Application details of Registration-Id: 11903285657 for Engineering Services (Preliminary /

Stage I) Examination - 2019

प�ज�करण स��� 11903285657 क� इ� ज��नयर� स�व� (प्र�र� �भक / �� ज I) पर�क्ष� - 2019 क� �लए आव�दन �ववरण

PART - I / ��ग - I

Name / न�म : AKSHAY PATHANIA

Gender / �ल�ग : Male
Date of Birth / जन्म �त�थ : 15-06-1997
Father's Name / �पत� क� न�म : PARVEEN SINGH
Mother's Name / म�त� क� न�म : MEENA KUMARI
Nationality / न�ग�रकत� : Indian
Marital Status / �����हक ��थ�त : Unmarried
Candidates of Persons with
Benchmark Disability / ��चम�क� No
�����ग ��य��य�� ��ण� क� उ����र��
Community / सम���य : ST
Community certificate date /
21-10-2018
सम���य प्रम�ण पत्र क� त�र�ख :
Do you belong to Minority / ��
No
आप अल्पस�ख्यक ह� :
Fee Remission Claimed / ��ल्क म�फ
Yes
:
Village gasota
Post office bohni
Address / पत� : Teh. And distt. Hamirpur
Hamirpur
Himachal Pradesh - 177001
Phone No. / क्ष�त्र क�ड क� स�थ फ�न न�.: ' 9805819438
Mobile No. / म���इल न� : 9805819438
e-mail / ई-म�ल : akshaypathania1998@gmail.com
Age Relaxation Claimed / आय�
No
स�म� म� ��ट क� ���� :
Educational Qualification / ���क्षक
Appeared or appearing at the requisite qualifiying Examination
य�ग्यत� :
Aadhaar Card - XXXXXXXX6182
Note: Please remember to provide/carry the above
Photo Identity Card / फ�ट� पहच�न
mention photo identity card for future reference
पत्र :
and carry the same to the Personality Test/SSB/
examination venue.
Selected Branch / चय�नत ���च Mechanical Engineering

Centre for Engineering Services

(Main / Stage II) Examination /
Shimla
इ� ज��नय�र� ग स��� (म�ख्य / �� ज II) पर�क्ष�
क� �लए क�द्र :
 PART - II / ��ग - II
[Photograph, Signature & Examination Centre of Registration-Id: 11903285657]
[प�ज�करण स�ख्य� :11903285657 क� फ�ट���फ , ह��क्षर और पर�क्ष� क�द्र]

Examination Centre
पर�क्ष� क�द्र

Shimla

Photograph / फ�����फ Signature / ह��क्षर

Declaration
1. I hereby declare that all statements made in this application are true, complete and correct to the
best of my knowledge and belief. In the event of any information being found false or incorrect, or
ineligibility being detected before or after the examination, action can be taken against me by the
Commission as per the provision given in the notification.
म� एत��र� ����त करत� �� �क इस आव�दन म� म�र� ��र� �दए गए सभ� कथन म�र� ज�नक�र� और �व��स क� अन�स�र सह� ह� । य�द क�ई
स�चन� गलत अथव� असत्य प�ई ज�त� ह� अथव� पर�क्ष� स� पहल� अथव� इसक� ��द अप�त्रत� स�मन� आन� पर आय�ग ��र� अ�धस�चन� म�
�दए गए प्र�वध�न क� अ�तग�त म�र� �वरुद्ध क�र� व�ई क� ज� सकत� ह� ।

2. I have read the provisions in the rules and the notice of the Commission carefully and hereby
undertake to abide by them. I further declare that I fulfil all the conditions of eligibility regarding age
limits, educational qualifications etc. prescribed for admission to the examination.
म�न� �नयम�� और आय�ग क� न���स म� �दए गए प्र�वध�न�� क� ध्य�नप�व�क पढ़ �लय� ह� और एत��र� इनक� अन�प�लन क� वचन द� त� �� । म�
यह भ� ����त करत� �� �क म�, पर�क्ष� म� प्रव�श ह� त� �नध�� �रत आय� स�म�, श��क्षक य�ग्ययत� आ�द क� स���ध म� प�त्रत� क� सभ� शत� क�
प�र� करत� �� ।

3. I have informed my Head of Office/Department in writing that I am applying for this examination.*
* Applicable for those who are already in government service/similar organizations or government
owned industrial undertakings whether in permanent or temporary capacity or as work charged
employees other than casual or daily rated employees or those serving under public enterprises.
म�न� अपन� क�य�� लय/ �वभ�ग क� अध्यक्ष क� �ल��त म� स��चत कर �दय� ह� �क म� इस पर�क्ष� क� �लए आव�दन कर रह� �� । *
* उन उ��दव�र�� क� म�मल� म� ल�ग�, ज� पहल� स� ह� सरक�र� स�व�/सम�न स�गठन अथव� सरक�र� ���म�� व�ल� औद्य��गक उपक्रम�� म�
�थ�य� अथव� अ�थ�य� रूप स� अथव� अ�नय�मत अथव� द� �नक भ�� पर क�य�रत कम�च��रय�� क� ��ण� स� इतर क�य� आध��रत भ�� पर
क�य�रत कम�च�र� ह� अथव� स�व�ज�नक क्ष�त्र�� क� उद्यम�� म� क�य�रत कम� ह� ।