Name of the candidate                           SHIRIN PANDITA
(as on Aadhaar/ passport)
 Date of birth                                   10-10-2007
 Place of birth                                  DEHRADUN, INDIA
 Aadhaar/ passport number                        P3578875
 Contact number:                                 9923139003
 Email Address:                                  shirinpand
 10 Digit Participant number
 (in case you are a registered student of any
 Goethe-Institut)
 Examination Level : A1/ A2/ B1/ B2 / C1 / C2    A1
 In case of modular examinations (B1/ B2/ C2),           Gesamtprüfung
 highlight relevant modules which you wish to            Lesen
 appear. In case you want to apply for all the           Hören
 modules, highlight “Gesamtprüfung”.                     Schreiben
                                                         Sprechen
 Date of Examination
 Amount transferred
 Name of the account holder                      Vishal Pandita
 Account Number                         (from    000501601312
 which account the payment has been made)
 Name of the Bank                                ICICI Bank Ltd
 IFSC Code
 Date of transaction
 Transaction Reference number / ID/ UTR
EXAMINATION FEE PAYMENT DETAILS (NEFT ONLY)
*** Kindly note:
   1. All further communication will be with Email address provided in the table.
   2. If your Aadhaar card is not with updated photo and complete date of birth, do
      provide your passport number as your valid identity proof.