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APPLICATION IS INCOMPLETE
GUPTESHWAR NATH
HARI SHANKAR CHAUDHARY - PHOOL KUMARI DEVI
CHAUDHARY
6. AGE AS ON
5. DATE OF BIRTH (DD/MM/YYYY) 7. GENDER 8. CATEGORY
01/01/2020
26/05/1995 24.7 MALE OBC
9. WHETHER PERSON WITH DISABILITY (PWD) ? 9.1 IF YES, TYPE OF DISABILITY (OH, HH,VH, OTHERS)
NO -
BE (13) YES
ADDRESS DETAIL
26. CORRESPONDENCE ADDRESS 27. PERMANENT ADDRESS
NH-3-A-79 NH-3-A-79
VINDHYANAGAR VINDHYANAGAR
DISTRICT: SINGRAULI DISTRICT:SINGRAULI
STATE: MADHYA PRADESH STATE: MADHYA PRADESH
PIN : 486885 PIN : 486885
MOBILE NO: 7693816394 EMAIL: hary7693@gmail.com
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 - -
DECLARATION
1. I HAVE READ THE NOTICE OF EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS
MENTIONED THEREIN.
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: 19/11/2019 5:23:40 PM