Printed On 06-10-2016 12:32 PM

Application Form (Last Updated On: 26/09/2016 12:43 PM )

100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
Application Number : 100180104431608 Payment Mode : E-Mitra Application Filled Date : 10/10/2013 7:37 PM
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Token / Transaction : 1315036610072852 Reference Application : 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
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1. Exam Details
1.1 Examination Name : JR ACCOUNTANT AND TRA COMP EXAM 2013
1.2 Examination Post : JR ACCOUNTANT AND TEHSIL REVENUE ACCOUNTANT
1.3 District Head Quarter for Exam : JODHPUR
1.4 General Subjects (PRE) : PAPER-1 (G.K.) | PAPER-II

1.5 Optional Subjects (PRE) :

1.6 General Subjects (MAINS) :
1.7 Optional Subjects (MAINS) :
1.8 Number Of Attempts :1
1.9 Medium Of Exam :
1.10 Aadhar Number : 593954375163
2. Department Preferences
2.1 Department Preference : 1 - JR ACCOUNTANT (TREASURY AND ACCOUNT) , 2 - TEHSIL REVENUE ACCOUNTANT (REVENUE BOARD)

3. Applicant's Details
3.1 Applicant's Full Name : DEEPAK DEWANI
3.2 Applicant's Father Full Name : DAYAL DAS DEWANI
3.3 Applicant's Mother Full Name : JANKI DEVI
3.4 Date Of Birth (dd/mm/yyyy) : 15/03/1989
3.5 Gender : MALE
3.6 Marital Status : Unmarried
3.7 Category : General
3.7.1 TSP Category (If Any) :

Photo & Signature

3.8 Home State (Bonafide Resident) : RAJASTHAN Of Candidate
3.9 Home District : JODHPUR

4. Other Special Categories

4.1 Category for Disabled Candidates :
4.2 Specific Category for Female :
4.3 Other Category(if Govt Employee) :

4.4 Department Name(if Govt Employee) :

5. Correspondence Details
5.1 Address : 5 SA 21 4TH PULIYA
CHOPASNI HOUSING BOARD
JODHPUR,
NANDAN VAN,Tehsil : JODHPUR,City/Village : JODHPUR - 342008
Dist : JODHPUR, State : RAJASTHAN

5.2 Email : deepakdewani15@gmail.com

5.3 Phone : 02912754622
5.4 Mobile : 8952986330
6. Qualification
Year Division/Grade
6.1 Secondary : 2005 Second
6.2 Sr. Secondary : 2007 Second
6.3 Graduation : 2011 Second Passed
6.4 Post Graduation : 2013 Second Passed
7. Additional Qualifications/Specifications
7.1 Other Specification/Qualification : PGDCA,RSC-IT
7.2 Examination passed :
7.3 Internship Period : From : To :
7.4 Experience : Days : Months : Year :
8. Identification
8.1 Body Mark : cross mark on left chik

4461705 Candidate Signature

Rajasthan Public Service Commission

Nodal Officer: Mr. Akhilesh Mittal, System Analyst (Joint Director)
Ghooghara Ghati, Jaipur Road, Ajmer
Help Line : 0145-5151212
Phone : +91+145+ 5151200 Page 1 of 2
Printed On 06-10-2016 12:32 PM

Application Form (Last Updated On: 26/09/2016 12:43 PM )

: 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
Application Number Payment Mode : E-Mitra Application Filled Date : 10/10/2013 7:37 PM
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
Token / Transaction : 1315036610072852 Reference Application : 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608 100180104431608
100180104431608 100180104431608 100180104431608 100180104431608

9. Self-attested document(s) may be asked by commission as and when required along with signed this application form.

Certificates Tick Appropriate

1. Age Proof

2. Qualification Proofs

3. If Applicant in Final year of any Qualification Exam- Attached Admission receipt/Fee-receipt copy

4. Caste Certificate if applicable

5. TSP / Saharia Tribe Area Certificate if applicable

6. Physically Handicap Certificate(Blind/Low vision/Visually Handicapped/Hearing impairment/Loco-motive/C.P. Disorder etc) if applicable

7. Widow/Divorcee Concerned Certificate if applicable

8. Ex. Serviceman certificate if applicable

9.Departmental Candidate certificate if applicable

10.Ministerial Employee/Non-Gazetted Employee certificate if applicable

11. Govt. service / Panchaytee Raj / Public Sector Employee certificate if applicable

12.Outstanding Sportsman certificate(s) if applicable

13.NCC Cadet certificate(s)if applicable

14. Other Specification/Qualification certificate(s) if applicable

15. Experience as per advertisement if applicable

16. Internship certificate(s) if applicable

10. Disclaimer

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Candidate Signature

Rajasthan Public Service Commission

Nodal Officer: Mr. Akhilesh Mittal, System Analyst (Joint Director)
Ghooghara Ghati, Jaipur Road, Ajmer
Help Line : 0145-5151212
Phone : +91+145+ 5151200 Page 2 of 2