Membership No : 510312668

Password : a47S8p9g

Full Name : Mr. RAKESH KUMAR

Name as to appear on Card : RAKESH KUMAR

Office/Residential Address for communication : H NO 764 STREET 15,HARI VISHNU COLONY SIRSA*,SIRSA,SIRSA,SIRSA,HARYANA125055

Date of Birth : 07-12-1988

Gender : Male

Qualification : Graduate

Specify : BACHELOR OF ENGINEERING(B.E.)

Bank/Institution working : CANARA BANK

Branch/Office : PANIWALA MOTA

Designation : CLERICAL STAFF

Date of Joining : 29-08-2016

Email : rakesh8335@gmail.com

Mobile : 9896230670

Aadhar Card Number : 548564613557

ID Proof : ID Card issued by Employer(with Photo and Signature of Employee)

I agree to receive the Annual report from the Institute in a softcopy, at my registered email ID, in place of physical copy : Yes

ID Proof :

Signature :

Date : 22-03-2017 10:41:23 PM