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PRIORITY
PERSONAL PARTICULARS
EDUCATION PARTICULARS
Physics 100 92
Maths 100 95
Chemistry 100 86
Serial no. of
00040476
Marksheet:
UTTAR Board Conducted
State Conducted Exam: State Board
PRADESH Exam:
COMMUNICATION PARTICULARS
A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be veried on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsication of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.