STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 50001554922

BASIC DETAILS
1a. AADHAAR NUMBER 774814504129
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME ROHAN KASHINATH KADAM
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME KASHINATH SOMAJI KADAM
4a. MOTHER'S NAME KALPANA KASHINATH KADAM
5a. DATE OF BIRTH (DD/MM/YYYY) 27/05/1999
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
(ii). ROLL NUMBER M279947
(iii). YEAR OF PASSING 2017
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 9757302024
10. EMAIL ID rohan.kadam27599@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY SC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS NA

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS ROOM NO 20 PLOT NO 554 SHALAKA CHS
NEAR OXFORD SCHOOL SECTOR 5 CHARKOP
KANDIVALI WEST

DRAFT PRINT TAKEN ON 11/01/2020 12:12:53 PM

15b. STATE/ UT MAHARASHTRA
15c. DISTRICT MUMBAI SUBURBAN
15d. PIN CODE 400067
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS ROOM NO 20 PLOT NO 554 SHALAKA CHS

NEAR OXFORD SCHOOL SECTOR 5 CHARKOP
KANDIVALI WEST
17b. STATE/ UT MAHARASHTRA

17c. DISTRICT MUMBAI SUBURBAN

17d. PIN CODE 400067
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 11/01/2020 12:12:54 PM

DRAFT PRINT TAKEN ON 11/01/2020 12:12:54 PM