Application details of Registration-Id: 11515715265 for Engineering Services

Examination - 2015
PART - I
Name: NITESH KUMAR JHA
Gender: Male
Date of Birth: 06-10-1993
Father's Name: ASHOK KUMAR JHA
Mother's Name: HEM JHA
Nationality: Indian
Marital Status: Unmarried
Physically Challenged: No
Community: General
Do you belong to Minority: No
Fee Remission Claimed: No
SO ASHOK KUMAR JHA,AFAsr
ADOS OFFICE, CHOWKHAM
P.O -CHOWKHAM
Address:
NAMSAI
Arunachal Pradesh - 792102
Mobile No. :8974075696
e-mail: nitesh.me.2k15@gmail.com
Alternative e-mail: n80jha@gmail.com
Age Relaxation Claimed: No
Educational Qualification: Appeared or appearing at the requisite qualifiying Examination
Selected Branch Mechanical Engineering

PART - II
[Fee Payment Details, Examination Center, Photograph & Signature of Registration-Id: 11515715265]

Fee Payment Details (Subject to verification)

Registration-Id: 11515715265
Transaction-Id: IK74705961
Examination Center
Transaction Date: 30-03-2015
Delhi
Fee Paid (in Rs): 200
Specimen signature
Agency Name: State Bank of India
Mode of Payment: Internet Banking Photograph