STAFF SELECTION COMMISSION

BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI

110003

COMBINED GRADUATE LEVEL EXAMINATION, 2021

REGISTRATION NO: 94000305782

APPLICATION IS PROVISIONALLY ACCEPTED

1. NAME AS PER 2. NEW/ CHANGED 3. FATHER'S NAME 4. MOTHER'S NAME

MATRICULATION CERTIFICATE NAME

RAVDEEP KAUR - RANJIT SINGH GURJEET KAUR

6. AGE AS ON
5. DATE OF BIRTH (DD/MM/YYYY) 7. GENDER 8. CATEGORY
01/01/2022
01/07/1996 24.6 FEMALE OBC
9. WHETHER PERSON WITH DISABILITY (PWD) ? 9.1 IF YES, TYPE OF DISABILITY (OH, HH,VH, OTHERS)
NO -

10. NATIONALITY 11. MARK OF VISIBLE IDENTIFICATION

CITIZEN OF INDIA BIRTHMARK ON FOREHEAD

13. MATRICULATION (10th 14. MATRICULATION (10th

12. MATRICULATION (10th CLASS) EXAMINATION BOARD
CLASS) ROLL NO CLASS) YEAR OF PASSING

CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) 2192671 2011

15. PREFERENCE OF EXAMINATION CENTERS

EXAMINATION CENTER EXAMINATION CENTER EXAMINATION CENTER
(FIRST PRFERENCE ) (SECOND PREFERENCE ) (THIRD PREFERENCE )
AMRITSAR ( 1404 ) JALANDHAR ( 1402 ) LUDHIANA ( 1405 )
16.2. DATE OF JOINING THE ARMED FORCES 16.3. DATE OF DISCHARGE/ LIKELY
16.1. WHETHER YOU ARE AN EX-
(DD/MM/YYYY) DATE OF DISCHARGE FROM ARMED
SERVICEMAN (ESM) OR SERVING
FORCES (DD/MM/ YYYY)
IN THE ARMED FORCES?

NO #Error -
16.5. HAVE YOU ALREADY JOINED A CIVIL
16.4. LENGTH OF SERVICE IN THE 16.5. DATE OF JOINING TO CIVIL POST
POST BY AVAILING BENEFIT OF
ARMED FORCES (DD/MM/YYYY)
RESERVATION FOR EX-SERVICEMAN (ESM) ?
- - #Error
17. 1. WHETHER SUFFERING FROM CEREBRAL-PALSY ?
-