Application Form

Application Number : 93011594223 Application Filled : 07/03/2012 9.19 PM

Token Number : 1201047010101329 Reference Application : 93011594223

1. Exam Details
1.1 Examination : RAS AND RTS COMB COMP EXAM 2012
1.2 Post : RAS AND RTS
1.3 District Head Quarter for : ALWAR
1.4 Medium of Examination : Hindi
1.5 Optional Subjects : GEOGRAPHYHINDI LITERATURE,GEOGRAPHY

2. Applicant's Details
2.1 Applicant's Full Name : PRADEEP KUMAR MEENA
2.2 Applicant's Father Full Name : MAHESH CHAND MEENA
2.3 Date Of Birth (dd/mm/yyyy) : 14/07/1986
2.4 Gender : MALE
2.5 Marital Status : Unmarried
2.6 Category : ST
2.7 Home State (Bonafide : RAJASTHAN
2.8 Home District : ALWAR

Photo & Signature

Of Candidate
3. Other Special Categories
3.1 Category for Disabled :
3.2 Specific Category for :
3.3 Other Category :

4. Correspondence Details
4.1 Address : 11, Sanjay colony, Motidungri road, in front of Rajiv Gandhi park,
Tehsil : ALWAR,City/Village : ALWAR - 301001
Dist : ALWAR, State : RAJASTHAN

4.2 Email : pradeepkumarmeena86@gmail.com

4.3 Phone :
4.4 Mobile : 8058611429

5. Qualification
Year Division/Grade
5.1 Secondary : 2002 Second
5.2 Sr. Secondary : 2004 Second
5.3 Graduation : 2007 second Passed
5.4 Post Graduation :
6. Additional Qualifications/Specifications
6.1 Other :
6.2 Examination passed : B.Ed. or equivalent
6.3 Internship Period : From : To :
6.4 Experience : Year : Months : Days :
7. Identification
7.1 Body Mark : half ring finger in left hand

8. Disclaimer
I hereby declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my information
being found false or incorrect or the ineligibility being detected before or after the Screening Test/Interview, action can be taken against me by the Commission. I
have read the provisions of the relevant rules and the Advertisement carefully and I hereby undertake to abide by them. I further declare that I fulfill all the conditions
of eligibility regarding age limits, educational qualification and required experience etc. prescribed for admission to the Screening Test/Interview. Also I accept SMS
facility provided by the Commission.

Rajasthan Public Service Commission

Ghooghara Ghati, Jaipur Road, Ajmer Nodal Officer: Mr. G.S.Tilwani, Asstt. Sect. (0145-5151218)
Phone : +91+145+ 5151200, 5151240 & 5151090