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Roll No : 17220094
Fees Detail
Fees Submit Date Mode of Deposit Bank Reference number SBI Collect Reference Number
25/07/2017 NET BANKING IU80841772 DU71544814
Personal Details
Mobile No
Qualification Details
Board/University
I HIMANI SHUKLA Doughter of A K SHUKLA here by declare that all the above information is true and correct to the best of
my knowledge. If it is found incorrect at any time legal action can be taken against me.
Date Signature
1 of 1 28-Oct-17, 8:44 PM