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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 Talathi
Application Id REV_TI_0411543
First Name RANJANA
Middle Name GOPINATH
Last Name DHAWALE
Mother's Name TAI
Father's Name GOPINATH
Nationality INDIAN
No of Children 1
Whether liable to be disqualified for the Government Services according to the
provisions of Maharashtra Civil Services (Declaration of small family) Rules, 2 No
005?
Gender FEMALE
Date of Birth May 20, 1990
Candidate's Name RANJANA DHAWALE
Mobile Number 9545578877
Marital Status MARRIED
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
Are you ST-PESA Candidate: NO
Is there sufficient revenue proof that the candidate himself or his mother / fath
er or grandfather / grandfather is staying in the Scheduled Areas of the district NO
continuously since January 26, 1950?
Do you applied to ST-PESA vacancies? NO

Please select the district you want to apply? JALGAON

Note:A candidate can apply for only 1 district in this recruitment, the candidature will be rejected if any duplicate or multiple registration record is found for any candidate.

Physical Disability NOT APPLICABLE

Do you have a disability Certificate(Minimum 40%)?(SADAREM) NOT APPLICABLE
One Arm affected(OA) NOT APPLICABLE
one Leg Affected(OL) NOT APPLICABLE
Partially Sighted(PS) NOT APPLICABLE
Partially Deaf(PD) NOT APPLICABLE
Scribe/Assistant Needed NO
Aadhaar Card Number 507063421835

Are you Orphan as per Revenue Department's Government Resolution No.अ

NOT APPLICABLE
मुजा- २०११/ . . २१२/ का- ३, द. २ए ल२०१८ ?

Select your Highest Educational Qualification Under Graduate/Graduate

Aadhaar 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 ?)

Are you Anshakalin (Part-time) Employee? (As per reference GR शासन नणय .
NOT APPLICABLE
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

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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 APPLICABLE
Do you want to avail the benefit of female Reservation? APPLICABLE
Are you an Ex-Serviceman? 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 /Local bodies 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
Are from controversial 865 border villages of Maharashtra-Karnataka Border? NOT APPLICABLE
Whether employee of 1991 census? NO
Whether employee of election after 1994? NO
Are you a son/daughter/wife of a freedom fighter? NO
I have read the advertisement and agree with the instruction, terms, condition
s and eligibility criteria mentioned in the advertisement required for the servic
APPLICABLE
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
Permanent Address DHAWALE VASTI PIMPERKHED PIMPERKHED,JAMKHED, , MAHARASHTRA, 413205, INDIA.

Current/correspondence Address D 55/2 CTPS COLONY URJANAGAR,CHANDRAPUR, , MAHARASHTRA, 442404, INDIA.

Educational Qualification Details
Name of the B
Educational Qua Name of the Qualified fro Marks Obtain Marks Maxim
oard/Universit Passed on Percentage Percentile CGPA GRADE
lification course m ed um
y Name

GRADUATE Other_Gradu MAHARASHT Savitribai Phule Jun 25, 2012 1383 2400 57.63
ate RA Pune University
Maharashtra St
ate Board of Se
HSC condary and Hi Jun 4, 2009 409 600 68.17
gher Secondary
Education
Maharashtra St
ate Board of Se
SSC condary and Hi Jun 1, 2007 333 650 51.23
gher Secondary
Education
Exam Center Details
Preferred Exam Center Location1 Preferred Exam Center Location2 Preferred Exam Center Location3
CHANDRAPUR NAGPUR AMRAVATI
Payment Details
Transaction Type Transaction Id Transaction Status Transaction Date Total Fees
ONLINE MAHAIT_REV_000000627098 SUCCESS 20/03/2019 07:26 PM 500
ONLINE MAHAIT_REV_000000626893 PAYMENT_ATTEMPTED 20/03/2019 07:23 PM 500
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 the Revenue Department.
Printed On:20/03/2019 07:30:26 PM

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