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Application Details
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Registration Details
User Id : 7206550
Country : India
Email : swopnansusekharparida0928@gmail.com
Personal Details
Gender : Male
Category : General
Nationality : Indian
Communication Address
Country : India
State : ODISHA
District : Balangir
Town/City : TITLAGARH
Pincode : 767033
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9/17/2017 2017 CAT Form
Discipline : Engineering/Technology
Programmes
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9/17/2017 2017 CAT Form
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9/17/2017 2017 CAT Form
Payment Details
Amount : 1800.00
Payment Status : S
Declaration
I hereby certify that the information given by me in this Application Form is true to the best my knowledge. I certify that I fulfill the CAT 2017 eligibility criteria and
undertake to produce original documents whenever necessary and I will not demand any reschedule of exam. I agree to abide by the declaration of the authorities
regarding the eligibility of my application and understand that any misrepresentation or omission of facts in my application may justify cancellation of my CAT 2017
application & scores. I understand that all disputes will be subject to the territorial jurisdiction of city of Lucknow only.
Candidate Signature
Version 13.02.01
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