Spi Student Admission Form.pdf

SERVICES PREPARATORY INSTITUTE, AURANGABAD APPLICATION FORM FOR ADMISSION

Form Number:     7888

Examination Center:Pune

Examination Year:     2019

Roll Number:     P01057

DETAILS OF CANDIDATE Student Name:     Yadav Animesh Prakash

Date Of Birth:     15 Apr 2003

Are you a MAHARASHTRIAN dommicile ? :      Yes Religion:     Hindu Parents / Guardians Name:     Prakash Yadav

Caste:     Yadav

Postal Address:     B-3 202 Pride Regency Viman Nagar Pune-14 District:     Pune Pin Code:     411014 Mobile :     9763747089 Email Address:     [email protected] Occupation (Father):     Business

Mobile (2) :     

Income (Father):     1200000 Father Living:     Yes

Income (Mother):     500000 Mother Living:     Yes

Occupation (Mother):     Business

I certify that i am appearing in 10th Exame in Feb/Mar Name of School:     Air force school chandan nagar 2019:     YES Type of Board:     CBSE Medium of Instruction:     English Archievement if any:          kalabharti art contest

Games Played:     Football Hobbies and other interests:     Reading books

DECLARATION I hereby declare that all statements made in this application are true, complate and correct to the best of my knowledge and belief. In the event of any informationbeing found false or incorrect or admission is like to be cancelled. I have read the rules and conditions carefully and i hereby undertake to abide by them. I further declare that i fulfill all the conditions of eligibility regarding age limits, qualifications, physical standards etc. as given in the advertisement and in the SPI website.

Signature of candidate: Candidate Name:     Yadav Animesh Prakash

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