իᱫ֒ᮧֈ֧֘֔֫շ֧֚֗֞ը֑֫չᮧ֑֞չ֒֞վ

(UTTAR PRADESH PUBLIC SERVICE COMMISSION, PRAYAGRAJ)

᭄֟֗֞֌֊֚ե᭎֑֞A-9/E-1/2013)
(Combined Junior Engineer (General/Special Recruitment) Examination- 2013)

bᮧ֐֞օ֠շ֒օᮧ֌ᮢ(ATTESTATION FORM)
Registration No: 90220263358 Roll Number 006138
ռ֧ֆ֞֗֊֠ದ
1bթ֚ᮧ֌ᮢ֐ᱶշ֫ժտ֢ւ֢֚֠ռ֊֞ֈ֧֊֑֞֞ᳰշ֚֠ֆ᭝֑֌֢օᭅ֢֚ռ֊֞շ֫֟ս֌֞֊֞է֊֛ᭅֆ֞(Disqualification ) ֚֐տ֠վ֑֧֞չ֠ն֒թ֧֚֚
ի᭥֐֠ֈ֚֗֞֒֘֞շᳱ֑֧֚֗֞շ֧֟֔ձէ֊֡֌֑֡Ღէ֊֛ᭅ֚֐տ֞վ֚֞շֆ֛֞֨_
֑ᳰֈի᭥֐֠ֈ֗֞֒թ֚ᮧ֌ᮢշ֫֏֒֊֧ֆև֞ᮧ᭭ֆ֡ֆշ֒֊֧շ֧֎֞ֈ֟֊ᱨ᭐ֈ(Detained) , ֈ֚֫֙֟᭟ֈ(Convicted) , ᮧ֟ֆ֗֞ᳯ֒ֆ Debarred)
ըᳰֈᳰշ֑֞վ֑֞ֆ֫ի֚շ֧᳞֧֫֒իᱫ֒ᮧֈ֧֘֔֫շ֧֚֗֞ը֑֫չᮧ֑֞չ֒֞վշ֢֚֫֟ռֆᳰշ֑֧վ֞֊֧ռ֛֞֟ձ_ղ֚֞֊շ֒֊֧֌֑֛֚֒֐տ֞վ֞ձչ֞
ᳰշֆ᭝֑֌֢օᭅ֢֚ռ֊֞֟ս֌֞ժչ֑֛֠֨_

է᭤֑ևᱮշ֞֌֢֒֞֊֞֐ի֌֊֞֐ᲂշ֧֚֞և֑ᳰֈշ֫ժ֛֫ PRITESH KR RAI

֟֌ֆ֞շ֞֌֢֒֞֊֞֐ի֌֊֞֐ᲂշ֧֚֞և֑ᳰֈշ֫ժ֛֫ PARMATMA RAI
ֆև֞᭪֑֑֚֗֞շ֞֊֞֐֑ᳰֈշ֫ժ֛֫ UPPER DIVISION CLERK
֐֞ֆ֞շ֞֌֢֒֞֊֞֐ի֌֊֞֐ᲂշ֧֚֞ևb֑ᳰֈշ֫ժ֛֫ USHA RAI

֟֊᳜֟֔֟ոֆշᳱ᳦֑֒֞֠ֆ֞
֟֌ֆ֞Citizen of India ֐֞ֆ֞Citizen of India
֌֟ֆ֌᭜֊֠bb
֟֊᭥֊֟֔֟ոֆշ֞վ᭠֐᭭և֞֊
֌֟ֆb֌᭜֊֠
᭭և֑֞֠֟֊֚֗֞շ֞֌֢֒֞֌ֆ֞ էև֞ᭅֆչ֩֗և֞֊֞ֆև֞֟վ֚֔֞փշ֐֞չᭅ֑֞չ֔֠֐շ֞֊֊֛֚֟ֆ
PRITESH KR RAI,M-398 SECTOR-23,SANJAY NAGAR,GHAZIABAD,UTTAR PRADESH,201002
֑ᳰֈ֐֢֔ֆզ֌֞ᳰշ᭭ֆ֞֊շ֞֟֊֛֚֗֞֠֫ֆ֫ի֚ֈ֧֘֐ᱶ֌ֆ֞ֆև֞֏֞֒ֆ֐ᱶᮧᮯվ֊(Migration) շ֒֊֧շᳱֆ֞֒֠ո

֗ֆᭅ֐֞֊շ֞֌֢֒֞֌ֆ֞
PRITESH KR RAI,M-398 SECTOR-23,SANJAY NAGAR,GHAZIABAD,UTTAR PRADESH,201002
֟֌ս֧֔֌֞եռ֗֙ᲃbշ֧֌ֆᱶ
NA
ը֑֡ֆև֞վ᭠֐շᳱֆ֞֒֠ո ֑ᳰֈի᭥֐֠ֈ֗֞֒֐֨ᳯᮝ᭍֑֢֧֔֘֊֛֫ֆ֫ի֚շᳱ֐֨ᳯᮝ᭍֑֢֧֔֘֊շ֧֚֐֑շᳱը֑֡
15-04-1991

