HIMACHAL PRADESH PUBLIC SERVICE COMMISSION

Lecturer Mechanical Engineering (Polytechnic) - 2015

Roll No. : 134105 Application No : 405803

1. Applicant's Name : Suresh kumar

2. Father's Name : Budhi Singh

3. Date of Birth : 27/11/1989

4. Category: General - (01)

5. Sex : Male 6. State to which belongs: Himachal Pradesh

7. Phone No. : 01902222231 8. Mobile No. : 9459657082

9. Correspondance Address :
Vill. Jamand , P.O. Palach , Teh. Banjar , , Kullu , HP, Pin:175123

10. Permanent Address :

Vill. Jamand , P.O. Palach , Teh. Banjar , , Kullu , HP, Pin:175123

11. H.P.Govt.Servant : No 12. Age Relaxation : No

13. Exam/Test Station Shimla
14. Academic Qualification :
S.No Qualifaction Board/ University Subjects % of Year
Marks
1 Matric HPBOSE Eng Math Hindi Sci S ST 62.7 2008
2 Plus 2/Equivalent HPBOSE Eng Phy Chem Math 69.7 2010
3 B.E./B.Tech (Mechanical) PTU TOM SOM Thermo dynamics 78 2014
4
5
15. Examination/Test Fee Details :
i. Registration ID 11341015520663 ii. Transaction ID : M127208
iii. Branch Code : 337800 iv. Fee : 400
v. Date of Deposit : 21/10/2015

DECLARATION
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct to the best of
my knowledge and belief. I undertake that in the event of any information being found false or incorrect at any stage, my
candidature is liable to be cancelled and if appointed, appointment itself shall be liable to be cancelled. I also solemnly declare that
I do not suffer from any of the disqualifications shown in the advertisement for the post and I am eligible in all respects according
to eligibility criteria prescribed.

Appl. Date :20/10/2015 Signature of the Applicant