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Application For the Post Of Lower Division Clerk, Junior Assistant, Stenographer
Grade II, Junior Stenographer (Hindi/English), Lower Division Clerk-cum-typist,
Jr. Stenographer, Stenographer & Asstt. Grade-I(Post Code:802/23)
Application No 93777288
Name SHIVAM KUMAR (Reg
No.2601200227993212018)
Gender M
Date Of Birth 26012002

AGE 22 Years

Marital Status Unmarried

Father's Name RAGHUNATH SAH
Mother's Name LAL PATI DEVI
Spouse Name
Postal Address VILL SAHUADIH POST
PANDEY DEORIA THANA
PADRAUNA DIST
Email-Id KUSHINAGAR - 274304
nisharcomputer.in@gmail.com
Mobile Number 9170672640
Nationality Indian
Category ST
ST Certificate No. 591245000237
ST Certificate Issuing Date 10/01/2024
ST Certificate Issuing
UP GOV
Authority
Sub-Category
Fee Status Exempted
Department Applied For 1. MAIDS(Junior Assistant)

Educational Qualification
S.No Department Name Qualification Discipline Percentage(upto Board/ State Passing
2 decimals) University Year

1 MAIDS(Junior General Typing speed 35

Assistant) in English or 30
in Hindi on
computer

2 MAIDS(Junior XII 12th pass from a 52.80 UP UTTAR 2020

Assistant) recognised BOARD PRADESH
Board/Institution

DECLARATION :
a) I hereby certify that all statement made in this application are true, complete
and correct to the best of my knowledge and belief and have been filled by me..
b) I also declare that I have submitted only one application for one post code in
response to the advertisement.
c) I have read all the provisions mentioned in the advertisement/notice of
examination carefully as published on the website of DSSSB and I hereby under
take to abide by them.
d) I understand that in the event of information being found false or incorrect at
any stage prescribed in the notice or any ineligibility being detected before or
after the examination, my candidature/selection/appointment is liable to be
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cancelled/terminated automatically without any notice to me and action can be

taken against me by the DSSSB.
e) The information submitted herein shall be treated as final in respect of my
candidature for the post applied for through this application form.
f) I also declare that I have informed my Head of office/Department in writing
that I am applying for this post/examination (for Government Employees only).
g) I SHIVAM KUMAR (Reg No.2601200227993212018) S/O / D/O / W/O
RAGHUNATH SAH do hereby undertake that I will check
https://dsssbonline.nic.in called as OARS Portal in a regular reasonable interval
to update myself about DSSSB guidelines and examinations. The onus of
checking https://dsssbonline.nic.in in on me is being applicant of posts in
DSSSB. I also understand that the mail/SMS facility provided to the candidate
(s) is an additional facility provided by the DSSSB in addition to OARS portal
DECLARATION :
I have seen the preview and verified all the details entered by me are correct. I
will not claim any changes in my details after final submission of application

Note:The online application will be received on provisional basis only, the

eligibility of candidate shall be determined strictly on the basis of RR of the
concerned post.

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