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Exam Year : 2019 Adv No: E(2)7272/2018-19/PS
First Division
 Profile Creation Advertisement Assistant and
:
(../../RPS/Forms/PersonalForm.aspx) Name Second Division
Assistant -HK
Payment Application
 View & Print Profile : Paid : 18000000085097000
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ID=69&str=pF1BP77flkk=)
Personal Details

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 Full Name First Name RAJU Middle

Name Surname KUMBAR

Full Name (In RAJU

English as per

High School

Certificate/10th

Certificate)

Father name as BHIMRAO

depicted in

S.S.L.C

Gender Male

Date Of Birth 10-08-1989 Age 30

Mobile Number 8123999555 Landline 0

with

STD

Code

Email Id Rajubkumbar@gmail.com

Age as on Date 29 Years 4 Months 22

@AgeOnDate Days

Identity proof Details

Are you Yes

holding

an

Aadhaar

card?

Aadhaar XXXXXXXX2869 Name In RAJU

No. English :

(Exactly

as

mentioned

on

Aadhaar

Card)
Physical Details

Height 155 Weight 84

(In (In

Cms.) Kgs.)

Chest 90 Chest 85

Deflated Inflated

(In (In

Cms.) Cms.)

Permanent Address

Flat / Room / 1/1/127 Name of MD.Modinkhan

Door / Block / Premises / pathan

House No. Building

Road / Street / Station area Area / Locality Station area

Lane / Post Tahasil office

Office road

Landmark Tahasil road State / Union KARNATAKA

Territory

District Gulbarga Taluk Chitapur

Village/City Chittapur PinCode 585211

Correspondence Address

Flat / Room / 1/1/127 Name of MD.Modinkhan

Door / Block / Premises / pathan

House No. Building

Road / Street / Station area Area / Locality Station area

Lane / Post Tahasil office

Office road

Landmark Tahasil road State / Union KARNATAKA

Territory

District Gulbarga Taluk Chitapur

Village/City Chittapur PinCode 585211

Reservation / Category Details

Category Category 2A

Exam Fee 300

Certificate No RD0038326110471 Certificate Gulbarga

Issuing District

Certificate 18-08-2018

Issuing Date

Valid Upto 17-08-2023

Other Details

Are you No

Differently

abled

Person(PH)?

Nationality Indian Whether Yes

Domicile of

Karnataka?

Are you a No

Government

employee?

Are you Ex- No

Serviceman ?

Are you No Are you Yes

claiming Rural claiming

reservation ? Kannada

Medium

Student

reservation?

Are you No Are you Yes

claiming Project claiming

displaced Hyderabad-

person Karnataka

reservation? Region

Reservation ?
Are you a No

dependant of a

Battle Casualty

Military

Person(Battle

casualty cases

where Military

personnel are

killed or

disabled during

war/war like

operations ?

Are you a No

candidate who

has been

released from

the National

Cadet Corps

after service as

whole time

Cadet

Instructor?

Are you a No

candidate who

is or was a

village Group

Inspector

appointed in a

Rural

Industrialisation

Scheme

sponsored by

the State

Government?
Are you a No

candidate who

is or was

holding a post

under the

Census

Organisation of

the Government

of India in this

State?

Are You a No

candidate who

is bonded

labourer?

Qualification Details

Qualification Name of Subject Board/University Percentag

Type Degree

SSLC/10th SSLC/10th SSLC/10th State Board 43

Subjects

ITI/NAC/NTC ITI/NAC/NTC Electrician   79

Other Questions
Do you possess prescribed educational
qualifications as per the advertisement? Yes
*
Indicate your option of subject for Paper
Genera
2 *

Kannada Questions
Are you claiming
exemption from passing
Yes
compulsory Kannada
Language exam? : *
Reason for Exemption? : * First Language

Post applied and preference for

selection
 Sr.No Name of Post Preference No.

1
Second Division Assistant-HK * 1

Examination Center

Examination Center * Kalburgi

Declaration
Declaration:- I RAJU hereby declare that all the information
furnished by me in my application is true and correct to the
best of my knowledge and no legal caste/criminal
case/disciplinary proceeding is pending against me. In
case at any stage of the recruitment process or afterwards
it is found that information/certificate given by me is false
or fabricated/manipulated or I have used or tried to use
unfair means during the examination or interview or if I
have committed any malpractice during the recruitment
process or I do not fulfill the eligibility criteria in terms of
notification , my candidature may be rejected and
Commission will be free to take appropriate disciplinary
action against me as per rules.

Place
CHITTAPUR
*
 

Date * 11-03-2019

Application Submission Mode

Application
Self
Submission Mode
*

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