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STAFF SELECTION COMMISSION
BLOCK NO
...
NAME AS PER MATRICULATION
CERTIFICATE
2
...
FATHER'S NAME
4
...
DATE OF BIRTH (DD/MM/YYYY)
6
...
GENDER
8
...
WHETHER PERSON WITH DISABILITY (PwD)?
9
...
NATIONALITY
11
...
MATRICULATION (10th CLASS) EXAMINATION BOARD
13
...
MATRICULATION (10th
CLASS) YEAR OF PASSING
CENTRAL BOARD OF SECONDARY EDUCATION (CBSE)
22108744
2020
15
...
MEDIUM FOR COMPUTER BASED EXAMINATION(CBE)
HINDI (1)
17
...
WHETHER YOU ARE AN EXSERVICEMAN (ESM) OR SERVING
IN THE ARMED FORCES?
17
...
DATE OF JOINING THE ARMED
FORCES (DD/MM/YYYY)
17
...
DATE OF DISCHARGE/ LIKELY DATE
OF DISCHARGE FROM ARMED FORCES
(DD/MM/ YYYY)
NO
-
-
17
...
LENGTH OF SERVICE IN THE
ARMED FORCES
17
...
HAVE YOU ALREADY JOINED A
CIVIL POST BY AVAILING BENEFIT OF
RESERVATION FOR EX-SERVICEMAN
(ESM) ?
17
...
DATE OF JOINING TO CIVIL POST
(DD/MM/YYYY)
-
-
-
18
...
e
...
2 DO YOU HAVE A PHYSICAL LIMITATION TO WRITE AS PER PARA 8
...
3 OF THE NOTICE?
18
...
4 WILL YOU MAKE YOUR OWN
ARRANGEMENT OF SCRIBE?
18
...
1
...
2
...
STATE(S) / U
...
(S) / CCA(S) PREFERENCE CODE
23,70,24,71,25,59,20,54,18,28,31,72,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,X,
X,X,X,X,X,X,X,X
21
...
DETAILS OF QUALIFYING EDUCATION
10TH STANDARD
STATUS
PASSING
YEAR
STATE/ UT OF BOARD/
UNIVERSITY
NAME OF BOARD/
UNIVERSITY
ROLL NO
PERCENTAGE
CGPA
PASSED
2020
DELHI
CENTRAL BOARD OF
SECONDARY
EDUCATION (CBSE)
22108744
55
...
DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
TERMS OF DoP&T'S O
...
39020/1/2016-ESTT
...
06
...
CORRESPONDENCE ADDRESS
25
...
: 7209528629
EMAIL ID: sk4665178@gmail
...
WHETHER THE PHOTOGRAPH HAS BEEN TAKEN ON OR AFTER 18-OCT-2022?
YES
FEE PAYMENT
AMOUNT
TRANSACTION NO
TRANSACTION DATE
NOT EXEMPTED
100
CPACLFKQZ6
02/02/2023
DECLARATION
1
...
2
...
I UNDERSTAND THAT IN THE EVENT OF ANY
INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING DETECTED
BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE CANCELLED
...
3
...
4
...
PRINT TAKEN ON: 03/02/2023 6:49:58 PM
IP ADDRESS: 27
...
77