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APPLICATION FORM FOR AOC/CRC/2023/JAN/AOC-02 ::
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Application No F - m
: AOC-02/F-man/UR/00122307 4 7 .14
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Post Applied For : Fireman
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Gender AO
: J-Male P M-1
A 43
Applied Caste / Class Type D W: UR 0 : 48:
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Category AR : UR 023
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Nationality M AR : Indian - 0 7-F
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Personal Details - A OC
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Name : MHR. A VISHAL KUM AR BHARDWAJ
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Father's Full Nam KUe M : VIJAY KUM AR BHARDWAJ M other's Nam e : NEELAM KUMARI
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DOB IS H : 15 - SEP - 2002 Religion : HINDU
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Phone No (STD Code) : 7018872662 Identification M ark : A sm all m ole below left eye 0
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M arital Status : Single Caste Type : UR . 2 4 3.24
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Dom icile State : HIMACHAL PRADESH Sub Caste :48:4
: Brahman
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Address Details 001 2230 1 7.2
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Correspondence : 35/15
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Perm anent Address
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Address HA RDW State 0 :4 4 3.2
: HIM.2ACHAL PRADESH
M AR B 31 7
State L KU : HIM ACHAL PRADESH 2 02 11 IRPUR
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Educational & Additional Details 2/F 3 07
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Sr. A n /U Board/ Is G rade / G rade /
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Roll No. R Nam e F -mState Universit Year M arks
CG PA / CG PA /
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BH - 02 y CPI CPI
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Public School
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2018 700 No 515 73.57
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SikshaCjyoti- 0 Pub. 3 . 247
200309901 O HIM ACHAL STATE 24 276
12th
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2020 500 No
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ITI certificate in 002008020 A RD HIM ACHAL : 48:
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NCVT 2021
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600 No 470 78.33
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Recruitment Type : Advt Applied Candidate 7
Departmental/Government :
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Uploaded Documents
- A OC
AJ
Sr. No. Docum ent TypeRDW Docum ent No Docum ent Nam e
B HA
1. PhotoR photo.jpg
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Signature sign.jpg
H AL 40
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VI Aadhaar Card adhaar....jpg
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4. M 10th Certificate 1811521008 m arksheet.jpg PM-117
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Exam City Choice Preferred 7 7-Fe
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Sr. No. Exam City n / U RSr. No. Posting 7 .
Region
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1 UNCHI BASSI (HO SHIARPUR) O C -02/F 1 W4 3EST
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2 SURANUSSI A R DWA
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Declaration R -0
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• I hereby confirm that I have read the “Instructions F -m 0 12 fill online application” provided in documents in
to
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www.aocrecruitment.gov.in. C -0 / UR
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• I accept all the terms and conditions 2/
given in the “Instructions to fill online application” provided in documents
in www.aocrecruitment.gov.in R DW C -0
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M AR D W
KU R
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Place: Hamirpur H A Date: 07 - FEB - 2023
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