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3/17/2019

GOVERNMENT OF MAHARASHTRA
MAHAPARIKSHA MUMBAI , MAHARASHTRA
Maharashtra Information Technology Corporation Ltd. (MAHA IT), 514, 5th Floor, Mantralaya,
Hutatma Rajguru Chowk, Madam Cama Road, Mumbai - 400032
E-mail:enquiry@mahapariksha.gov.in

Personal Details
Posts/Services Applied for Attendant
Application Id AHD_AT_0166651
First Name AJAY
Middle Name GANGADHAR
Last Name BOCHARE
Mother's Name DWARKA
Father's Name GANGADHAR
Nationality INDIAN
No of Children 0
Declaration of small familyWhether liable to be disqualified for the Governmen
t Services according to the provisions of Maharashtra Civil Services (Declarati No
on of small family) Rules, 2005?
Gender MALE
Date of Birth May 8, 1995
Candidate's Name AJAY BOCHARE
Mobile Number 9881999802
Marital Status SINGLE
Name Change Status NOT CHANGED
Changed First Name NOT APPLICABLE
Changed Middle Name NOT APPLICABLE
Changed Last Name NOT APPLICABLE
Category of the Candidate GENERAL

Note:Candidate opting for reservation category have to provide original caste category certificate during document verification else your reservation benefits will be rejected.

Caste Certificate NOT APPLICABLE


Caste Validity Certificate NOT APPLICABLE
Caste Certificate Number NOT APPLICABLE
Place of Issue NOT APPLICABLE
Physical Disability NOT APPLICABLE

Note 1 : For "Livestock Supervisor" post, Physical Handicapped (PH) Reservation benefits will be provided to HH & OL candidates only.

Note 2 : For "Attendant" post, Physical Handicapped (PH) Reservation benefits will be provided to OA, OL, HH, B, LV candidates only.

Do you have a disability Certificate(Minimum 40%)?(SADAREM) NOT APPLICABLE


One Arm affected(OA) NOT APPLICABLE
One Leg affected(OL) NOT APPLICABLE
Blind NOT APPLICABLE
Low vision NOT APPLICABLE
Hearing Handicapped NOT APPLICABLE
Scribe/Assistant Needed NO
Aadhaar Number 799206268265
Are you Orphan as per Women and Child Development Department's Governm
NOT APPLICABLE
ent Resolution No.अमुजा- २०११/ . . २१२/ का- ३,िद. २एि ल२०१८ ?
Select your Highest Educational Qualification Graduation
Whether employee of 1991 census? NOT APPLICABLE
Whether employee of election alter 1994? NOT APPLICABLE
Are you a son/daughter/wife of a freedom fighter? NOT APPLICABLE
Enrollment Number NOT APPLICABLE
Project Affected or Dependent on Project Affected? NOT APPLICABLE
Earthquake Affected (Whether death of any family member or the house collap
NOT APPLICABLE
sed in the earthquake has been rebuilt by the government ?)

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3/17/2019
Are you Anshakalin (Part-time) Employee? (As per reference GR शासन िनणय क् NOT APPLICABLE
र. प अंक -१००९/ . . २०० /२००९/१६-अ ,िद . २७. १०. २००९)
Name of Office(for Anshkalin Employee): NOT APPLICABLE
Appointing Authority (for Anshkalin Employee): NOT APPLICABLE
Part Time Experience in Years NOT APPLICABLE
Part Time Experience in Months NOT APPLICABLE
Part Time Experience in Days NOT APPLICABLE
Do you have MSCIT certification or equivalent certification ? APPLICABLE
Marathi Language Proficiency(READ) APPLICABLE
Marathi Language Proficiency(WRITE) APPLICABLE
Marathi Language Proficiency(SPEAK) APPLICABLE
Are you son/daughter of a farmer who committed suicide? NOT APPLICABLE
Non-Creamy layer certificate NOT APPLICABLE
Retired Ex-Service man NOT APPLICABLE
Years of service (Ex-Servicemen) NOT APPLICABLE
Differently abled Ex-Serviceman NOT APPLICABLE
Are you government / semi-government employee? NOT APPLICABLE
Name of the Office/Department: NOT APPLICABLE
Joining date: NOT APPLICABLE
Sports Quota NOT APPLICABLE
Meritorious sportspersons Reservation: NOT APPLICABLE
Have you sent all sports certificate from director/deputy director, sport for veri
NO
fication?
Domicile of Maharashtra YES

The Department Region you want to apply for post of Attendant Aurangabad
I have read the advertisement and agree with the instruction, terms, condition
s and eligibility criteria mentioned in the advertisement required for the servic
YES
e/post which I am applying. I agree that I fulfill all the eligibility criteria require
d for this Service/post.
Address Details of the Candidate
Address Type Address
Both Permanent and Current Addr
KRANTI NAGAR GANGAKHED ROAD, PARBHANI PARBHANI,PARBHANI MAHARASHTRA 431401
ess
Educational Qualification Details
Educational Qua Name of the Qualified fro Name of the B Marks Obtain Marks Maxim
oard/University Passed on Percentage Percentile CGPA GRADE
lification course m ed um
Name
Dr. Babasaheb
MAHARASHT Ambedkar Mara
GRADUATE BA Apr 9, 2018 1420 2400 59.17 B
RA thwada Universi
ty, Aurangabad
Maharashtra St
ate Board of Se
HSC condary and Hi Feb 9, 2015 406 650 62.46 A
gher Secondary
Education
Maharashtra St
ate Board of Se
SSC condary and Hi Mar 9, 2011 300 500 60 A
gher Secondary
Education
Exam Center Details
Preferred Exam Center Location1 Preferred Exam Center Location2 Preferred Exam Center Location3
PARBHANI NANDED AURANGABAD
Payment Details
Transaction Type Transaction Id Transaction Status Transaction Date Total Fees
ONLINE MAHAIT_AHD_000000229406 SUCCESS 17/03/2019 03:38 PM 300
Before logging on to the registration portal
Sr.No Undertakings
1. I have read and understood the instruction booklet carefully before filling in the form.
2. I have scanned my photograph and signature ready on my desktop confirming to the specified standards mentioned in the information Brochure.
3. I have downloaded the Online information brochure and read it carefully before filling the form.
4. I have the details for payment (Credit Card / Debit Card / Internet Banking) available with me for making Online payment.
5. I agree that my application form will be treated as complete only if I finally submit the application along with the payment of necessary fees.
6. I agree to bear the payment gateway additional charges
7. I accept to receive messages from MAHA-IT even if my mobile number falls under Opt-in and / or DND (Do Not Distrub)/ DNC(Do Not Call) category.
Before submitting the form
Sr.No Undertakings
1. I fulfill the conditions as specified in the eligibility criteria and registration guidelines.
2. All the particulars provided by me in this application are true, correct and complete to the best of my knowledge and belief.
I shall produce all the original documents along with the attested copies as and when required, failing to which I will be considered as blacklisted
3.
and debarred.
In case any particulars given by me in this application are found to be false, incorrect and /or misleading, I shall be liable for being blacklisted or
4.
debarred from all further examinations and selection processes of Animal Husbandry Department,Mumbai.
Printed On:17/03/2019 04:43:19 PM

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