Staff Selection Commission: Registration Number 30000915696

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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 30000915696


BASIC DETAILS
1a. AADHAAR NUMBER 506875700539
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME SRISHTI PATHAK
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME OM PRAKASH PATHAK
4a. MOTHER'S NAME SHILYU KUMARI PATHAK
5a. DATE OF BIRTH (DD/MM/YYYY) 05/01/1997
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF HIGH SCHOOL AND INTERMEDIATE
EDUCATION UTTAR PRADESH
(ii). ROLL NUMBER 1583345
(iii). YEAR OF PASSING 2012
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION POST GRADUATION
9. MOBILE NUMBER 7905840577
10. EMAIL ID thisissrishti911@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY UNRESERVED

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS NOTHING

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


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS LIG299 MAHARSHI DAYANAND VIHAR PHASE 2
KALYANPUR
15b. STATE/ UT UTTAR PRADESH

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15c. DISTRICT KANPUR NAGAR
15d. PIN CODE 208026
16. IS PERMANENT ADDRESS SAME AS PRESENT NO
ADDRESS?

17a. PRESENT ADDRESS 12A/5 MAHARANA PRATAP ROAD BLOCK 12A


KAROL BAGH NEW DELHI
17b. STATE/ UT DELHI

17c. DISTRICT NEW DELHI


17d. PIN CODE 110005
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 20/11/2019 8:20:02 PM


DRAFT PRINT TAKEN ON 20/11/2019 8:20:02 PM

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