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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 40001397082


BASIC DETAILS
1a. AADHAAR NUMBER 387477500079
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME VIKASH
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME DALEEP KUMAR
4a. MOTHER'S NAME MANFUL
5a. DATE OF BIRTH (DD/MM/YYYY) 30/08/1997
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD CENTRAL BOARD OF SECONDARY
EDUCATION (CBSE)
(ii). ROLL NUMBER 2108360
(iii). YEAR OF PASSING 2014
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 8800672019
10. EMAIL ID vk133006@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY UNRESERVED

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS NONE

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


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS H NO 4565 FIRST FLOOR SECTOR-3
BALLABGARH FARIDABAD
15b. STATE/ UT HARYANA

DRAFT PRINT TAKEN ON 06/01/2020 1:44:45 PM


15c. DISTRICT FARIDABAD
15d. PIN CODE 121004
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS H NO 4565 FIRST FLOOR SECTOR-3


BALLABGARH FARIDABAD
17b. STATE/ UT HARYANA

17c. DISTRICT FARIDABAD


17d. PIN CODE 121004
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

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 06/01/2020 1:44:52 PM


DRAFT PRINT TAKEN ON 06/01/2020 1:44:52 PM

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