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APPLICATION IS INCOMPLETE
1. Candidate's Name (As per the 3. Father's Name (As per the 4. Mother's Name (As per the
2. New / Changed Name
Matriculation Certificate) Matriculation Certificate) Matriculation Certificate)
ADDRESS DETAIL
27. Postal Address 28. Permanent Address
MAKAN NO 19 WARD NO 01 MAKAN NO 19 WARD NO 01
VILL AND POST KETHLAY TEHSIL GULANA VILL AND POST KETHLAY TEHSIL GULANA
District: SHAJAPUR District: SHAJAPUR
State: MADHYA PRADESH State: MADHYA PRADESH
Pin Code: 465223 Pin Code: 465223
Mobile Number : 9630590989 Email: manmohansinghrajput789@gmail.com
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 - -
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF
THE NOTICE OF THE EXAMINATION.
2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF
ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING
DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 25/08/2019 5:22:00 PM