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PROFORMA FOR REFUND OF EXAMINATION FEE (REVISED)


Registration No.(As allotted by the agency):


Mobile No:


Email ID




Candidate's Name:


D.O.B


Father's Name:


Roll No


Post Applied for.


Amount Paid


Savings Account Number.


Account Holder's Name


Name of Bank & Address.


IFSC Code


(Self attested photocopy of Admit Card or Registration Copy to be enclosed)


D.O.B (Enclose self attested Matric Certificate)

DECLARATION




Place:

Date:

Note:

(i)Refund of money is subject to verification and confirmation of the information furnished by the candidate

(ii)No claim will be entertained if any of the information's is found incorrect for which candidate himself will be held responsible.


Instructions for the candidates:-

1.Requisite photocopies must be enclosed with the Form.

2.Duly filled up and signed form must reach within 15 days of publication of advertisement at the following address.


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