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    HARSHIT EDIT

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    adarsh

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    © All Rights Reserved
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    HARSHIT EDIT

    Uploaded by

    adarsh
    2 views1 page

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    HARSHIT EDIT

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    adarsh

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    Non-Collegiate CDC Examination Fee Form

    Ref No. : 783/107081895


    Paid Amount : ₹410.00
    Date : Saturday 17th December 2024 11:05:04 AM
    Paid Through : worldline

    Dear Sir,
    Please accept the Hard Copy of Examination Form with IPG receipt of Non-Collegiate CDC fee & oblige.
    Details are given below.
    Thanking you.

    S.No. Particulars Details


    1. Full Name HARSHIT DASHORA

    2. Father's Name MAHESH DASHORA

    3. Mother's Name SANDHYA DASHORA

    4. Date of Birth 1998-02-11

    5. Name of Class for which examination form filled MA FINAL

    6. Date of submission of the form 2024-12-17

    7. University Examination Form No. 6400061987

    8. Mobile No. 8233833145

    9. AADHAAR No. 370892151982

    10. E-mail ID [email protected]

    11. Present Address PURANA CHUNGI NAKA AJMER ROAD, SUBHASH NAGAR
    BHILWARA,RAJASTHAN
    12. Permanent Address PURANA CHUNGI NAKA AJMER ROAD, SUBHASH NAGAR
    BHILWARA,RAJASTHAN

    Signature of the Candidate


    Name :-HARSHIT DASHORA

    Cashier's Signature

    Signature Academic section Staff Principal


    Note:- Attach this format with examination form.

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