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Applicant COPY


Indian Space Research Organisation(ISRO)
ICRB - Registration Confirmation form
(for Caste/Medical/Gender/Discharge Certificate)
Name of the Candidate RAJLAKSHMI GOPAL
Present Address OLD NO 42 NEW NO 21 PALAYAPPAN ST
SEVEWELLS NEAR STANLEY
Advt. Details 04/2014 - 01(Assistant)
Category OBC
Sex F
PH No
Ex-servicemen No

Signature of the Candidate


Date : 31-Jul-2014

Note : This part is to be retained by the candidate.


ISRO COPY


Indian Space Research Organisation(ISRO)
ICRB - Registration Confirmation form
(for Caste/Medical/Gender/Discharge Certificate)
Name of the Candidate RAJLAKSHMI GOPAL
Present Address OLD NO 42 NEW NO 21 PALAYAPPAN ST
SEVEWELLS NEAR STANLEY
Advt. Details 04/2014 - 01(Assistant)
Category OBC
Sex F
PH No
Ex-servicemen No

Signature of the Candidate


Date : 31-Jul-2014

Note : This part is to be sent to ISRO HQ along with copy of required certificate.

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