31/3/2014

UPSC - Candidate's Application Details (Registration-Id: 11416075138)

Home Application details of Registration-Id: 11416075138 for Engineering Services Examination - 2014
PA RT - I N ame G ender D ate of Birth Father's N ame M other's N ame N ationality M arital Status P hys ic ally C hallenged C ommunity I f you belong to M inority Fee Remis s ion C laimed V A I BH A V SH A RM A M ale 0 3 -0 7 -1 9 9 2 SK SH A RM A RA J N I SH A RM A I ndian U nmarried No G eneral No No d5 4 aditya nagar morak kota Rajas than - 3 2 6 5 2 0 M obile:9 6 9 4 3 7 2 8 0 4 vaibhav3 7 9 2 @ gmail.c om No A ppeared or appearing at the requis ite qualifiying E xamination M ec hanic al E ngineering

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E - M ail A ge Relaxation C laimed E duc ational Q ualific ation Selec ted Branc h

PA RT - II [Fee Payment Details, Examination Center, Photograph & Signature of Registration-Id: 11416075138]

Fee Payment Details (Subject to verif ication) Registration-Id: Transaction-Id: Transaction Date: Fee Paid (in Rs): A gency Name: Mode of Payment: 11416075138 I K4 6 6 2 9 5 3 5 3 1 -0 3 -2 0 1 4 200 State Bank of I ndia I nternet Banking P hotograph Spec imen s ignature J aipur Examination Center

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