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महात्मा ज्योतिबा फु ले संशोधन व प्रशिक्षण संस्था


(महाज्योती)
(महाराष्ट्र शासनाच्या इतर मागास बहुजन कल्याण विभागाची स्वायत्त संस्था )

APPLICATION FORM FOR MPSC Group B TRAINING 2023-24

Application Form

Application No. MJ/MPSC_GROUP_B/2023/8020


Application Date 25-04-2023
Applied Course MPSC Group B Training 2023/24

Personal Information

Applicant's Full Name : Rohit Subhash Hiwarkar


Father's Name : Subhash Manohar Hiwarkar
Parent's Occupation : Labour
PWD Candidate : No
If YES then Percentage :
Are you an Orphen? : No
Date of Birth : 08-10-2000
Gender : Male
Aadhar No. : 969388129144
Nationality : Indian
Domicile : Chandrapur, Maharashtra
Social Category : OBC
Caste : कु णबी
Income Group : Non-Creamylayer
House No. : Hpsba4784a
Ward No/Name : Malviya ward Warora
Road : Voltas Sagar colony road
Present Address : Village City : Warora
Tehsil : Warora
Zilha : Chandrapur
Pincode : 442907
Permanent Address : Same as present address
Mobile No. : 9765234912
Alternate Mobile No.(Optional) : 9503368296
E-mail : rohithiwarkar32@gmail.com

Bank Details

Account No. : 60260493579


IFSC Code : MAHB0000792
Bank Name : Bank of Maharashtra
Branch Name : Anandwan

Qualification Information

Name & Place of School / Passing


Sr.No Exam Board/University % of Marks
College Year
Bharat Bhushan Malviya
01 10th Madhyamik Vidyalaya Warora
Maharashtra State Board 2013 84
Anand Niketan college
02 12th / Diploma Anandwan Warora
Maharashtra State Board 2015 69
Passed
Gondwana University
03 Degree Anand Niketan college
Gadchiroli
2018 71
Anandwan Warora
Warora
Full Address of College/Institute attended Warora
: Chandrapur
for Graduation
442907

Declaration: I hereby declare that, the above furnished information is true and correct to the best of my
knowledge.

Date : 25-04-2023

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