STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 10005640967

BASIC DETAILS
1a. AADHAAR NUMBER 396011648992
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME CHINTALAPUDI VENKATA SIVA SAI KARTHIK
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME CHINTALAPUDI VENKATA RAJASEKHAR
4a. MOTHER'S NAME CHINTALAPUDI VENKATA KUSUMA KUMARI
5a. DATE OF BIRTH (DD/MM/YYYY) 14/08/2001
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF SECONDARY EDUCATION ANDHRA
PRADESH
(ii). ROLL NUMBER 1738102484
(iii). YEAR OF PASSING 2017
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 7093023715
10. EMAIL ID chvsivasaikarthikssk@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS A MOLE ON THE RIGHT HAND THUMB

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

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS DR18 14 1 KUMMARIVEEDHI STREET KGH
DOWN OPP VIJETHA HOSPITAL
15b. STATE/ UT ANDHRA PRADESH

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15c. DISTRICT VISAKHAPATNAM
15d. PIN CODE 530002
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS DR18 14 1 KUMMARIVEEDHI STREET KGH

DOWN OPP VIJETHA HOSPITAL
17b. STATE/ UT ANDHRA PRADESH

17c. DISTRICT VISAKHAPATNAM

17d. PIN CODE 530002
18. CONTACT DETAILS FOR OTHER NATIONALS -

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 18/04/2022 11:20:46 AM

DRAFT PRINT TAKEN ON 18/04/2022 11:20:46 AM