7/27/2019 100150203531682

1/1

100150203531682plication Number

ken / Transaction 1321030310049859

Application Form

Exam Details

1.2 Examination Post

1.1 Examination Name

1.3 District Head Quarter for Exam AJMER

ENGLISH

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: 16/09/2013 3:1

SR TEACHER GRADE II COMP EXAM 2013

Reference Application 100150203531:

1.4 General Subjects (PRE) PAPER-I:

Application Filled DatePayment Mode E-Mitra:

1.5 Optional Subjects (PRE) ENGLISH:

:1.6 General Subjects (MAINS)

:1.7 Optional Subjects (MAINS)

11.8 Number Of Attempts :

1.9 Medium Of Exam : English

Department Preferences

2.1 Department Preference :

3.1 Applicant's Full Name

3.2 Applicant's Father Full Name

Other Special Categories

4.2 Specific Category for Female

4.3 Other Category

4.1 Category for Disabled Candidates

Correspondence Details

5.3 Phone

5.4 Mobile

5.2 Email

5.1 Address

Qualification

6.2 Sr. Secondary

6.3 Graduation

6.4 Post Graduation

6.1 Secondary

Additional Qualifications/Specifications

7.4 Experience

7.3 Internship Period

7.1 Other Specification/Qualification

7.2 Examination passed

dentification

8.1 Body Mark

hereby declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my information being found false or incorrect or teing detected before or after the Screening Test/Interview, action can be taken against me by the Commission. I have read the provisions of the relevant rules and the Advertisement carefully anndertake to abide by them. I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualification and required experience etc. prescribed for admission to the Scest/Interview. Also I accept SMS facility provided by the Commission.

JAYA SHUKLA

SHRI PRADEEP PAL SHUKLA

26/376, PATHAR WALI GALI RAMGANJ AJMER,RAMGANJ ,Tehsil : AJMER,City/Village : AJMER - 305001Dist : AJMER, State : RAJASTHAN

PhotoOf C

01452691674

MOLE ON RIGHT CHIN

2001 Second2003 First

2006 Second Passed

2010 Second Passed

Year Division/Grade

From : To :

Year :Months :Days : 3

B.Ed. or equivalent

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Disclaimer

9461475132

jayashukla15@yahoo.com

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3.9 Home District

3.7 Category

3.3 Applicant's Mother Full Name

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MANJU SHUKLA

3.5 Gender

General/OBC( Creamy Layer )Married

FEMALE

AJMER

3.8 Home State (Bonafide Resident)

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: RAJASTHAN

:3.6 Marital Status

3.4 Date Of Birth (dd/mm/yyyy) 30/04/1986

Applicant's Details

asthan Public Service Commissionooghara Ghati, Jaipur Road, Ajmerone : +91+145+ 5151200, 5151240 & 5151090

Nodal Officer: Mr. Akhilesh Mittal, System AnalysHelp Line