Application of Job: NCO [MR (HYGIENIST)],NCO [MR(STEWARD)],NCO [MR(CHEF)] - 04/2019

Application No: MRS194008065N Application Date: 19/06/2018

PRIORITY

1. NCO [MR(STEWARD)] 04/2019

PERSONAL PARTICULARS

Name: SHANI DUBEY

Father's/Mother's Name: VIJAYKANT DUBEY
Guardian's Name: VIJAYKANT DUBEY
Identification Mark 1: A MOLE OF LEFT HAND
Identification Mark 2: ---------
Nationality: INDIAN
Aadhaar/Enrolment No.: XXXXXXXX3730
Central/State Govt. Issued ---------
Photo ID:
Date of Birth: 14/04/1998

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 71

Hindi 100 77

Physics 100 82

Chemistry 100 67

Maths 100 67

Total Marks: 500 Marksheet Serial Number: 1544200

Obtained Marks: 364 State Conduct: UTTAR PRADESH
Percentage: 72.80 Board Conduct: Uttar Pradesh Madhyamik Shiksha Parishad

Details of 10th

Total Marks: 600 Marksheet Serial Number: 0670618

Obtained Marks: 446 State Conduct: UTTAR PRADESH
Percentage: 74.33 Board Conduct: Uttar Pradesh Madhyamik Shiksha Parishad

MILITARY RECORD
Have you ever been enrolled in Armed Forces before?: NO
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

VILLAGE - PURESHEKHI, POST -

Address 1: Address 2: VILLAGE - PURESHEKHI, POST - MUAARADHAR GANJ
MUAARADHAR GANJ
State: UTTAR PRADESH District: PRATAPGARH Pincode: 230304
Domicile: UTTAR PRADESH Phone No.: --------- Mobile No.: 7521091800
dubeyshani00@G
Email id: dubeyshani00@gmail.com Alternate Email id:
mail.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

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 verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.