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450134
RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-22/18
Type of Disability : -
Sub-Type of Disability for 'd' & 'e' : -
Sub-Type of Disability : -
Sub-Type of Multiple Disabilities : -
Are you suffering from cerebral palsy and your writing speed is : -
affected ?
If Yes, Do you need compensatory time at the time of examination? : -
PAN No. : -
Nationality : Indian
State Code: : 43
State Code: : 43
Personal Details
Date of Birth : 19-07-1999
Pincode : 244242
Permanent address
Address 1 : Haryana DHAKKA
Hasanpur
District : Amroha
Contact Details
Mobile No : +91 9389018464
Email ID : rohitsagar091@gmail.com
Exam Passed Degree/ Subject / Name of Institution Place of Institution / Date of % of Marks Class / Grade
Stream / College College Passing
Other Details :
State Code : : -
Centre for Pre-Exam Training (If : -
conducted through physical classes OR
by way of Online tools) :
Languages Known Read Write Speak
Declaration:
I hereby declare that all the 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 untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.
I will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any violation may result in
cancellation of my candidature.
I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof
Date:
10-10-2021 Signature of Applicant