֘֨֟ᭃշէ֛ᭅֆ֑֞ᱶ֟վ֚֐ᱶի᭥֐֠ֈ֗֞֒շ֫15֗֙ᭅշᳱը֑֧֚֡֟֘ᭃ֞ᮧ֞᭡ֆշ֒֊֧շ֧᭭և֞֊ն֚֒֞և֐ᱶ᭭շ֢֔ᲂֆև֞
շ֧֞֔վᲂ֐ᱶ᭪֑ֆ֠ֆᳰշ֑֧չ֑֧֗֙ᭅᳰֈ֑֧վ֑֧֞
᭭շ֢֔շ֧֞֔վշ֞֊֞֐֌֢֧֒֌ֆ֧շ֧֚֞և ᮧ֧֗֘շ֞֗֙ᭅ սַ֫֊֧շ֞֗֙ᭅ ֌֒֠ᭃ֞վ֫֌֚֞շᳱ֛֫

KENDRIYA VIDYALAYA KAMLA NEHRU 2006 2007 ֛֞ժ᭭շ֢֛֑֧֚֔֞֒շ֧᭛ᮟ֠

NAGAR GHAZIABAD UP
S.N.B.P. JR. COLLEGE, MAHARASHTRA 2007 2009 թ᭛ց֒֐֠֟փձց
HOUSING BOARD , YERWADA PUNE
PRINCE INSTITUTE OF INNOVATIVE 2009 2011 ֟փ᭡֔֫֐֞
TECHNOLOGY GREATER NOIDA
NOIDA INSTITUTE OF ENGINEERING 2011 2014 ᳩ֞ֆշ
AND TECHNOLOGY, GREATER NOIDA

\ߙȸ€ȯ¡èȡ¢š

Reg No: 90220263358 Roll Number: 006138 Print Date:-10/12/2019 11:12 AM Page No :- 1
 իᱫ֒ᮧֈ֧֘֔֫շ֧֚֗֞ը֑֫չᮧ֑֞չ֒֞վ
(UTTAR PRADESH PUBLIC SERVICE COMMISSION, PRAYAGRAJ)
᭄֟֗֞֌֊֚ե᭎֑֞A-9/E-1/2013)
(Combined Junior Engineer (General/Special Recruitment) Examination- 2013)

bᮧ֐֞օ֠շ֒օᮧ֌ᮢ(ATTESTATION FORM)

շ֑֞֞ᭅ֑֑֔֞֍֐ᭅշ֧֑ᳰֈշ֫ժ֛֫֌֢օᭅ֟֗֗֒օֆև֞֌ֆ֧վ֛֩ի᭥֐֠ֈ֗֞֒֊֧֌֛֧֔շ֞֐ᳰշ֑֛֑֞֫֞վ֛֥֞b֛֗թ֚
֚֐֑շ֞֐շ֛֛֒֒֞֫b
֌ֈշ֞֊֞֐֟վ֚֌֒շ֞֐ᳰշ֑֛֑֞֫֞ է֗֟։֧֚ է֗֟։ շ֑֞֞ᭅ֑֔֍֐ᭅ֑֚֞ե᭭և֞շ֞֌֢֒֞ ֟֌ս֔֠֊֬շ֒֠
շ֛֛֒֒֞֫էև֗֞շ֑֞ᭅշ֞֟֗֗֒օ ֆշ ֌ֆ֞ ս֫փ֊֧շ֧֌֢֧֒
շ֞֒օ
LECTURER 21/08/2014 23/07/2 PRINCE INSTITUTE OF LOOKING
015 TECHNOLOGY GREATER FOR BETTER
NOIDA CAREER
PROSPECTS

թ֔֞շ֧շ֧ղ֧֚ֈ֫֟վ᭥֐֧ֈ֞֒᭪֑֟Ღ֑ᲂշ֧֊֞֐֑֞ղ֧֚᭪֑֟Ღ֑ᲂշ֛֞֗֞֔֞վ֫ի᭥֐֠ֈ֗֞֒շ֫վ֞֊ֆ֧֛ᲂ

1) GAURAV KUMAR SINGH 2) RAJIV RANJAN SINGH

F 59 DELTA 1GREATER NOIDA, GAUTAM B 65 MU 1GREATER NOIDA, GAUTAM BUDDHA
BUDDHA NAGAR UTTAR PRADESH 201310 NAGAR UTTAR PRADESH 201310
9559699690 7053693130
gauravcool.singh@gmail.com rrsingh0811@gmail.com

