Type Others School Name GITA NIKETAN AWASIYA VIDYALAYA
Class Tenth School Address Salarpur Road
School Pincode 136118 School District KURUKSHETRA

School State HARYANA Region Belong To HARYANA

Board CBSE Medium ENGLISH

TA
Address Details
Permanent Address Current Address
Door No. C253 501
Street SBI Bank Salarpur Road
Landmark Sector P3 GNAV Kurukshetra
City Greater Noida Kurukshetra
District GAUTAM BUDDHA NAGAR KURUKSHETRA
State UTTAR PRADESH HARYANA
M

Pincode 201310 136118

Subject IOQM Language ENGLISH

Centre Preference
Centre Name HRM0021 - GITA NIKETAN AWASIYA VIDYALAYA

Centre Preference 1 Centre Preference 2 Centre Preference 3

N/A N/A N/A

Payment Details
Amount 240 Transaction No 11000178300692

Transaction Date 08/08/2023 12:59:13 Status Success

Declaration
I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In case of any changes in
the information furnished above, the same will be informed forthwith. In the event, the information is found to be false or incorrect
my application may be considered null and void.

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