SECURITIES AND EXCHANGE BOARD OF INDIA 160130

Recruitment of Officer Grade A (Assistant Manager) - General Stream, Legal Stream, Information
Technology Stream, Research Stream and Official Language Stream 2022

Registration Number : 113079162

Full Name : BHOOMESH CHANDOLA

Post : Officer Grade A (Assistant

Manager)- General Stream

Category : UNRESERVED

Are you a person with benchmark disability of 40% and above : NO

?

Type of Disability : -

Sub-type of Disability : -

Sub-type of Multiple Disability : -

Do you need compensatory time at the time of examination ? : -

Are you suffering from cerebral palsy and your writing speed : -
is affected ?

If Yes, Do you need compensatory time at the time of : -

examination ?

Whether your dominant (Writing) hand is affected ? : -

If Yes, Do you need compensatory time at the time of : -

examination ?

Do you intend to use the services of a scribe ? : -

Religion to which you belong : Hindu

Are you an Ex-Serviceman (including ECOs/ SSCOs) : ? : NO

Period of Service ( in months) : -

Do you belong to Religious Minority Community ? : NO

Nationality / Citizenship : Indian

State/UT I of Phase I Examination : Delhi

Centre of Examination (Phase -I) Preference 1 : Delhi NCR

State/UT II of Phase I Examination : Uttar Pradesh

Centre of Examination (Phase -I) Preference 2 : Ghaziabad

State/UT III of Phase I Examination : Haryana

Centre of Examination (Phase -I) Preference 3 : Faridabad

Centre of Examination Phase II : New Delhi-NCR

Centre of Examination Phase II (Paper 2 for Information : -

Technology Stream)

Application Fee / Intimation charges

Payment In : ONLINE

Amount : 1000.00

Payment Status : PAID

 Reference ID : WHD40863924818

Transaction Date : 24-01-2022

Personal Details

Date of Birth : 05-09-2000

Age completed as on 31.12.2021 : 21

Gender : MALE

Do you have twin brother / sister ? : NO

Name of the twin : -

Gender of the twin : -

Marital Status : Unmarried

Father's Name : NARENDER PRAKASH

CHANDOLA

Mother's Name : JYOTI CHANDOLA

Spouse's Name : -

Address for Correspondence

Address 1 : N487 Jal Vayu Vihar

Address 2 : Pocket 4 Builders Area

Address 3 : Greater Noida

District : Gautam Buddha Nagar

State : UTTAR PRADESH

Pincode : 201310

Permanent address

Address 1 : N487 Jal Vayu Vihar

Address 2 : Pocket 4 Builders Area

Address 3 : Greater Noida

District : Gautam Buddha Nagar

State : UTTAR PRADESH

Pincode : 201310

Contact Details

Mobile No : +91 8851237359

Alternative Number : -
(Mobile No/Landline No)

Email ID : bhoomeshchandola@gmail.com

     

Educational Qualification(as on 31.12.2021)

Exam Passed Degree/ Subject / Appeared / Passed Date of % of Marks Class / Grade
Stream Passing

Graduation Management Passed 31-12-2020 7.07 First Class

Master Degree / Post Management Appeared -- -- --

Graduation Degree

Other Details

Whether desirous of availing : -

online Pre-Exam Training (Only
for SC/ST/PwBD)
   Languages Known Read Write Speak

 English  YES  YES  YES

 HINDI  YES  YES  YES

Uploaded Document Details :

1. Left thumb impression

 

2. Hand written declaration

 

Declaration:

I hereby declare that all the 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 untrue or incorrect at any stage or I am not satisfying any of the eligibility
criteria stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my
candidature.

 
 
 
 
 
 
  

Date:
24-01-2022 Signature of Applicant

Left thumb impression

Hand written declaration