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R/Cheque No./ Express Money Order No . .. dated ... Direct Bank Deposit, Amount transferred: (Attach Original Bank Pay in Slip) Do Not post cash. NB: Cheques should be crossed A/C payee only. 10. I have read and agreed to abide the Examination Regulations and By laws of the Board and accept that any false information provided by me will invalidate my application. 11. EXAMINATION FEES PAYABLE Full examination Referred/single sub.

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