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    Staff Selection Commission: Registration Number 10000704307

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    avatar sudarsan
    This document contains registration details for Avatar Sudarsan for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, education qualifications, contact details including address and mobile number. It also specifies his category as unreserved, nationality as Indian citizen, and identification mark as a cut mark on his left forehead. The document is a draft registration and he needs to complete the final submission within 14 days.

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    Staff Selection Commission: Registration Number 10000704307

    Uploaded by

    avatar sudarsan
    21 views3 pages
    This document contains registration details for Avatar Sudarsan for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, education qualifications, contact details including address and mobile number. It also specifies his category as unreserved, nationality as Indian citizen, and identification mark as a cut mark on his left forehead. The document is a draft registration and he needs to complete the final submission within 14 days.

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    Draft print

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    This document contains registration details for Avatar Sudarsan for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, education qualifications, contact details including address and mobile number. It also specifies his category as unreserved, nationality as Indian citizen, and identification mark as a cut mark on his left forehead. The document is a draft registration and he needs to complete the final submission within 14 days.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    21 views3 pages

    Staff Selection Commission: Registration Number 10000704307

    Uploaded by

    avatar sudarsan
    This document contains registration details for Avatar Sudarsan for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, education qualifications, contact details including address and mobile number. It also specifies his category as unreserved, nationality as Indian citizen, and identification mark as a cut mark on his left forehead. The document is a draft registration and he needs to complete the final submission within 14 days.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 3

    STAFF SELECTION COMMISSION

    REGISTRATION NUMBER : 10000704307


    BASIC DETAILS
    1a. AADHAAR NUMBER 212291780969
    1b. TYPE OF ID -
    1c. ID NUMBER
    2a. NAME AVATAR SUDARSAN
    2c. HAVE YOU EVER CHANGED NAME? NO
    2d. NEW NAME -
    3a. FATHER'S NAME PABITRA KUMAR
    4a. MOTHER'S NAME BANTI BARUAH
    5a. DATE OF BIRTH (DD/MM/YYYY) 28/07/1994
    6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
    (i). EDUCATION BOARD BOARD OF SECONDARY EDUCATION ASSAM
    (ii). ROLL NUMBER B106090013
    (iii). YEAR OF PASSING 2010
    7a. GENDER MALE
    8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
    9. MOBILE NUMBER 8638685329
    10. EMAIL ID avatarsudarsan@rediffmail.com

    ADDITIONAL DETAILS

    11a. CATEGORY UNRESERVED

    12. NATIONALITY CITIZEN OF INDIA

    13. IDENTIFICATION MARKS CUT MARK ON LEFT SIDE OF FOREHEAD

    14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO


    MORE)?

    14b. TYPE OF DISABILITY -

    14c. DISABILITY CERTIFICATE NUMBER -

    CONTACT DETAILS
    15a. PERMANENT ADDRESS CO PABITRA KUMAR GB ROAD PANIGAON
    HOUSE NO 30 WARD NO 23
    PO NAGAON
    15b. STATE/ UT ASSAM

    DRAFT PRINT TAKEN ON 11/09/2019 12:43:10 PM


    15c. DISTRICT NAGAON
    15d. PIN CODE 782003
    16. IS PERMANENT ADDRESS SAME AS PRESENT YES
    ADDRESS?

    17a. PRESENT ADDRESS CO PABITRA KUMAR GB ROAD PANIGAON


    HOUSE NO 30 WARD NO 23
    PO NAGAON
    17b. STATE/ UT ASSAM

    17c. DISTRICT NAGAON


    17d. PIN CODE 782003
    18. CONTACT DETAILS FOR OTHER NATIONALS -
    PHOTO AND SIGNATURE

    19. UPLOADED PHOTO

    20. UPLOADED SIGNATURE

    NOTE
    THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
    NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
    NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

    DRAFT PRINT TAKEN ON 11/09/2019 12:43:11 PM


    DRAFT PRINT TAKEN ON 11/09/2019 12:43:11 PM

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