NEST 2015 Online Form Summary Page

Application number: 15147249

1

Nam e:

SHAILENDRA

Category:

OBC

Physically Disabled? (PD):

NO

Gender:

Male

Date of Birth:

1997-09-30 [yyyy-mm-dd]

State of Dom icile:

Uttar Pradesh (UP)

Address for
Correspondence:

NEAR BRIJWASI SCHOOL EKTA NAGAR PILIBHIT

U.P

8
9

Contacts:
Test Centre Choice:

10 Academ ic Record:

PIN Code:

262001

Contact#:

7351964188

e-mail ID:

gang30shailendra@gmail.com

First:

Delhi-South (DL)

Second:

Delhi-East (DL)

Class

Year

Board/Council

Percentage

10th/ Equiv.

2012

CBSE

89.30

12th/ Equiv.

2014

CBSE

85.20

11 Father's Nam e:

PREM PAL

12 Details of Guardian:

Name:

PREM PAL

Contact #:

9897010618

Relationship:

FATHER

Amount:

700 INR (Rupees Seven hundred only)

SBCollect Ref#:

DU12234642

Payment date:

02-Mar 2015

13 Paym ent Details:

Mode: Online
Declaration by the candidate

I hereby declare that all the particulars stated in the application are true to the best of my know ledge and belief. I have
read the information brochure and I shall abide by the terms and conditions therein.
Yes, I have read the brochure and I agree to sign the declaration.

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Last saved : 2015, 02 Mar 16:23

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