Applicant's Full Name(as in SSLC/10th Certificate) MADHU N
Mother's Name/ ಾ ಯ ಸರು GANGAMMA
Father's Name NAGAPPA Gender/ ಂಗ Male Reservation Category/ ೕಸ ಾ ಪ ವಗ SC/ಪ. ಾ RD Number of Caste Certificate RD0038244058058 Date of Birth (as in SSLC/10th Standard Marks Card)) 15/05/1984 Age(As on Last Date of Submission of Application) 39 Years 11 Months 19 Days Permanent_address1 A.K Colony SHIVAGANGEHAL. NALLUR POST Taluk CHANNAGIRI District DAVANAGERE State Karnataka PinCode 577221 Address for communication A K Colony. NALLUR at Post Taluk/ ಾಲೂ ಕು CHANNAGIRI District/ DAVANAGERE State/ ಾಜ Karnataka PinCode/ ೂೕ 577221 Email Id/ಇ - ೕ ಾಸ madhunlr45[at]gmail[dot]com Mobile Number/ ೖ ಸಂ 9686828906 Are you married?/ ಾವ ಾ ತ ೕ Yes Physically Handicapped Applicant No Rural Applicant Yes Kannada Medium study Yes Women Reservation No HKR No Ex-Military Person No Project Displaced Person No Age relaxation claimed N Bonded Labour No Physically Handicapped Applicant No Inservice No Service under NCC No Ex-millitary person No Widow No Census No VGI No 10th Std/SSLC/CBSE/ICSE Register No. 265974 II PUC or Equivalent/1st or 2nd language in SSLC or Qualification/ಅಹ higher level Certificate obtained from Board/Organisation Department of Pre University Education Select Basis of Evaluation in your degree course Percentage Total marks obtained in all Years /Semesters of PG Degree/ ಪದ ಯ ಎ ಾ ವಷ ಗಳು/ ಸ ಗಳ ಪ ದ 334 ಒಟು ಅಂಕಗಳು. Maximum Marks/ಗ ಷ ಅಂಕ 600 Percentage/ ೕಕಡ ಾರು 55.667 Application Id VA5659690 Are You State/Central Government Servant ? No Presently Working ?/ಪ ಸು ತ ಲಸ ಾಡು ಾ? No Last 4 digit of Aadhar Number/ಆ ಾ ಸಂ ಯ ೂ ಯ 4 ಅಂ 7569 Test Centre/ಪ ೕ ಾ ೕಂದ DAVANAGERE Annual Income 45000 Fee 500.00 Declaration: I declare that I have gone through this recruitment notification carefully and that to the best of my knowledge and belief the information furnished by me in the application form are true and correct and also there are no Criminal Cases or Disciplinary Actions pending against me.I Agree that, if the information furnished by me is found to be not true at any stage, I will not only be disqualified from further stages of recruitment but also liable for suitable action as decided by Selection Committee in accordance with the rules / Legal action. Digitally Signed by Karnataka Examination Authority