Application Form Application Number Token / Transaction Number 1. Exam Details 1.1 Examination 1.2 Post 1.

3 District Head Quarter for 1.4 General Subjects (PRE) 1.5 Optional Subjects (PRE) 1.6 General Subjects (MAINS) 1.7 Optional Subjects (MAINS) 1.8 Number Of Attempts 2. Department Preferences 2.1 Department Preference 3. Applicant's Details : 3.1 Applicant's Full Name 3.2 Applicant's Father Full Name : 3.3 Applicant's Mother Maiden Name : 3.4 Date Of Birth (dd/mm/yyyy) : 3.5 Gender : 3.6 Marital Status : : 3.7 Category : 3.8 Home State (Bonafide 3.9 Home District : KAILASH CHANDRA DEVA RAM MALI SUKHI DEVI 05/06/1983 MALE Unmarried BC (Non Creamy Layer) RAJASTHAN PALI Photo & Signature Of Candidate 4. Other Special Categories 4.1 Category for Disabled 4.2 Specific Category for Female 4.3 Other Category 5. Correspondence Details 5.1 Address : CHOUDHARIYO KA BAS, KHIMEL,Tehsil : BALI,City/Village : KHIMEL - 306115 Dist : PALI, State : RAJASTHAN : tdrathore@gmail.com : : 8003287317
Year Division/Grade

: 100120101988836 : 1320043510039201 : : : : : RAS COMB COMP PRE EXAM 2013 RAJ STATE AND SUBORDINATE SERVICES PALI General Knowledge and General Science

Application Filled Date Reference Application

: 15/07/2013 3:34 PM : 100120101988836

: General Studies I | General Studies II | General Studies III | General Hindi and General English : : 1 :
1 - Raj. Rural Development Service (State Service) , 2 - Raj. Tehsildar Service , 3 - Raj. Food and Civil Supply Subordinate Service , 4 - Raj. Employement Subordinate Service , 5 - Raj. Social Justice and Empowerment Service (social security officer) , 6 - Raj. Food and Civil Supply Service (State Service) , 7 - Raj. Employement Office Service (State Service) , 8 - Raj.Administration Service (State Service)

: Locomotor/ C.P. Disorder : :

5.2 Email 5.3 Phone 5.4 Mobile 6. Qualification

6.1 Secondary : 2002 6.2 Sr. Secondary : 2004 6.3 Graduation : 2007 6.4 Post Graduation : 7. Additional Qualifications/Specifications 7.1 Other 7.2 Examination passed 7.3 Internship Period 7.4 Experience 8. Identification 8.1 Body Mark 9. Disclaimer :

Third Second Second

Passed

: B.Ed. or equivalent : From : To : Months : : Year : : BLACK MARK ON LEFT ELBOW

Days :

I hereby declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my information being found false or incorrect or the ineligibility being detected before or after the Screening Test/Interview, action can be taken against me by the Commission. I have read the provisions of the relevant rules and the Advertisement carefully and I hereby undertake to abide by them. I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualification and required experience etc. prescribed for admission to the Screening Test/Interview. Also I accept SMS facility provided by the Commission.

Rajasthan Public Service Commission Ghooghara Ghati, Jaipur Road, Ajmer Phone : +91+145+ 5151200, 5151240 & 5151090

Nodal Officer: Mr. Akhilesh Mittal, System Analyst (Joint Director) Help Line : 0145-5151212

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