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Permanent Address
Address : VILLAGE=AMARAPURA POST-BADGAON TEHSHIL-RANIWARA DISTRICT-JALORE
RAJASTHAN
Pin Code : 343048
State of Domicile : Rajasthan
Home District : OTHER
Choice District : SAMASTIPUR
Educational Qualification
Board/University Specialization State Whether Passing Marks Full Marks Marks
Government or Year Obtained (Excluding Obtained
Private (Excluding Extra (%)
Extra Subject)
Subject)
I.Matric BSER AJMER Rajasthan Private 2010 392 600 65.33
II.Intermediate/12th BSE AJMERR Science Rajasthan Private 2012 259 500 51.8
IV.Diploma BTER JODHAPUR Diploma in Rajasthan Private 2015 2320 3410 68.04
Civil
Engineering
V.Additional RKCL KOTA COMPUTER Rajasthan Private 2016 68 100 68
Qualification COURS{RSCIT}
I declare that all the above information is correct to the best of my knowledge and that I shall be liable for punishment if
any information is found incorrect. I also declare that I have understood the guideline for engagement and will fully abide
by the same including any future guideline issued by Panchayti Raj Department in this regard.
Place:-
Date:-
Signature of Applicant