STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 50007677026

BASIC DETAILS
1a. AADHAAR NUMBER 728292871697
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME ANJALI
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME SHAILESH
4a. MOTHER'S NAME JYOTSANA
5a. DATE OF BIRTH (DD/MM/YYYY) 04/06/1999
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD MADHYA PRADESH BOARD OF SECONDARY
EDUCATION
(ii). ROLL NUMBER 165533130
(iii). YEAR OF PASSING 2016
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION MATRICULATION (10TH)
9. MOBILE NUMBER 7803835267
10. EMAIL ID anjalisenani128@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY ST

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE ON FACE

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

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS GRAM PICHHODIYA POST RATANPUR TEH
JHIRNIYA DIST KHARGONE
15b. STATE/ UT MADHYA PRADESH

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15c. DISTRICT KHARGONE (WEST NIMAR)
15d. PIN CODE 451332
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS GRAM PICHHODIYA POST RATANPUR TEH

JHIRNIYA DIST KHARGONE
17b. STATE/ UT MADHYA PRADESH

17c. DISTRICT KHARGONE (WEST NIMAR)

17d. PIN CODE 451332
18. CONTACT DETAILS FOR OTHER NATIONALS -

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 06/12/2023 9:12:26 PM

DRAFT PRINT TAKEN ON 06/12/2023 9:12:26 PM