Candidate Personal Details

Candidate Photo
Application Status Application Numbe
PaymentSuccess r
VP231026882
Post Applied for:
Pharmacist Grade-II
CANDIDATE First N CANDIDATE Last Na Father Name
ame me GHANSHYAM
ASHWANI KUMAR
Mother Name
SHAKUNTALA
Date of Birth Age as on 31-Jan-20 Mobile Number:
15/Mar/1999 23 8318340191
2 Year 3Mont 1 Day
4s hs 7s

Email Address:
ak7043129@gmail.co
m
Gender: Marital Status Domicile State
Male Unmarried UTTAR PRADESH
Applied Category Sub Category Nationality
SC None Indian
Are you Regular U.
P. Govt Employee ?
No

Correspondence Address

Address Line 1 Address Line 2 Address Line 3

VILL- UBAARPUR LAK VILL-UBAARPUR LAK VILL-UBAARPUR LAK
HMIPUR POST- UBAA HMIPUR POST-UBAA HMIPUR POST-UBAA
RPUR THANA - GAM RPUR THANA - GAM RPUR THANA GAMB
BHIRPUR DIST- AZA BHIRPUR DIST-AZAM HIRPUR DIST-AZAMG
MGARH GARH ARH
Country State City/District
India Uttar Pradesh Azamgarh
Pincode/Postal Cod Is Permanent Addr
e ess Same as Corres
276202 pondence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Address Line 3

VILL- UBAARPUR LAK VILL-UBAARPUR LAK VILL-UBAARPUR LAK
HMIPUR POST- UBAA HMIPUR POST-UBAA HMIPUR POST-UBAA
RPUR THANA - GAM RPUR THANA - GAM RPUR THANA GAMB
BHIRPUR DIST- AZA BHIRPUR DIST-AZAM HIRPUR DIST-AZAMG
MGARH GARH ARH
Country State City/District
India Uttar Pradesh Azamgarh
Pincode/Postal Cod
e
276202

10th or Equivalent Examination

Name of the Board/ Year of Passing Result Type

School 2015 Percentage
Board of high school Marks Obtained Total Marks
and intermediate ed 459 600
ucation UP Allahaba
d Percentage of Mark
s
76.50

Registration Number Details

Pharmacist Registe
ration number und
er the Pharmacy Ac
t, 1948
137395

Details of Diploma

NAME OF INSTITUTI Name of Course Year of Passing

ON/UNIVERSITY Diploma in Pharmac 2020
SK Mishra College of y
Marks Obtained
Pharmacy Balpur Kh 726
araila Post Saraipaltu
Dist Azamgarh Total Marks Percentage of Mark
1050 s
69.14

Test City Choice

Preffered Exam Cit Preffered Exam Cit Preffered Exam Cit

y1 y2 y3
Varanasi Prayagraj Lucknow

Payment Details

Amount Payment Mode Payment Status

708 online Payment Success
Payment Transacti
on No.
CPADHCJVT4

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To view your copy of scanned High School Certificate: Click here.

To view your copy of scanned Intermediate Certificate: Click here.

To view your copy of scanned Diploma Certificate: Click her

To view your copy of scanned Caste Certificate: Click here.

To view your copy of scanned Domicile Certificate: Click here.

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Certificate:

Declaration

I solemnly affirm that the information furnished above is true and correc
t. I have not concealed any information. I realize that if any information fu
rnished herein is found to be incorrect or untrue, I shall be liable to civil /
criminal prosecution and also forgo my claim to the candidature in the In
stitute. Further, that my candidature for Examination / selection and adm
ission to the course is liable to be cancelled. I agree to abide by the Rules
and Regulations governing this Examination and as contained in the Pros
pectus.