Application Form

Application No : CME-102014

Post Applied for : LOWER DIVISION CLERK (C-1)

Candidate's Name : SHUBHAM SHARMA

Father's/ Husband's Name: SHASHI PAL
Mother's Name: KANTA DEVI
Gender : MALE
Date Of Birth : 26/03/2001
Category : UR
Department Candidate : NO
Ex-Serviceman : NO
Total service period : YEARS, MONTHS, DAYS
PH : NO
Nationality : INDIAN

Personal Details
Email ID :
Mobile Number : 8091741994 Aadhar Number : 812924148014
SHARMASHUBHAM72953@GMAIL.COM

Address Details Correspondence/Mailing Address Permanent Address

Flat\House S/O SHASHI PAL CHANAUHLI
S/O SHASHI PAL CHANAUHLI 339
no.\Building\Apartment : 339
Area\Colony\Street Name : MANDI MANDI
Landmark : MANDI MANDI
State Name : HIMACHAL PRADESH HIMACHAL PRADESH
District Name : MANDI MANDI
City/Town/Village : CHANAUHLI CHANAUHLI
Nearest Post Office : KHAHAN KHAHAN
PIN : 175049 175049

Candidate's Educational Information

Exam name Trade/Degree In Name of Board Year of Passing Percentage Division
10th HPBOSE 2016 69.00 I DIV

12th HPBOSE 2018 53.00 II DIV

Work Experience Details

exp_slno Name of Organization Duration From Duration To Total Expe
No Work Experience

Declaration
I accept the following declaration : YES
Certified that the informations furnished by me hereinabove are true to my personal knowledge. I know that if anything stated
hereinabove turns out to be false, then at its sole discretion, the High Court of Jharkhand may cancel my candidature at any
stage of the selection process and also I am aware of the fact that the admission fees once deposited shall not be refunded to me
in any circumstances. Further I know that if I obtain appointment based on any false / incorrect information, my appointment
shall be liable to immediate termination.I have not entered into or contracted a marriage with a person having a spouse living.I
having a spouse living,have not entered into or contracted marriage with any person.

Attached Documents
Aadhaar Document
10th Marksheet
10th Certificate
12th Marksheet
12th Certificate
Experience Document