10/6/2020 Profile Details

Application Details
Examination Details
Exam Year : 2020 Adv No : PSC-1-RT(4)B-1/2020
Recruitment of Group “C” Non-
Advertisement
: Technical posts in various
Name
Government Departments - RPC /HK
Application
Payment Status : Exempted : 2000000008524700173702
Id
IP Address : IP1:106.217.117.253

Personal Details

Full Name (In English as per SSLC /10th std or NAVEEN

equivalent certificate)

Father’s name as per SSLC /10th std or equivalent BALABHIM

certificate

Mother's Name SHASHIKALA Gender Male

Are you Married? No

Date Of Birth 10-06-1999 Age 21

Mobile Number 9535150806 Landline with 0

STD Code

Email Id naveenchunchure0806@gmail.com

Age as on Date 21 Years 3 Months 10 Days

Identity proof Details

Please Select Identity Others Identity XXXXXXXX1130
Type Certificate No

Permanent Address
Address AT POST Yarandi

State / Union Territory KARNATAKA District Bidar

Taluk Basavakalyan Village/City Basavakalyan

PinCode 585437

Correspondence Address
Address AT POST Yarandi

State / Union Territory KARNATAKA District Bidar

Taluk Basavakalyan Village/City Basavakalyan

PinCode 585437

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Reservation / Category Details

Category ST Sub Caste GOND

Exam Fee Exempted

Certificate No.(RD No.) RD0038098027614 Place of issue Bidar

Other Details
Are you Differently abled Person(PH)? No

Nationality Indian Whether Domicile of Yes

Karnataka?

Are you a Government employee? No

Are you Ex-Serviceman ? No

Are you claiming Rural reservation ? Yes Are you claiming Kannada Yes
Medium Student
reservation?

Are you claiming Project displaced person reservation? No Are you claiming Yes
Hyderabad-Karnataka
Region Reservation ?

Are you a dependant of a Battle Casualty Military Person(Battle casualty cases No

where Military personnel are killed or disabled during war/war like operations ?

Are you a candidate who has been released from the National Cadet Corps after No
service as whole time Cadet Instructor?

Are you a candidate who is or was a village Group Inspector appointed in a No

Rural Industrialisation Scheme sponsored by the State Government?

Are you a candidate who is or was holding a post under the Census Organisation No
of the Government of India in this State?

Are You a candidate who is bonded labourer? No

Do you claim weightage? No

Are you in service candidate in the Karnataka Backward Classes Welfare No

Department?

Black List
Is there any criminal case against you.? No

Whether debarred or Black Listed for Examination / Selection held by KPSC ,UPSC ,other State PSCs, KEA, Railway No
Board,IPBS ,Universities and other selecting /recruiting authorities?

Qualification Details
Date Of
Qualification Name of
Subject Board/University Percentage Declaration Of
Type Degree
Result

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SSLC/10th SSLC/10th SSLC/10th State Board 71 13-05-2015

Subjects
Diploma in Department of Technical
Diploma Mechanical 59 21-08-2018
Engineering Education

Other Questions

Do you possess prescribed educational qualifications as per the Yes

advertisement? *

Kannada Questions
Are you claiming exemption from passing compulsory Kannada Yes
Language exam? *
Reason for Exemption? * First Language

Hyderabad Karnataka Reservation Questions

As per Government circular No.DPAR 3 HKC 2018 dated:06-
06-2020 candidates claiming Hyderabad Karnataka
reservation
Do you wish to apply for posts notified in Residual Parent Cadre Yes
also? *
If you are eligible for selection to the same post in both Residual Hyderabad Karnataka Local Cadre
Parent Cadre and HK cadre which cadre do you prefer? *
Note:- It is clarified that in case local candidate get selected
under RPC cadre as per his / her choice, then the reservation
benefit provided in the Article 371(J) HK will not be given as
per the rules during his / her service period.

Post applied and preference for selection

Sr.No Name of Post Preference No.
1 Bill Collector (Urban Local Bodies) Directorate of Municipal Administration 1
2 Tide Watcher 1 Department of Karnataka Ports and Inland Water Transport 2
Declaration
Declaration:- I NAVEEN hereby declare that all the information furnished by me in my application is
true and correct to the best of my knowledge and no legal caste/criminal case/disciplinary proceeding
is pending against me. In case at any stage of the recruitment process or afterwards it is found that
information/certificate given by me is false or fabricated/manipulated or I have used or tried to use
unfair means during the examination or interview or if I have committed any malpractice during the
recruitment process or I do not fulfill the eligibility criteria in terms of notification , my candidature
may be rejected and Commission will be free to take appropriate disciplinary action against me as per
rules.

Place * Bidar

Date * 16-09-2020

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