Registration-ID : 98000284

BASIC DETAIL FORM

Category :

OBC

If Person with Disability:

Type Of Disability:
Are you suffering from cerebral palsy and your writing speed is affected? :
Percentage Of Disability
Do you intend to use the services of a scribe(only for VI and OC candidates
whose writing speed is affected by cerebral palsy) :
Whether domiciled in Kashmir Division of the State of J&K during the period
1-1-1980 to 31-12-1989 ? :

Whether are you a Children/Family Members of those who died in 1984

Riots? :

Religion to which you belong :

Hindu

Whether you belong to Religious Minority Community ? :

NO

Are you an Ex-Serviceman :

NO

Period of Service(In Months) :

Nationality :

Indian

Centre Of Examination :

PATNA

PERSONAL DETAIL FORM

First Name :

VAIBHAW

Middle Name :
Last Name :

SAGAR

Date of Birth :

02/07/1992

Age completed as on 01.10.2014 :

22

Gender :

MALE

Father's Name :

RAVINDRA KUMAR SINGH

Husbands Name :
Mother's Name :

SHANTI DEVI

Address for correspondence :

H NO-186 ABHIYANTA NAGAR

NORTH OF BAILEY ROAD
DANAPUR

District :

PATNA

State :

Bihar

Pincode :

801503

Permanent Address :

H NO-186 ABHIYANTA NAGAR

NORTH OF BAILEY ROAD
DANAPUR

District :

PATNA

State :

Bihar

Pincode :

801503

CONTACT DETAIL FORM

(STD Code) Phone No :
Mobile No. :

7209051692

Email-ID :

vsagar750@gmail.com

Confirm Email-ID

vsagar750@gmail.com

Educational Qualification Details (as on 01.10.2014):

Exam Passed

Subject/Stream

Date of Passing

% Of Marks

Class/Grade

Graduation/Equivalent

B TECH

22/06/2013

71.12

First Class

Post Graduation :
Professional Qualification :
Others :

LANGUAGES KNOWN
LANGUAGE :

READ

WRITE

SPEAK

HINDI

YES

YES

YES

ENGLISH

YES

YES

YES

NO

NO

NO

PHOTO

SIGN