Professional Documents
Culture Documents
Category : OBC
Type of Disability : -
Are you a Person with Visual Impairement ? : -
Are you a Person with Hearing Impairement ? : -
Nature of Disability : -
Are you suffering from cerebral palsy and your writing speed is : -
affected ?
If Yes, Do you need compensatory time at the time of : -
examination?
Whether your dominant (Writing) hand is affected ? : -
Select the Office you are appliying for : Kanpur & Lucknow
State / UT from which the candidate intends to apply for : Uttar Pradesh
Preliminary Examination
Centre of Preliminary Examination : Agra
State / UT from which the candidate intends to apply for Main : Uttar Pradesh
Examination
Centre of Main Examination : Agra
Are you proficient in the language (i.e. know to read, write, speak : YES
and understand the language) of the state/ any of the state/s
falling under the recruiting office ?
Language : Hindi
Amount : 450.00
Reference ID : WHD40955860264
Transaction Date : 05-03-2022
Personal Details
Date of Birth : 10-02-1997
Spouse's Name : -
Address for Correspondence
Address 1 : H.N. 56 DURGA NAGAR
Address 3 : DAYALBAGH
District : AGRA
State : UTTAR PRADESH
Pincode : 282005
Permanent address
Address 1 : H.N. 56 DURGA NAGAR
Address 2 : NAGLA PADI GALI NO. 7
Address 3 : DAYALBAGH
District : AGRA
Contact Details
Mobile No : +91 7060869170
Alternative Number : -
(Mobile No/Landline No)
Email ID : jyotikushwah199725@gmail.com
Educational Qualification (as on 01.02.2022)
Exam Passed Degree/ Subject / Date of % of Marks Name of University / Class / Grade
Stream Passing Institute
Other Details :
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.