Click Here to Print

VISVA BHARATI RECRUITMENT TEST - 2023

Application Number 202304262416

DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA)

CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCES.

Personal Details
Applied For Post Lower Division Clerk/Junior Office Assistant cum Typist

Candidate Name SRISHTI SHUKLA Date of Birth 27/04/1997

Mother's Name Name RASHMI SHUKLA Category Unreserved

Father's Name CHANDRA BHUSHAN SHUKLA Gender Female

If you are a PwBD Candidate, Do you have

benchmark disability (40% (or) more/ NO Type of Disability
“Severe” where percentage is not defined)?

Nationality Indian

Place of Residence PRAYAGRAJ Permanent State/UT UTTAR PRADESH

Examination Cities Applied For

UTTAR PRADESH-
Exam State/City - 1st Choice Exam State/City - 2nd Choice UTTAR PRADESH-VARANASI
ALLAHABAD/PRAYAGRAJ

Exam State/City - 3rd Choice UTTAR PRADESH-LUCKNOW

Educational Details
Type of School Name of the School Board Year of Passing Result

Matriculation UP BOARD 2012 78.67

Intermediate UP board 2014 73.60

Chhatrapati shahu Ji Maharaj University,

Graduation 2018 56.80
Kanpur

Present Details
Address 513/406 A Locality MUMFORDGANJ

Town/City/Village PRAYAGRAJ Country INDIA

State UTTAR PRADESH District PRAYAGRAJ

Pincode 211002 Email Address srxxxxxxxxxxxxx97@gmail.com

Mobile Number 95xxx1xxxx2 Alternate Mobile Number 96xxx2xxxx3

Fee Payment Details

Payment Mode Exempted Transaction ID Exempted

Exam fee Exempted Date of Transaction Exempted

Declaration

I hereby declare that the information stated above is true to the best of my knowledge and belief. I understand that in case if any information stated
above is found to be incorrect or false, at a later stage, my candidature for the entrance exam and if I had already appeared in the exam by then, my
appearance in the exam, is liable to be cancelled.

Images Uploaded By Candidate

Photograph Signature

IP Address : 47.15.112.144 Date of Downloading : 07-05-2023 12:03:34