A pplcaton Pr ew i i evi

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18- ar 2012 08: 11 PM M 58:

APPLI ATI N FO R M C O
Your A pplcaton i notsubm it yetPl i i s t ed , ease clck on Subm i but on t subm i your applcat on i t t o t i i "Pr ntPr ew " , i evi | ] [ \ Token N um ber R ef erence A pplcaton I i i D ("A pplcaton I " ) i i D , |

"Subm i" t

: 1211007110009207 :

1. Exam Details /
1. Exam i i 1. nat on 1. Post 2. 1. Exam i i C ent e 3. nat on r 1. M edi of Exam i i 4. um naton

: R AS AN D R TS C O M B C O M P EXAM 2012 : R AS AN D R TS : BAR AN : Hi ndi

1. O ptonalSubj (Prelm s / 5. i ect i Screeni Test : I D I H I ng ) N AN STO R Y 1. O ptonalSubj s (M ai W r t en Test 6. i ect ns/ it ) : PO LI C AL SC I C E AN D I TER N ATI N AL R ELATI N S ,H I TI EN N O O STO R Y

2. Applicants Details/
Phot ograph

2. A pplcants Ful N am e 1. i ' l 2. A pplcants Fat 2. i ' her Ful N am e l 2. G ender 3. 2. M arialSt us 4. t at 2. C at 5. egory 2. D at O fB i h ( m / yyyy) 6. e rt m dd/ 2. H om e St e ( onafde R esi 7. at B i dent) 2. H om e D i ri 8. st ct

: LU N A R AM : SH YO D AN R AM : M al e : M ar i red : BC : 07/ 1981 05/ : R AJASTH AN : N AG AU R

3. Other Special Categories/

3. B lnd/ 1. i Low Vi on si 3. H ear ng I pai m ent 2. i m r 3. Locom ot C . D i 3. or/ P. sabl ed 3. O t 4. her C at egor y : No : No : No

: G ovt ser ce /Panchayt R aj/Publc Sect Em pl . vi ee i or oyee

4. Correspondence Details/ ]
A ddr ess : 215/ EAST M I LAN D /D SC LI E KH AM AR I JABALPU R , AD H YA 3 D N A M PR AD ESH , JABALPU R , JABALPU R , JABALPU R , AM AR I KH A 482005 : : 9425829295 :r akeshpt10@ gm ai. r lcom

4. 1.

4. Phone 2. 4. M obie 3. l 4. E- ai 4. m l

5. Qualification /

Year D i si G rade vi on/ 1 1 2 2 Passed Passed

5. 1. Secondary . y 5. 2. Sr Secondar i 5. 3. G raduaton aduaton i 5. 4. PostG r

: : : :

1997 1999 2003 2005

6. Additional Qualifications/Specifications /

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A pplcaton Pr ew i i evi

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6. 1. O t her Specii i Q ualfcaton fcaton/ ii i 6. 2. Ext Exam passed ra 6. 3. I er nt nshi Per od ( D - M p i D M YYYY) 6. 4. Exper ence i

: : : Fr om D at : To D at : e e : Year : 6 M ont : 8 h D ay : 12

7. Identification /
7. B ody M ar 1. k : W H I PATC H O N LEFT LEG TE

8. Disclaimer /
I her eby decl e t al i or aton m ade i t s applcaton ar t ue, com pl e and cor ect t t best of m y know l ar hat l nf m i n hi i i e r et r o he edge and belef I t event of m y i or aton bei f i . n he nf m i ng ound f se or i al ncor ect or t i i biiy bei det ed bef e or afer t r he nelgi lt ng ect or t he Scr eeni TestI er ew , acton can be t ng /nt vi i aken agai m e by t C om m i on.I have r nst he ssi ead t pr si he ovi ons oft r evantr es he el ul and t Adveri he tsem ent car uly and I her ef l eby underake t abi by t t o de hem . I f t urher decl e t ar hat I f fl al t condii ulil l he tons of elgi lt r i biiy egar ng age lm is,educatonalqualfcaton and r di i t i ii i equied experence et pr r i c. escrbed f adm i on t t Scr i or ssi o he eeni ng TestI er ew .Al IacceptSM S f lt pr ded by t C om m i on. /nt vi so aciiy ovi he ssi Si gnat e O fA pplcant ur i Your A pplcaton i notsubm it yet Pl i i s t ed , ease clck on Subm i but on t subm i your applcaton i t t o t i i ] "Pr ntPr ew " , i evi [ | \ ("A pplcaton I " ) i i D , |

"Subm i" t

R aj han Publc Ser ce C om m i on ast i vi ssi G hooghar G hat,Jai R oad,Aj er a i pur m Phone :+911455151200,5151240 & 5151090

N odalO fi :Akhiesh M it , fcer l tal Syst Anal ( ntD iect ) em yst Joi r or H el Li N um ber:0145p ne 5151212 Sie LastU pdat on :04- 2012 t ed 01Sie devel t oped by :SiverTouch Technol es Lt I pl ent by :R aj O M P l ogi d. m em ed C

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