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ಕರ್ನಾಟಕ ಲೋಕಸೇವಾ ಆಯೋಗ, ಉದ್ಯೋಗ ಸೌಧ, ಬೆಂಗಳೂರು

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Karnataka Public Service Commission, Udyoga Soudha, Bangalore

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This is Enrollment cum Registration form only - Not Applied Application
Form En

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Personal Details

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Enrollment
Full Name RAHUL K H 20240300045495
No.
Father Name/Guardian
HALADAPPA K

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Name
Mother's Name/Guardian
RENUKAMMA Gender MALE
Name
Are you married ?
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No
23 years 11
Date of Birth(As in Age as on
04/04/2000 months and 8
SSLC/10th marks card.) Date
days.
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Landline
Mobile Number 9611536008 0
No.
Email-Id RAHULKHRAHULKH@GMAIL.COM
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Permanent Address
C/O: Haladappa K A K Colony Davangere Karnataka-577217
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Correspondence Address
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Gaddemane layout Siddeswara circle ,Goppisheety koppa shivamogga ,
,KARNATAKA,SHIVAMOGGA,SHIMOGA-577205
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Reservation Category Details

Category Schedule Caste Sub Caste Adi Karnataka
Issuing District ರಾಮನಗರ Issuing Date 24/10/2013
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Certificate No. RD0038829016026 Valid Upto Date

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Differently Abled Details

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Are you Differently abled Person(PH)? No

Other Details
Nationality Indian
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Are you Ex-Serviceman ? No

Are you a dependant of a Battle Casualty
Military Person(Battle casualty cases where
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No
Military personnel are killed or disabled
during war/war like operations ?
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Are you Government Employee ? No

Are you claiming Rural reservation ? No
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Are you claiming Kannada Medium Student

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No
reservation ?
Are you claiming Project displaced person
No
reservation ?

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Are you claiming Hyderabad-Karnataka
No

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Region Reservation ?
Are you a candidate who has been released
from the National Cadet Corps after service as No
whole time Cadet Instructor ?

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Are you a candidate who is or was a village
Group Inspector appointed in a Rural
No
Industrialisation Scheme sponsored by the

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State Government ?
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Are you a candidate who is or was holding a
post under the Census Organisation of the
Government of India in this State ?
No
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Are You a candidate who is bonded labourer ? No
Are you a widow ? (Must have not remarried) No

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Black List

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Have you been convicted in any criminal cases
No
?
Whether Currently Debarred or Black Listed
From KPSC or Any Selection Authorities ?
No tF
Qualification Details
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SL Result Marks Marks Percentage Course Board /
Name of Degree Subject Grade CGPA
No. Status Obtained Outof (%) Duration University
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1 SSLC/10th/NIOS/KOS -- Passed 423 625 67.68 -- -- -- 10TH

Vesveswaraiah
Civil
2 Graduate/Degree Passed 3037 4800 63.27 -- -- 3 Technological
Engineering
University
DEPARTMENT
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Civil OF
3 Diploma Passed 2093 4225 50 -- -- 3
Engineering TECHNICAL
EDUCATION
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Kannada Language Test

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Have you passed Kannada Language Test conducted by KPSC from

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29-11-2022 onwards?
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