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RESERVE BANK OF INDIA [RBI]

APPLICATION FOR RBI YOUNG SCHOLAR AWARD


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Project Co-ordinator,
RBI Young Scholars Award Scheme,
Project No.9277,
Post Box No:7639,
Malad (W),
Mumbai- 400 064.

Registration # : 38982
1] Full Name : surabhi
Age in completed years
2] Date of Birth: 24/07/1992 18
as on 01/09/2010
3] Category : General
4] Address for sri ram bali gha . behind a.n
Correspondence :
college tarnag lane boring
road patna
5] State : Bihar Pin Code: 800023
6] Centre of Exam : Patna
Project center: Patna
7] Category of Award : Yes
8] Contact Details :
STD Code: Phone No.:
Mobile Number : 9135808995
Email Id : surabhi_rathore2009@yahoo.com
Gender : Female
9] Details of Educational Qualifications : (As on 1st September 2010)

Course Name of University Subject/Stream Month/Year of % of Marks


Passed Passing
10 Th Std CBSE PCM May 2006 59
12 Th Std BIHAR BOARD COMMERCE May 2008 63
Ist Yr.Graduation PATNA COMMERCE May 2009 63
UNIVERSITY
II nd Yr.Graduation PATNA COMMERCE May 2010 64
UNIVERSITY
Final Yr.Graduation
Declaration: I declare that all the above particulars are true to the best of my knowledge and belief. I also
declare that as on date I am not a graduate/post graduate degree holder.
Place:
Date: 11/10/2010 (Signature of the Candidate)
NOTE:
•This system generated print out of the application should be signed by the candidate and sent along with -
1. Copies of Required certificates/testimonials.
2. Photograph pasted in the given place.
•The candidate must retain the photocopy of the sent print out of the application form for further reference.
Please retain your Registration No. and Password carefully for further reference/generation of call letter.

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