Staff Selection Commission: Registration Number 40000759529

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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 40000759529


BASIC DETAILS
1a. AADHAAR NUMBER 729693322809
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME AJAY CHAUHAN
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME BANSHI LAL CHAUHAN
4a. MOTHER'S NAME RITA DEVI
5a. DATE OF BIRTH (DD/MM/YYYY) 12/12/1996
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD CENTRAL BOARD OF SECONDARY
EDUCATION (CBSE)
(ii). ROLL NUMBER 2233968
(iii). YEAR OF PASSING 2012
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION DIPLOMA
9. MOBILE NUMBER 8278753360
10. EMAIL ID ajchauhan17btl@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY SC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS BLACK MOLE ON RIGHT SIDE OF NECK

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


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS VILL-NERCHOWK PO-BHANGROTU TEH-BALH
DISTT-MANDI HP
15b. STATE/ UT HIMACHAL PRADESH

DRAFT PRINT TAKEN ON 09/09/2019 6:57:12 PM


15c. DISTRICT MANDI
15d. PIN CODE 175021
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS VILL-NERCHOWK PO-BHANGROTU TEH-BALH


DISTT-MANDI HP
17b. STATE/ UT HIMACHAL PRADESH

17c. DISTRICT MANDI


17d. PIN CODE 175021
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 09/09/2019 6:57:12 PM


DRAFT PRINT TAKEN ON 09/09/2019 6:57:12 PM

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