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Reg Slip

The document is a registration slip for an examination for the post of ACIO - Grade-II/ Executive in 2011. It contains information such as the candidate's registration number, name, date of birth, category, religion, state of origin, qualifications and marks. The candidate declares that the information provided is true and acknowledges that false information could result in cancellation of candidacy or termination without notice. The candidate also declares Indian citizenship by birth or domicile.

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Navin Raj
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45 views1 page

Reg Slip

The document is a registration slip for an examination for the post of ACIO - Grade-II/ Executive in 2011. It contains information such as the candidate's registration number, name, date of birth, category, religion, state of origin, qualifications and marks. The candidate declares that the information provided is true and acknowledges that false information could result in cancellation of candidacy or termination without notice. The candidate also declares Indian citizenship by birth or domicile.

Uploaded by

Navin Raj
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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http://eapplicationmha.in/regslip.

asp

Registration Slip (Private & Confidential) for the Post of ACIO - Grade-II/ Executive Examination - 2011 (Please take a printout in A4 size only, and Note down your registration No for all future references) Registration No. Date Name Email Id Date of Birth Category Religion State of Origin Post Applied Qualification Marks (%) Passing Year Ex-Serviceman : No Central Govt Employee : No Test Center Address : Chennai : 946, OLD STATE BANK STREET GANESHAPURAM (PO) S.S.KULAM(VIA) COIMBATORE -641107 ,Tamil Nadu I hereby declare that the above statements are true and complete to the best of my knowledge and brief. In the event, any of the information is found to be false or incorrect, I understand that my candidature/appointment will be cancelled/terminated without any notice. I also declare that I am a citizen of India by birth/domicile. Date : Signature : : 718633 : 13/06/2011 : RANJITH KUMAR : [email protected] : 03/07/1989 : OBC : Hindu : Tamil Nadu : ACIO - Grade-II/ Executive : BE/BTech Engineering (Duration: 4 year) : 72.84 : 05mm2010yy J&K Domicile : No

Candidate to please note: 1. Please sign at the place provided above. 2. You are advised to take a photocopy of this Registration Slip for your record and future reference. 3. Write your Email Id & Contact No. here : Email Id: Telephone/Mobile No.: 4. Please check on our website www.mha.nic.in from last week of June 2011 onwards to download your admit cards.

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6/13/2011 10:36 AM

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