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APPLICATION FORM

Personal Details

Registration Number 81212316

Post Name EXCISE CONSTABLE

Applicant's First Name PRASHANT

Last Name KUMAR

Applicant's Full Name PRASHANT KUMAR

Date of Birth (DD-MM-YYYY) 09-10-2004

Father's Name BHUSHAN

Mother's Name BABITA DEVI

Gender MALE

Mobile Number 7903947637

Aadhaar No. 296493432553

E-Mail ID 07488Prashantkumar@gmail.com

Nationality INDIAN

Visible Identification Mark 1 mole in leg

Visible Identification Mark 2 no

Option for Language Paper II ENGLISH

Maritial Status UNMARRIED

Spouse Name/Others

Other Information
Vacancy Type BOTH

Are you local resedent of Jharkhand YES

Your District of local residence EAST SINGHBHUM

Categoty UR

Are you an Ex-Servicemen? NO

Have you served in home guard of 3 year or at least six

NO
months

Do you claim reservation under Sports Quota NO

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Educational Qualification
EDUCATIONAL BOARD MONTH & YEAR OF RESULT ROLL % of Marks
QUALIFICATION NAME PASSING STATUS NUMBER Obtained
10th/Matriculation ICSE 07-2021 PASS 7482739 85.5

Correspondence address
RAM JANAM NAGAR KADMA . ROAD NO 9, H. NO 137. KADMA
Address Line 1
JAMSHEDPUR

Address Line 2 RAM JANAM NAGAR KADMA JAMSHEDPUR

City/Village/Town JAMSHEDPUR

State/Union Territory JHARKHAND

District EAST SINGHBHUM

Pin code 831005

Permanent address
RAM JANAM NAGAR KADMA . ROAD NO 9, H. NO 137. KADMA
Address Line 1
JAMSHEDPUR

Address Line 2 RAM JANAM NAGAR KADMA JAMSHEDPUR

City/Village/Town JAMSHEDPUR

State/Union Territory JHARKHAND

District EAST SINGHBHUM

Pin code 831005

Distinct wise Preference Details

Vacancy Type Distinct Name Preference

REGULAR RANCHI 1

REGULAR RAIL JSR 2

REGULAR DHANBAD 3

REGULAR DEOGHAR 4

REGULAR SARAIKELA KHARSAAWAN 5

REGULAR RAIL DNB 6

REGULAR SAHEBGANJ 7

REGULAR JAPTC 8

REGULAR CTC 9

REGULAR JWFS 10

REGULAR WESTERN SINGHBHOOM 11

REGULAR BOKORO 12

REGULAR GIRIDIH 13

REGULAR SIMDEGA 14

REGULAR RAMGARH 15

REGULAR GUMLA 16

REGULAR JAMTADA 17

Payment Details
Transaction Number Amount Transaction Date

113157221438 100 2024-01-27 12:52:52

Declaration
I hereby declare that all 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 false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my

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candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

System IP : 152.59.133.97
Application Print Date : 27/01/2024 12:57:29 PM

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=lV%2FqJ7uvxby%2FEUk0Dbml%2BeGKLvuD%2B89HILcmGVKkCtE%3D 3/4
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