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IPM Indore Admission Form 2023

Suchita Badapanda applied for admission with application number AT2310819. She is 16 years old, female, Indian citizen currently residing in India. She completed her 10th grade in 2021 from Santanu English Medium School in Bhubaneswar, Odisha with 93.50% marks. She has not yet completed her 12th grade. She made an online payment of Rs. 4130 for her application and uploaded required documents including her photo and signature.

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Suchita
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0% found this document useful (0 votes)
33 views2 pages

IPM Indore Admission Form 2023

Suchita Badapanda applied for admission with application number AT2310819. She is 16 years old, female, Indian citizen currently residing in India. She completed her 10th grade in 2021 from Santanu English Medium School in Bhubaneswar, Odisha with 93.50% marks. She has not yet completed her 12th grade. She made an online payment of Rs. 4130 for her application and uploaded required documents including her photo and signature.

Uploaded by

Suchita
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal Details

Application Number
AT2310819
Name of Candidate Father's/Guardian's Mother's Name
SUCHITA BADAPAND Name JATNAMANI PANDA
A BALARAM BADAPAND
A
Category Gender Person with Disabili
General Female ty (PwD)
No
Date of Birth Email Address Mobile Number
16/Dec/2005 suchitabadapanda05 91 9178494098
@gmail.com
Nationality
Indian
Country of Residenc
e
India

Correspondence Address Details

Address Line 1 Address Line 2 Address Line 3


S-3/140, Ground Floor Niladri Vihar Chandrasekharpur
State/Union Territor Village/Town/City District
y Bhubaneswar Khordha
ORISSA Pincode Mobile Number(Alte
751021 rnate)
7008100176
Email Address(Alter
nate)
bbpandamail@gmail.
com

Standard X / SSC / Equivalent Examination Details

Aggregate Marks in Standard X / SSC / Eq School Name


percentage(Up to 2 uivalent Examinatio Santanu English Medi
decimal places) n Board Name um School Bhubanes
war
93.50 Central Board of Seco
ndary Education SSC Year of Complet
ion
2021

Standard XII / HSC / Diploma/ Equivalent Details


Have you completed Course Type Standard XII / HSC /E
Standard XII / HSC / XII / Equivalent quivalent Board Na
Diploma/ Equivalent me
Course? Central Board of Seco
No ndary Education
School/Institute Na Stream / Discipline
me Commerce
Kendriya Vidyalaya N
umber Four Bhubane
swar

Exam Centre City Preferences

Preferred City 1 Preferred City 2 Preferred City 3


Bhubaneswar Kolkata Raipur
Preferred City 4 Preferred City 5
Pune kozhikode

Payment Details

Amount Payment Mode Payment Status


4130 online Payment Success
Payment Transactio
n No.
XHD51060412176

Candidate Documents/Images Upload Details

Photo Signature
View / Downlo
Document
ad

To view your Standard X / SSC / Equivalent Examination M


Click here.
arksheet:

To view your ID Proof: Click here.

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