Application Unpaid
Application Unpaid
Application Unpaid
(APPLICATION FORM)
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION, 2020-21
( For the Students Studying in Class X )
APPLICATION NO : 12021243
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Date of Examination : 24th January, 2021 (Sunday)
Name & Address of the Agency for State Council of Educational Research & Training, Bihar, Mahendru,
conducting NTS Examination : Patna-6
Name of the State/UT : Bihar
Name of the School (where the candidate GOVT KANHAIYA INTER SCHOOL MARWA PAKRIBARAWAN
is studying Class X) : NWD, BLOCK-PAKRIWARAN, DIST-NAWADA
Application Fee (in INR) :
District Applying From :
Personal Details :
Name of Candidate :
Father's Name :
Mother's Name :
Date of Birth :
NAWADA
PRAKASH KUMAR
LATE DASO CHAUDHRY
LATE MINA DEVI
03-04-2005
Pa
Rs. 150/- (Gen./EWS/OBC) / Rs. 75/- (SC/ST/Disabled) Candidate.
Gender : MALE
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Area to which Candidate resides : RURAL
Caste Category : S.C.
Disability Status : NONE
Studying in Class : CLASS X
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Communication Details :
Address Line 1 : VILL-AKAUNA PO-JIURI
Address Line 2 PS-PAKRIBRAWAN DIST-NAWADA
State/Union Territory : BIHAR PIN Code : 805124
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Parental Annual Income (in Rs.) : Upto 2,00,000
Mobile Number : 6299605093 Telephone Number : 6299605093
Email Address : [email protected]
Payment Details :
Payment Type Payment Mode
Declaration by Candidate :
Amount in Rs.
Pa Payment Date
Disability Certificate
N.A.
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I hereby declare that all data reflecting in this application form are correct. I also declare that all the statements made including all documents uploaded
in this application form are true, complete and correct to the best of my knowledge and belief and in the event of any information being found false/incorrect
my candidature is liable to be cancelled even after qualifying the State Level Examination.
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