UTTARAKHAND SUBORDINATE SERVICE

SELECTION COMMISSION

(GOVT. OF UTTARAKHAND)

िव ापन सं या [ितिथ] : 10/उ0अ0से0च0आ0/2017 [31-07-2017]

Candiate's personal details

Applied for the Post 102 - वन आर ी

Registration No. 1710102066567
Candidate's Name SACHIN SAJWAN
Father's Name MAHIPAL SINGH SAJWAN
Mother's Name KAUSHALYA DEVI
Date of Birth 23/06/1999
Category GEN
Sub-Category Not Applicable
Gender MALE
Nationality INDIAN  
Marital Status UNMARRIED  
Domicile of Uttarakhand YES  

Candiate's contact details

Mobile Number 8755217936  

Alternate Mobile Number 8192810421  
Email ID Sachinsajwan98@gmail.com  
Phone Number  
Correspondence Address VILLAGE-KHANANA POST OFFICE - MARORAGAAD  
District TEHRI GARHWAL  
State UTTARAKHAND  
Pin Number 249146  
Peramanent Address VILLAGE-KHANANA POST OFFICE - MARORAGAAD  
District TEHRI GARHWAL  
State UTTARAKHAND  
Pin Number 249146  
Candidate's Educational Qualifications Details
 Name of Name of Marks Max.
Year Percentage Remarks/Course
Examination Board/University Obt. Marks
BOARD OF SCHOOL
SCIENCE,MATH,
HIGH SCHOOL 2014 EDUCATION 370 500 74.00
ENGLISH
UTTARAKHAND
BOARD OF SCHOOL
CHEMISTRY ,
INTERMEDIATE 2016 EDUCATION 348 500 69.60
PHYSICS , MATH
UTTARAKHAND
Exam Centre 1st (Chossen by TEHRI GARHWAL
you)  
Exam Centre 2nd (Chossen CHAMOLI
by you)  
Physical Exam city (Choosen TEHRI GARHWAL
by you)  
Territorial Army (Min 2 years NO
of service)  
NCC (B Certificate) NO  
Are you laid off employee? NO  

Employement Office Details in Uttarakhand

Name of Employement DISTRICT EMPLOYMENT OFFICE TEHRI

Office  
Registration Number UA21120176387  
Date of Registration 31/08/2017  
Valid Upto 31/08/2020  

अ यथ ारा चुने गये िवभाग (वरीयता के म मे)

Candidate's Other Details

Place of Residence RURAL  

Place of 12th class TOWN
Schooling  
Type of Instution of Class GOVERNMENT
12th/Qualifying Examination  
Mode of Preparation SELF STUDY  
Father's Qualification OTHERS  
Father's Occupation AGRICULTURE  
Mother's Qualification MATRICULATE  
Mother's Occupation HOUSE WIFE  
Family Annual Income RS 100001 - 200000  
 DECLARATION - घोषणा
म एत ारा घोषणा करता ँ/करती ँ िक मने आयोग की वेबसाइट(www.sssc.uk.gov.in) पर कािशत इस िव त से स बंिधत सभी
िनदश व सूचनाय, िजसम शारीिरक द ता से स बंिधत िवधान भी स मिलत है ,पढ़ ली ह । आवेदन प म मेरे ारा जो सूचनाय/िववरण
अंिकत िकया गया है वह सभी स य व सही है । कोई भी त य छु पाया या गलत नह भरा गया है । म इस पद हेतु सभी शैि क व अ य अहत एं
रखता ँ/रखती ँ । म भलीभ ित जानता/जानती ँ िक इस आवेदन प म मेरे ारा दी गयी सूचना िकसी भी समय व िकसी भी तर पर
अस य एवं ामक पाई जाती है तो मेरा अ यथन िनर त कर िदया जायेगा साथ ही मुझे आयोग ारा संचािलत अ य परी ाओ ं से भी विं चत
िकया जा सकेगा अथवा आयोग अ य िविधक कायवाही कर सकेगा । आयोग का िनणय मुझे मा य होगा िजसके िलए म वयं उ रदायी र ँगा/
र ंगी । परी ा की ि या व परी ा के आिद के स ब ध म आयोग का िनणय अ तम एवं मुझे मा य होगा ।

I hereby declare that, I have read all the instructions and information, including physical examination provided in the
information brochure published in the official website www.sss.uk.gov.in of the Commission. All the information details
given by me in this application form are correct & true. I have not filled any incorrect or misleading information. I know that at
any stage or at any level, it is found that any information furnished by me is incorrect or false, my candidature shall be
cancelled and I may be debarred from other examination of the Commission or Commission can take other legal action
against me. I will accept any decision of the Commission in this regard & will be responsible for such decision. Decision of
the Commission regarding examination process & examination center shall be acceptable to me.

NOTE : िकसी भी पिर थित म आयोग का िनणय अंितम एवं मा य होगा ।