Scan 0003
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1.Student Information
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~cdd> Candidate Name JANAVI S
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Candidate Contact Mobile Number: Nationality
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1.1O. &o~@ cj~fnoJ .t~(Ja1e(~ ~cjd. Details of Appearing Previous CET Exams
II Reservation Details
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Religion: Hindu
Select the 3rd preference place three you wish to appear for CET·2020
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STUDY DETAILS: From 1st standard to II PUC I 12th standard I Qualifying Examination
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Complete Name & Address of the School I College with <!dri~ri'ct.l ~dot;)e<:.iaf dJ<><d ail <:.iaf <:.iaf
Telephone Number
Classes Year of study Year of Year of
Studied From study To Passing
P NO 08028486366
SURANA IND P U COLLEGE K S TOWN BAN GALORE 560060 12 2019 2020 2020
P NO 08028486366
Declaration
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impression of the Candidate Candidate
Signature of the Parent
I Guardian
~E'<If id&:>Signature:
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