HIMACHAL PRADESH PUBLIC SERVICE COMMISSION

HP Subordinate Allied Services Examination - 2019

Application No : 1374232

1. Applicant's Name : Kalpna Devi

2. Father's Name : Bhailiya Ram

3. Date of Birth : 13/08/1997

4. Category: General - (01)

5. Sex : Female 6. State to which belongs: Himachal Pradesh

7. Phone No. : 7876014851 8. Mobile No. : 7807454197

9. Correspondance Address :
Vill Rait , PO Rait, Tehsil Shahpur, , Kangra, Himachal Pradesh, Pin:176208

10. Permanent Address :

Vill Shalli, PO Aura, Tehsil Bharmour, , Chamba, Himachal Pradesh,
Pin:176324

11. H.P.Govt.Servant : No 12. Age Relaxation : No

13. Exam/Test Station Kangra
14. Academic Qualification :
S.No Qualifaction Board/ University Subjects % of Year
Marks
1 Matric HPBOSE English, Hindi, Mathematics, Science, 66.42 2013
Social Science
2 Plus 2/Equivalent HPBOSE English, History, Political Science, 71.2 2015
Hindi, Computer science
3 Graduation or equivalent HPU Political Science, Geography, 69 2018
Sociology
4
5
14(a). Matric from HP : Yes 14(b). PlusTwo from HP : Yes
15. Examination/Test Fee Details :
i. Registration ID 118312191163551 ii. Transaction ID : 29934768
iii. Branch Code : WL0001180 iv. Fee : 400
v. Date of Deposit : 14/01/2020

DECLARATION
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct to the best of
my knowledge and belief. I undertake that in the event of any information being found false or incorrect at any stage, my
candidature is liable to be cancelled and if appointed, appointment itself shall be liable to be cancelled. I also solemnly declare that
I do not suffer from any of the disqualifications shown in the advertisement for the post and I am eligible in all respects according
to eligibility criteria prescribed.

Appl. Date :14/01/2020 Signature of the Applicant