(I) ᭍֑֞ը֌շ֏֠ᳰշ֚֠᭠֑֑֑֞֞֔᳇֞֒֞ᳰշ֚֠է֌֒֞։շ֧֑֧֟֔֟չ֒᭢ֆ֞֒է֟֏֑֫֟վֆ(Prosecuted ), ֟֊ᱨ᭐ֈ(Detained) , էև֗֞

ը֎᳍b Bound ) , էևᭅֈե֟փֆ(Fined ), ֈ֫֙ದ֚֟᳍ᳰշ֑֧չ֑֧"֊֛ᱭ
NA
(II)ᳰշ֚֠֔֫շ֧֚֗֞ը֑֫չ᳇֞֒֞֌֒֠ᭃ֞ռ֑֊ᲂ֐ᱶ֚֟᭥֐֟֔ֆ֛֫֊֧շ֧֑֧֟֔ᮧ֟ֆ֗֞ᳯ֒ֆէ֊֛ᭅᳰշ֑֧չ֑֧֑֞ᳰշ֚֠է᭠֑֟֘ᭃ֞ᮧ֞֟։շ֚֞֒֠ե᭭և֞
᳇֞֒֞շ֫ժ֌֒֠ᭃ֞ֈ֧֊֧շ֧֟֔ձᮧ֟ֆ֗֞ᳯ֒ֆ֑֞֎֛᭬֟շ֣ֆ(Rusticate) ᳰշ֑֧չ֑֧"֊֛ᱭ
(III) ᭍֑֞թ֚ᮧ֐֞օ֠շ֒օᮧ֌ᮢշ֫֏֒ֆ֧֚֐֑ը֌շ֧֟ո֔֞֍᭠֑֑֑֑֑֞֞֔֟֗᭫֗֟֗᳒֞֔֞ᳰշ֚֠է᭠֑֟֘ᭃ֞bᮧ֞֟։շ֚֞֒֠ե᭭և֞շ֧
֚֐ᭃշ֫ժ֗֞ֈ֟֗ռ֞֒։֠֊֛֨"֊֛ᱭ
NA

֑ᳰֈ(I) ֑֞(II) ֑֞(III) շ֞վ֗֞֎֛֞դ֛֨ֆ֫֗֞ֈ֟չ֒᭢ֆ֞֒֠֟֊֒֫։էևᭅֈ᭛փֈ֫֙ದ֚֟᳍ֈ᭛փ֞ֈ֧֘ըᳰֈշ֞֌֢֒֞֟֗֗֒օֆև֞թ֚ᮧ֌ᮢ

շ֫֏֒ֆ֧֚֐֑᭠֑֑֑֑֞֞֔֟֗᭫֗֟֗᳒֞֔֟֘ᭃ֞bᮧ֞֟։շ֞֒֠ըᳰֈշ֧֚֐ᭃ֟֗ռ֞֒֞։֠֊֗֞ֈշ֞ᮧշ֞֒ᳰֈ֑֞վ֑֞
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է᭤֑ևᱮ᳇֞֒֞պ֫֙օ֞զ

֐ᱹթ֚֎֞ֆշᳱպ֫֙օ֞շ֒ֆ֞շ֒ֆ֛֥֢֠ᳰշթ֚ը֧֗ֈ֊֌ᮢ֐ᱶվ֫֗օᭅ֊֛֛֨֗֐֧֧֚֒ե᭄֞֊ձ֗ե֚֟֗᭫֗֞շ֧է֊֚֚֡֞֒᭜֑֗֌֢օᭅ
֛֨ն֑֒ᳰֈի֚֐ᱶէ֚᭜֑֟֗֗֒օ֌֑֞֞վ֑֞ֆ֫֐ᱹէ֌֞ᮢւ֛֒֞ᳰֈ֑֞ֈ֠վ֞լ֥ն֑֒ᳰֈռ֑֟֊ֆ֛֫չ֑֛֞֫չժ֛֥֢ֆ֧֧֚֚֫֗֞
֛ց֞ᳰֈ֑֞ֈ֠վ֞լ֥_

\ߙȸ€ȯ¡èȡ¢š

Reg No: 90220263358 Roll Number: 006138 Print Date:-10/12/2019 11:12 AM Page No :- 2
 ᳰֈ֊֞եշ _____________________
᭭և֞֊ է᭤֑ևᱮշ֛֞᭭ֆ֞ᭃ֒
֌֢֒֞֊֞֐ PRITESH KR RAI
֌֢֒֞֌ֆ֞ PRITESH KR RAI,M-398 SECTOR-
23,SANJAY
NAGAR,GHAZIABAD,UTTAR
PRADESH,201002

Reg No: 90220263358 Roll Number: 006138 Print Date:-10/12/2019 11:12 AM Page No :- 3