6/5/2015 UPSC ­ Candidate's Application Details (Registration­Id: 11525363008)

Application details of Registration­Id: 11525363008 for Civil Services (Preliminary) Examination ­
2015

PART ­ I

Name: AMBALWAD GAJANAN DATTATRAY
Gender: Male
Date of Birth: 04­06­1991
Father's Name: AMBALWAD DATTATRAY GANPATRAO
Mother's Name: AMBALWAD INDUMATI DATTATRAY
Nationality: Indian
Marital Status: Unmarried
Physically Challenged: No
Community: OBC
Do you belong to Creamy Layer: Yes
Do you belong to Minority: No
Fee Remission Claimed: No
SANKALP 4 B AND C COLONY
OPPOSITE GOVERNMENT REST HOUSE
SNEH NAGAR NANDED
Address:
NANDED
Maharashtra ­ 430602
Mobile No. :8149971173
e­mail: gajananambalwad@gmail.com
Alternative e­mail: gajuambalwad@gmail.com
Age Relaxation Claimed: No
Already passed the degree or equivalent
Educational Qualification:
Examination.
Degree Subject in Graduation: Degree in Engineering
For which examination you like to be considered Civil Services
Your percentage at the Graduation level : 65%
Have you appeared at CSP 2011 : No
No of Attempts Already Made in Civil Services: 0
Specific Details for Civil Services (Main) Examination( NO CHANGES ALLOWED in Specific Details
for CS(M) ) :
Centre for CSM Examination Mumbai
Optional Subject for Paper VI & VII PUBLIC ADMINISTRATION
Language Medium for Examination for Paper I to Paper
ENGLISH
VII
Do you hail from Arunachal
Pradesh/Manipur/Meghalaya/Mizoram/Nagaland/Sikkim
No
and are claiming exemption from appearing in INDIAN
LANGUAGE FOR PAPER A
Language for Paper A MARATHI

PART ­ II
[Fee Payment Details, Examination Center, Photograph & Signature of Registration­Id: 11525363008]

Fee Payment Details (Subject to verification)
Registration­Id: 11525363008
Transaction­Id: 115060583080584 Examination Center

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6/5/2015 UPSC ­ Candidate's Application Details (Registration­Id: 11525363008)
Transaction Date: 05­06­2015
Fee Paid (in Rs): 100 Mumbai
Agency Name: State Bank of India
Mode of Payment: Credit/Debit Card
Specimen signature

Photograph

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