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Applicant Details

Online Application Form for Informatics Assistant Exam - 2013

Fee Details
Token Number:

1399099910359716

Personal Details
Application ID Number: Submitted Date: 1. Applicants Full Name: 2. Applicants Father Full Name: 3. Date of Birth(dd/mm/yyyy): 4. Gender: 5. Marital Status: 7. Examinination Center 8. Category: 9. Tribal/Sahariya area :

IA13023035 22/5/2013 GAUTAM KUNAL ASHOK KUMAR VARMA

25/12/1988 Male Unmarried Jaipur OBC - Non Creamy Layer Not Applicable

Bonafide Details
14. Home State (Bonafide Resident ):

Other

16. Correspondence Details

Address : City:

R H S COMPLEX DENDUA DENDUA

Tehsil: District: State: Country: Pin Code: Email Address: Mobile:

SALANPUR Asansol West Bengal india 713357 gautamkunalworld@gmail.com 8144834821

17. Educational Qualification

Name of Std Institution pamara Year Division/Grade/Percentage Status Degree

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10th high school s p deo 12th inter college Graduation 18. Body Mark: nit trichy 2013 2007 69.8 2005 69.1

Applicant Details
Completed

Completed

Appearing

mol on right palm

Declaration
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do understand that I need to obtain and produce all the required original certificates enlisted in the form by me when required. In the event of my information being found false or incorrect or the ineligibility being detected action can be taken against me by the department. I have read the provision of the relevant rules and the advertisement carefully and I hereby undertake to abide by them.

Candidate Signature

GAUTAM KUNAL

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