Kvpy 2016 PDF
Kvpy 2016 PDF
Kvpy 2016 PDF
KVPY2016Form
ThanksforsubmittingyourApplication
Form16145250whichcanbeusedforall
futurecorrespondence
Amount:
PaymentTransactionNo:
1000.00
GUR24707038640
Stream Applied
StreamName: SX
Personal Details
ApplicationNumber: 16145250
NameofApplicant: ANSHULBATRA
DateOfBirth: 01/01/1999
Category: General
Personwithdisability: No
Nationality: Indian
Gender: Female
Presentlystudyinginclass: Class12th
Present Address
AddressLine1: 77,OfficersEnclave,Newmodeltown
AddressLine2: GTRoad,Chheharta,Amritsar
City: Amritsar
District: Amritsar
State: Punjab
Pincode: 143105
MobileNo: 8568929163
EmailID: anshul_batra99@ymail.com
TelephoneNo: 01832259359
School/College Details
Name: THESENIORSTUDY2
Address: PUTLIGHARCHOWKGT.ROAD,AMRITSAR
City: AMRITSAR
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8/26/2016
KVPY2016Form
State: Punjab
Pincode: 143001
Exam Preferences
PreferredExamLanguage: English
PreferredCity1: Jalandhar
PreferredCity2: Chandigarh
PreferredCity3: Ambala
Declaration
Ideclarethattheinformationprovidedabovearetruetothebestofmyknowledgeandbelief.IunderstandthatifitisfoundthatIdonotmeettheeligibilitynorms
atanypointoftimeImayfacedisqualificationfromtheKVPYprogram.
Candidate Signature
Version 11.01.00
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