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Application For National Defence Academy & Naval AcademyExamination (II) - 2015

Registration-Id 11532664148

Name HIMANSHU BISHT

Father's Name K S BISHT

Mother's Name NEERA BISHT

Date of Birth 02-08-1997

Address

2-D,151B

kamna va!"a#

$"a%a&a'U((a) *)a'+!" - 201010

o! "ave completed t"e #A$%-I $ei'tration of t"e nline Application #roced!re

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AND REETED UNESS U M*ETE *ART-II

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Print Slip

An acknowledgement has been sent to your Email id.

PRIN APP!I"AI#N PAR-I "!I"$ %&R& F#R PAR-II R&ISRAI#N

Exit | FA* | +!ideline' to t"e ,andidate'

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Application detail' of $ei'tration-Id 115.2//1for National Defence Academy & Naval

Academy Examination (II) - 2015

PAR - I

Name: HIMANSHU BISHT

ender: Ma#+

Date of Birth: 02-08-1997

Father's Name: K S BISHT

Mother's Name: NEERA BISHT

Nationalit(: In'an

Marital Stat)s: Unma))+'

Ph(si*all( "hallenged: N

"omm)nit(: +n+)a#

Do (o) +elong to Minorit(: N

Fee Remission "laimed: N

Address:

2-D,151B

kamna va!"a#

$"a%a&a'

U((a) *)a'+!" - 201010M+ N 9958941649

e-mail: "man!"999&!"($ma#.m

Age Rela,ation "laimed: N

&d)*ational )alifi*ation:

*a!!+' 12(" .#a!! 10 #! 2 a((+)n !."# +'.a(n ) an+/va#+n( +>amna(n (" &(" *"=!.! an' Ma("! amn$ ("+!&C+.(!

Preferen*es: A)m= 2 Nav= 1 A) :).+ 4 Nava# A.a'+m= 3

.hether St)dent of Saini/0Militar( S*hool: N

.hether Son of "#0N"#0#ther Ran/ offi*ers and st)d(ing inSaini/ Militar( S*hool

N

#A$% - IIFee #ayment Detail'3 Examination ,enter3 #"otorap" & 4inat!re of $ei'tration-Id 115.2//1

Fee Pa(ment Details S)+3e*t to 4erifi*ation5

Registration-Id: 11532664148

ransa*tion-Id: 115062891488035

ransa*tion Date: 28-06-2015

Fee Paid in Rs5: 100Agen*( Name: S(a(+ Bank In'a

Mode of Pa(ment: )+'(D+&( a)'

*"($)a"

S+.m+n !$na()+

&,amination "enter

D+#"

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