4/22/2017 Admission to Post Graduate Diploma in Banking & Finance (PGD-B&F) through 'Amity University'

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Admission to Post Graduate Diploma in Banking & Finance (PGD-B&F) through 'Amity University'

Registration Number : 188033104

Full Name : KANCHAN MAHANANDA

Category : SC

Are you a Person with Disability : NO

Type of Disability : -

Percentage of disability : -

Are you suffering from cerebral palsy and your writing speed is : -
affected:?

If Yes, Do you need compensatory time at the time of : -

examination?

Whether your dominant (Writing) hand is affected? : -

If Yes, Do you need compensatory time at the time of : -

examination?

Do you intend to use the services of a scribe? : -

Are you a Child/Family Members of those who died in 1984 : NO

Riots?

Are you a Person ordinarily domiciled in the State of Jammu & : NO

Kashmir during the period from 01.01.80 to 31.12.89.?

Religion to which you belong : Hindu

Are you an Ex-Serviceman (including ECOs/ SSCOs) :? : NO

Period of service(in months) : -

Do you belong to Religious Minority Community ? : NO

Nationality / Citizenship : Indian

Do you hold Aadhaar Card ? : YES

Aadhaar Card No. : 472007493079

State/UT (to which centre of exam belongs) : Odisha

Centre of Examination: : Sambalpur

Application Fee / Intimation charges

Amount : 50.00

Payment Status : UNPAID

Personal Details

Date of Birth : 09-03-1987

Age completed as on 01.04.2017 : 30

Gender : FEMALE

Marital Status : Unmarried

Father's Name : KALIA MAHANANDA

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4/22/2017 Admission to Post Graduate Diploma in Banking & Finance (PGD-B&F) through 'Amity University'
Mother's Name : LAXMI MAHANANDA

Spouse's Name : -

Address for Correspondence : R9 L3

Address 2 : JM COLONY

Address 3 : BUDHARAJA

District : SAMBALPUR

State : ORISSA

Pincode : 768004

Permanent address : R9 L3

Address 2 : JM COLONY

Address 3 : BUDHARAJA

District : SAMBALPUR

State : ORISSA

Pincode : 768004

Contact Details

Mobile No : +91 8763501069

Alternative Number : -
(Mobile No/Landline No)

Email ID : kanchanmahananda@gmail.com

Educational Qualification (as on 01.04.2017)

Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade

Passing

Graduation/equivalent Engineering 20-09-2011 69.90 First Class

Certifications :

Other Details :

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

ORIYA YES YES YES

Declaration:

I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility
criteria stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my
candidature.

Date: 22-04-2017 Signature of Applicant

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4/22/2017 Admission to Post Graduate Diploma in Banking & Finance (PGD-B&F) through 'Amity University'

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