application form of higher secondary exam
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Application details of Registration-Id: 51102353538 for Combined Higher Secondary LevelExamination - 2014
PART - I
Examination Centre CR - Gorakhpur(3007)
Name RISHI DEVAGAN
Gender Male
Date of Birth 06-06-1992
Father's Name NITIN KUMAR SRIVASTAV
Mother's Name ASHA LATA SRIVASTAVA
Nationality Indian
Physically Handicapped No
Whether Cerebral Palsy
Community General
Fee Exemption Claimed No
Whether Ex-Serviceman No
Whether belong to Minority Community No
Age Relaxation Claimed No
Email ID [email protected]
Postal Address
TARA PRINTING PRESSSUBHASH CHOWKPADRAUNAKUSHINAGARUttar Pradesh - 274304Mobile: 8931087364
Skill Medium English
Prefrence for Posts L D
Educational Qualification Subject % of Marks Medium
BCA Computer Application 74.63 English
PART - II[ Fee Payment Details, Photograph & Signature of Registration-Id: 51102353538]
Fee Payment Details (Subject to verification)
Registration-Id Transaction-Id TransactionDate
Fee Paid (inRs) Agency Name Mode of
Payment
51102353538 IK53747116 21-07-2014 100 State Bank ofIndia
InternetBanking
SSC - Candidate's Application Details (Registration-Id: 51102353538) http://ssconline.nic.in/viewapplication.php
1 of 2 21-07-2014 15:32
Photograph
Specimen signature
SSC - Candidate's Application Details (Registration-Id: 51102353538) http://ssconline.nic.in/viewapplication.php
2 of 2 21-07-2014 15:32