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Ajit SSC PDF

This document contains registration details for Ajit Kumar Gupta for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, address, education details. It mentions his category as OBC, nationality as Indian citizen, and identification mark as a mole on forehead. His permanent and present addresses are the same in Mohalla Harbanshpur, Azamgarh, Uttar Pradesh with pin code 276001. The document is a draft registration and he needs to finalize it within 14 days.

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Pankaj Kumar
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45 views3 pages

Ajit SSC PDF

This document contains registration details for Ajit Kumar Gupta for the Staff Selection Commission. It provides his personal details like name, date of birth, gender, address, education details. It mentions his category as OBC, nationality as Indian citizen, and identification mark as a mole on forehead. His permanent and present addresses are the same in Mohalla Harbanshpur, Azamgarh, Uttar Pradesh with pin code 276001. The document is a draft registration and he needs to finalize it within 14 days.

Uploaded by

Pankaj Kumar
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
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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 93000669503


BASIC DETAILS
1a. AADHAAR NUMBER 201098009117
1b. TYPE OF ID -
1c. ID NUMBER -
2a. NAME AJIT KUMAR GUPTA
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME SURESH CHANDRA GUPTA
4a. MOTHER'S NAME RANI DEVI
5a. DATE OF BIRTH (DD/MM/YYYY) 10/12/1999
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF HIGH SCHOOL AND INTERMEDIATE
EDUCATION UTTAR PRADESH
(ii). ROLL NUMBER 3178515
(iii). YEAR OF PASSING 2013
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 9517483251
10. EMAIL ID [email protected]

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE ON FOREHAED

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS MOHALLA HARBANSHPUR POST SADAR
HARBANSPURAZAMGARH UTTER PRADESH -
276001

DRAFT PRINT TAKEN ON 07/04/2019 3:28:39 PM


15b. STATE/ UT UTTAR PRADESH
15c. DISTRICT AZAMGARH
15d. PIN CODE 276001
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS MOHALLA HARBANSHPUR POST SADAR


HARBANSPURAZAMGARH UTTER PRADESH -
276001
17b. STATE/ UT UTTAR PRADESH

17c. DISTRICT AZAMGARH


17d. PIN CODE 276001
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 07/04/2019 3:28:40 PM


DRAFT PRINT TAKEN ON 07/04/2019 3:28:40 PM

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