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  EXAMINATION REGISTRATION FORM
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STUDENT FEES PAID DETAILS
Are you exempted from payment of Examination fees?  checked > Yes    checked > No
if Yes, indicate Category / Group:        checked >SC     checked >ST    checked >OBC    checked >GM
Receipt No:        Receipt Date:        Amount paid:   
The above information provided is true to best of my knowledge.
Place:                Date:                   
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Candidate will be allowed to write the Examination provided he/she fulfills the regulation of the course.