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Application ID-73347 Notification No: PostName: Name : KPSC 1 RTB-1/2009 Tuesday, August 04, 2009

Assistant Director of Town Planning, Town Planning Department

MAHESHWARI BIDARIMATH [as in SSLC or 10th Standard Marks Card] Father's :CHANDRASHEKARAYYA Name Mother's :SHANTA Name Spouse's :SHRISHAIL MATH Name Date of :01-06-1977 Birth Address :D% C.S.BIDARIMATH VIDYACHETAN : RAMDEV GALLI :JAMAKANDI City State :BAGALKOT :Karnataka

Pincode : Gender :Female Telephone :No Mobile :9986158495 No

Reservation Claimed Reservations

3B

Sub Caste

LINGAYAT

Date Of Issue

31-07

Rural candidate Reservation

No

Kannada Medium student Reservation 0-1 Standard 2-7 Standard 8-10 Standard

07-06-1 10-04-1 10-04-1

In case of general merit candidate claiming Rural Reservation, date of issue of form1 Reservations Project Displaced Ex-Military Person a) If self,notice date of discharge b) If dependant of Ex-Military Person enter relationship. Reason for discharge. Physically Handicapped Blindness/Low Vision Hearing Impairment Locomotor Disability Mentally Retarded Mentally Injured Leprosy Cured No No No No No No Yes/No No No Government No Emp Employee Type Department Name Designation Emp Date Place No. of years of service NOC Obtained on Widow Census Village Group Ins Bonded Labour NCC No No No No No

Select the prescribed qualification

Qualification BE-Architecture Year of Passing Class 07-08-2001 Pass University KARNATAKA UNIVERSITY, DHARAWAD Marks Secured 673.00

Max Marks 1000.00

Enter Experience Details Centre for examination

Have you passed Kannada Language as Main language /2nd Language or Optional subject in SSLC or Higher Examination (but not one of the subject in a Composite Paper) or Studied and passed in kannada medium in the above examination? If so, you need not take the compulsory kannada examination. If you have passed Compulsory Kannada Language Examination conducted by the Commission as per 2006 Rules, date of exam and register no. If so, you need not take the compulsory kannada examination.

Yes

Fee paid Details Bank Name. Branch Name. D.C.C. Bank Gulbarga D.C.C.Bank Limited, Head Office, Gulbarga

Payment Receipt No. PPGBHO 150106227 Fee Paid Date 03-08-2009 Fee paid Amount (Rs.)300

NOTE: CANDIDATE SHOULD TAKE A PRINT OUT OF THIS APPLICATION

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