8/28/2014

Application Preview

28-Aug-2014 08:32:57 AM

APPLICATION FORM
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Token Number

: 1401003701464948

Reference Application ID

1. Exam Details /

1.1. Examination Name

: LECTURER COMPUTER ENGINEERING TECH EDU 2014

1.2. Examination Post

: LECTURER COMPUTER ENGINEERING

1.3. District Head Quarter for Exam

: AJMER

1.4. General Subject List (PRE)

: [1] COMPUTER ENGINEERING

1.5. Aadhar Number

2. Applicants Details/

Photograph

2.1.

Applicant's Full Name

: Dilip Agarwal

2.2.

Applicant's Father Full Name

: Laxmi Narayan Agarwal

2.3.

Applicant's Mother Full Name

: Bina Agarwal

2.4.

Gender

: Male

2.5.

Marital Status

: Married

2.6.

Widow/Divorcee

2.7.

Category

: General/OBC( Creamy Layer )

2.8.

Date Of Birth (dd/mm/yyyy)

: 06/02/1984

2.9.

Home State (Bonafide Resident )

: Rajasthan

2.10. Home District

: BHILWARA

3. Other Special Categories/

3.1.

Blind/Low Vision/Visually
Handicapped[BL/LV/VH]

No

3.2. Hearing Impairment[HI]

: No

3.3. Loco-motive/ C.P. Disabled[LD]

: No

4. Correspondence Details/
4.1. Address

: c/o R.R SALES CORPORATION NEAR HEAD POST OFFICE L.N.T ROAD BHILWARA ,RAJASTHAN ,BHILWARA
,BHILWARA ,Bhilwara ,BHILWARA -311001

4.2. Phone

: 9887783233

4.3. Mobile

: 9887783233

4.4. E-mail

: dilipagarwal2006@gmail.com

5. Qualification /

5.1.
5.2.

Secondary
Sr. Secondary

:
:

Year
2001
2004

Division/Grade
First
First

5.3.
5.4.

Graduation
Post Graduation

:
:

2008
2014

First
First

https://rpsconline.rajasthan.gov.in/previewApplication

Passed
Passed

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8/28/2014
5.4.

Application Preview
Post Graduation

2014

First

Passed

6. Additional Qualifications/Specifications / /
6.1.

Other Specification/Qualification

7. Identification /
7.1. Body Mark

: cut mark on right hand

8. Disclaimer /
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.
Signature Of Applicant
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Rajasthan Public Service Commission

Ghooghara Ghati, Jaipur Road, Ajmer
Phone : +91-145-5151200, 5151240 & 5151090

https://rpsconline.rajasthan.gov.in/previewApplication

Nodal Officer: Akhilesh Mittal, System Analyst (Joint Director)

Help Line Number : 0145-5151212
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