Field required for the claim for refund of application fees
Name of Applicant *
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Father Name *
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Mobile No. *
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Registered Mail ID (Used for application ) *
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Date of Birth *
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Category *
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Post applied for *
Fees paid *
Original Fees payment details (Please provide UTR/ITR/Reference No.) *
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Mode of payment *
Name of Account Holder (Provide the details of your own bank account) *
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Account Number *
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Bank Name *
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Branch Name *
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IFSC Code *
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Declaration : I hereby declare that above information are true and refund of application fees may be transferred to above said bank details. *
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