Application of Job: PC [10PLUS 2 BTECH] - 01/2020

Application No: PCT201M017161 Application Date: 17/06/2019

PRIORITY

1. PC [10PLUS 2 BTECH] 01/2020

PERSONAL PARTICULARS

Name: ASHUTOSH SINGH

Father's/Mother's Name: MOHAN SINGH
Guardian's Name: MOHAN SINGH
Nationality: INDIAN
Identification Mark 1: ONE CUT RIGTH HAND
Identification Mark 2: ONE MOLE ONE CHIN
Pancard: ---------
Date of Birth: 11/12/2001

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 57

Physics 100 85

Chemistry 100 75

Maths 100 87

Physical Education 100 96

Total Marks: 500 Marksheet Serial Number: 1435485

Obtained Marks: 400 State Conduct: BIHAR
Percentage: 80.00 Board Conduct: Central Board of Secondary Education
(CBSE)

JEE Rank Detail

Year: 2019 All India Rank: 110801 Application Number: 190310674591

 Details of 10th

Total Marks: 500 Marksheet Serial Number: 1435485

Obtained Marks: 475 State Conduct: BIHAR
Percentage: 95.00 Board Conduct: Central Board of Secondary Education
(CBSE)

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: ---------

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

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: VILL - JAMAPUR,PO,ZIRADEI,PS,ZIRADEI Address 2: VILL - JAMAPUR,PO,ZIRADEI,PS,ZIRADEI

State: BIHAR District: SIWAN Pincode: 841245
Phone No.: 8935852520 Mobile No.: 8935852520
ASHU786BDS@GMAI
Email id: ashu786bds@gmail.com Alternate Email id:
L.COM

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 8935852520

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.