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This document contains an application for the Himachal Pradesh Judicial Service Examination in 2011. It includes personal details of the applicant such as name, father's name, date of birth, contact information, education history, and bank draft details. The applicant declares that the information provided is true and acknowledges that false information could result in cancellation of candidacy or appointment.

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Pramod Pandey
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84 views1 page

Form

This document contains an application for the Himachal Pradesh Judicial Service Examination in 2011. It includes personal details of the applicant such as name, father's name, date of birth, contact information, education history, and bank draft details. The applicant declares that the information provided is true and acknowledges that false information could result in cancellation of candidacy or appointment.

Uploaded by

Pramod Pandey
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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HIMACHAL PRADESH PUBLIC SERVICE COMMISSION

Application No. : 466


H.P.J.S.Examination- 2011
1. Applicant's Name : Kunwar jeet
2. Father's Name : BANKEY LAL
3. Date of Birth : 12/07/1979
4. Sex : Male
5. State to which he/she belongs : Other
6. Phone No. : 05882258016
7. Mobile No. : 9837272267
8. Correspondance Address :
House No. : 105, Apartment/Street/Village : MOH-NAKASHA, Post Office/Colony/Locality :PILIBHIT,
Tehsil/Area :PILIBHIT, District :PILIBHIT, State :U.P., Pin Code :262001
9. Permanent Address :
House No. : 105, Apartment/Street/Village : MOH-NAKASHA, Post Office/Colony/Locality :PILIBHIT,
Tehsil/Area :PILIBHIT, District :PILIBHIT, State :U.P., Pin Code :262001
10. Category : General
11. Academic Qualification : (Attach Proof) Note: Degree in Law should be recognised by the Bar Council of India.
S. No. Qualification Board/University Subjects % of Marks Year of Passing
1. Matric UP BOARD ART SIDE 51 1995

2. +2 UP BOARD ART SIDE 51 1997

3. Graduation MJPRU BAREILLY ART 46 2000

4. Post-
Graduation
5. Ph.D

12. Name and complete address (for Correspondence purposes) and telephone numbers of two respectable persons
unconnected with the candidate for verification of candidate’s credentials .
NOTE : Attach the credential certificates in original issued by these two persons.
1. Mr./Ms. ASWINI AGNIHOTRI ADVOCATE, H.No. : MOH-SUNGADHI, App./Street/Vill.: PILIBHIT, Area/Loc./P.O.:
PILIBHITCity: PILIBHIT, State: U.P., PIN: 262001, Phone No.: 9412296422
2. Mr./Ms. SUDHIR TIWARI ADVOCATE, H.No. : GODWARI ESTATE, App./Street/Vill.: PILIBHIT, Area/Loc./P.O.: PILIBHIT,
City: PILIBHIT, State: U.P., PIN: 262001, Phone No.: 9412294429

13. Particulars of Bank Draft :


Draft No.: 845322 Bank Name : PUNJAB NATIONAL BANK
Date of Issue : 12/02/2011 Amount : 250

14. Details of Documents Attached :


1. 2. 3.
4. 5. 6.

15. Centre of Examination : Shimla

DECLARATION
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct to the best of
my knowledge and belief. I undertake that in the event of any information being found false or incorrect at any stage, my
candidature is liable to be cancelled and if appointed, appointment itself shall be liable to be cancelled. I also solemnly declare that I
do not suffer from any of the disqualifications shown in the advertisement, Himachal Pradesh Judicial Service Rules, 2004 or
Himachal Pradesh Judicial Service (Syllabus and Allocation of Marks) Regulations 2005 and that I am eligible in all respects according to
eligibility criteria prescribed.

Place :

Date : Signature of the Applicant

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