ON-LINE APPLICATION FOR Recruitment of Probationary Officers

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Registration #:

3343876

Full Name:

DALVIR SINGH

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VH and OH both hands affected by cerebral palsy) : Category Code : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Ex-Serviceman : No of chances appeared in past : Centre of Examination Centre code : Application Fee / Postal Charges Details : Deposit Journal No : SBI Branch Name : SBI Branch Code : Deposit Date : Amount :

GENERAL NO --NO 10 NO NO -NO New Delhi 73

009691582 GREATER NOIDA 04324 02-06-2011 500

Personal Details :
Date of Birth : Age as on on 01.05.2011. : Gender : Husband's Name / Father's Name : Mother's Name : Address for Correspondence : District State : Pin : Permanent Address : District State : Pin : 22-07-1988 22 MALE Mr. DINESH SINGH Mrs. RADHA DEVI VILL. & POST- UDHAR MATHURA UTTAR PRADESH 281204 VILL. & POST- UDHAR MATHURA UTTAR PRADESH 281204

Contact Details:
Phone No : Mobile No: Email ID : Educational and Professional Qualification(as on 01.05.2011): 12th Std : Diploma course after 10th : YES -7827001909 dsdalvirsingh56@gmail.com

Exams Passed
12th / Diploma : Graduation : Post Graduation : Other Details :

Subject/Stream
SCIENCE BSC MBA

Year of Passing
2005 2008 2011

% of Marks
63.40 57.48 65.00

Whether desirous of taking Pre-Exam Training (SC/ ST/Religious Minority Community) : If Yes Centre for Training :

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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 untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment & Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.

Place: Date: 05-06-2011 Signature of Applicant

DALVIR SINGH
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