1/25/24, 3:17 PM Applicant Print

JHARKHAND STAFF SELECTION COMMISSION

JHARKHAND GENERAL GRADUATE LEVEL COMBINED COMPETITIVE
EXAMINATION– 2023
(JGGLCCE-2023)

APPLICATION FORM

Registration No. : 230301276654

Have you applied for CGSSCE-2015 or JGGLCCE-

: Yes
2019 / JGGLCCE-2021

CGSSCE-2015 or JGGLCCE-2019 / JGGLCCE-2021

: 50285494
Registration No.

Are you an Indian Citizen? : Yes

Applicant Name : PUMMY KUMARI

Date of Birth (DD-MM-YYYY) : 16-05-1995

Father's Name : DEO PUJAN GUPTA

Mother's Name : RENU DEVI

Gender : Female

Marital Status : MARRIED

Husband Name : SHASHI KUMAR SAW

Are you a local resident of Jharkhand? : Yes

District of local residence : DHANBAD

Reservation Category : UR

Are you an Ex-serviceman - Army/Air Force/Navy? : No

Do you claim reservation under Sports Quota? : No

Physically handicapped(PH)?
(For PH candidates, disability percentage should be 40 or above : No
only will be considerable)

Aadhaar Card No. : 557286156460

Visible Identification Mark 1 : A CUT MARK OF FACE

Visible Identification Mark 2 : A MOLE ON LEFT ARM

Vacancy Type : Regular

Option for Language paper-II : HINDI

Communication Details

Correspondence Address
Address Line 1 : ATWAL NO 6
Address Line 2 : NEAR SAMUDAYAK BHAWAN
Address Line 3 : PO-KUSUNDA
Address Line 4 : PS-KENDUADIH
City/Village : KENDUADIH
District : DHANBAD
State : JHARKHAND
Pincode : 828116

https://jsscjgglcce23.onlinereg.in/yukthareg23/ApplicationPrint.aspx?regno=DYXdTcKb7KLN7awUmhJSwCEZSq4vy+Hnb9NHApY/OzQ=#no-ba… 1/2
1/25/24, 3:17 PM Applicant Print

Permanent Address
Address Line 1 : ATWAL NO 6
Address Line 2 : NEAR SAMUDAYAK BHAWAN
Address Line 3 : PO-KUSUNDA
Address Line 4 : PS-KENDUADIH
City/Village : KENDUADIH
District : DHANBAD
State : JHARKHAND
Pincode : 828116

Mobile No : 8709612423

E-Mail ID : shashi8226888003@gmail.com

Post Preference Details

Preference - 1 Preference - 2 Preference - 3 Preference - 4

Assistant Section Officer Block Supply Officer Junior Secretariat Assistant Labour enforcement officer

Preference - 5 Preference - 6 Preference - 7

Block Welfare Officer Circle Inspector cum Kanungo Planning Assistant

Educational Details

Name of the % of
Year of
Name of Examination School/College/Institution Board/University Marks Subject
Passing
(Mention State also) Obtained

D P L M A HIGH SCHOOL N
Matriculation/10th J A C RANCHI 2010 63.8 --
AWAGARH,JHARKHAND

ENGLIS
H PHYS
D A V MAHILA COLLEGE KA ICS CH
Intermediate/10+2/Equivalent TRAS KATRASGARH DHAN J A C RANCHI 2012 56.2 EMIST
BAD,JHARKHAND RY ECO
NOMIC
S

BACHE
LOR OF
SCIENC
F SANDA COLLEGE FATEHP MAGADH UNIVE
Graduation 2016 58 E MAT
UR,BIHAR RSITY
HEMAT
ICS HO
NOURS

Declaration :
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements
of the post, my candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank
receipt in support of payment of his/her examination fee for future communication in this regard.

Place:KENDUADIH IP :103.76.209.13

Application Print Date:25-01-2024

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