Application of Job: PC [10PLUS 2 BTECH] - 07/2018

Application No: PCT187M005110 Application Date: 29/11/2017

PRIORITY

1. PC [10PLUS 2 BTECH] 07/2018

PERSONAL PARTICULARS

Name: PRATEEK KULHARI

Father's/Mother's Name: MAHENDRA KULHARI
Guardian's Name: MAHENDRA KULHARI
BLACK MOLE ON RIGHT
Identification Mark 1:
HAND PALM
Identification Mark 2: ---------
Nationality: INDIAN
Aadhaar/Enrolment No.: 608387859756
Central/State Govt. Issued 608387859756
Photo ID:
Date of Birth: 26/03/1999

EDUCATION PARTICULARS

Details of 12th Qualification

Percentage based on 79.00%

Subjects Total Marks Obtained Marks
PCM marks:
Physics 100 65

Chemistry 100 79

Maths 100 93

12th English Marks 100 65

10th English Marks 100 76

Appeared for JEE YES Year: 2017 Rank: 173793

Ranking?:
Serial no. of
0327016
Marksheet:
Rajasthan
State Conducted Board Conducted Board of
RAJASTHAN
Exam: Exam: Secondary
Education

Details of 10th Qualification

 Central
Board of
State Conducted Board Conducted Serial no. of
RAJASTHAN Secondary 0053361
Exam: Exam: Marksheet:
Education
(CBSE)

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: NO

Have you attended any Services Selection Board (SSB)
NO
before?:
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: V.PO.- BINJUSAR Address 2: VIA- BARAGAON

State: RAJASTHAN District: JHUNJHUNU Pincode: 333021
Phone No.: 01592272431 Mobile No.: 8114494461
Email id: prateekkulhari.com@gmail.com Alternate Email id: ---------

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.