0% found this document useful (0 votes)
41 views3 pages

Staff Selection Commission: Registration Number 91000352497

This document contains registration details for Palichera Sai Bhavya for the Staff Selection Commission. It provides her personal details like name, date of birth, gender, address, education details. It notes that she is an Indian citizen without disability from the Unreserved category with identification marks of a mole above her right eyebrow and another mole on her right side. Her registration process is not yet complete and she must finalize it within 14 days.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
41 views3 pages

Staff Selection Commission: Registration Number 91000352497

This document contains registration details for Palichera Sai Bhavya for the Staff Selection Commission. It provides her personal details like name, date of birth, gender, address, education details. It notes that she is an Indian citizen without disability from the Unreserved category with identification marks of a mole above her right eyebrow and another mole on her right side. Her registration process is not yet complete and she must finalize it within 14 days.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 91000352497


BASIC DETAILS
1a. AADHAAR NUMBER 588325575779
1b. TYPE OF ID -
1c. ID NUMBER -
2a. NAME PALICHERLA SAI BHAVYA
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME P LAKSHMI NARAYANA
4a. MOTHER'S NAME P JYOTHIRMAYI
5a. DATE OF BIRTH (DD/MM/YYYY) 06/01/2000
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF SECONDARY EDUCATION ANDHRA
PRADESH
(ii). ROLL NUMBER 1522122948
(iii). YEAR OF PASSING 2015
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 8978263151
10. EMAIL ID [email protected]

ADDITIONAL DETAILS

11a. CATEGORY UNRESERVED

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS A BLACK MOLE ABOVE RIGHT EYE BROW A


MOLE ON RIGHT
14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO
MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS H NO 3-2-74 BRAHMIN STREET PULIVENDULA
KADAPA DISTRICT PIN 516390
ANDHRAPRADESH

DRAFT PRINT TAKEN ON 31/03/2019 10:24:58 PM


15b. STATE/ UT ANDHRA PRADESH
15c. DISTRICT YSR (KADAPA)
15d. PIN CODE 516390
16. IS PERMANENT ADDRESS SAME AS PRESENT -
ADDRESS?

17a. PRESENT ADDRESS H NO 3-2-74 BRAHMIN STREET PULIVENDULA


KADAPA DT ANDHRA PRADESH PIN 516390
17b. STATE/ UT ANDHRA PRADESH

17c. DISTRICT YSR (KADAPA)


17d. PIN CODE 516390
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 31/03/2019 10:24:58 PM


DRAFT PRINT TAKEN ON 31/03/2019 10:24:58 PM

You might also like