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Staff Selection Commission: Combined Graduate Level Examination, 2019
Staff Selection Commission: Combined Graduate Level Examination, 2019
Staff Selection Commission: Combined Graduate Level Examination, 2019
APPLICATION IS INCOMPLETE
1. NAME AS PER 2. NEW/ CHANGED 3. FATHER'S NAME 4. MOTHER'S NAME
MATRICULATION CERTIFICATE NAME
BIBHANSHU CHAUBEY - BHUNESHWAR CHAUBEY VIJAYASHREE CHAUBEY
6. AGE AS ON
5. DATE OF BIRTH (DD/MM/YYYY) 7. GENDER 8. CATEGORY
01/01/2020
22/02/1993 26.1 MALE UNRESERVED
9. WHETHER PERSON WITH DISABILITY (PWD) ? 9.1 IF YES, TYPE OF DISABILITY (OH, HH,VH, OTHERS)
NO -
ADDRESS DETAIL
26. CORRESPONDENCE ADDRESS 27. PERMANENT ADDRESS
NEAR CENTRAL FIELD RAILWAY GATE MARGHERITA NEAR CENTRAL FIELD RAILWAY GATE MARGHERITA
2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF
ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING
DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 31/10/2019 6:22:11 PM