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Staff Selection Commission

(Block No. 12, CGO-Complex, Lodhi Road, New Delhi


110003 )
Selection Post Examination Phase-VI, 2018
Registration No: 61001668865

Application Status: Application is incomplete

Preference of examination center Region for Posts Post Category Number Post Name
& Document verification center
Allahabad NR NR12318 Canteen Attendant
Name Father Name Mother Name Date of Birth
AJAY YADAV JANARDAN YADAV USHA DEVI 1996-07-01
Gender Nationality Category
Male Indian OBC
Whether ex-serviceman Length of Service Date of Discharge If ExS, whether eligible for
reservation ?
No
Seeking Age Relaxation? Age Relaxation code Whether Person with If yes,type of Age as on 01/08/2018
Disability? disability(OH,HH,VH,Othe
rs)
Yes OBC No 22.1
Do you suffer from Cerebal Do you suffer from Locomotor Whether scribe is required in case If scribe is required, then indicate
Palsy(40% or more)? Disability (40% or more) wherein of VH/Cerebral Palsy/Locomotor medium
the dominant writing extremity is Disability (40% or More)?
affected to the extent of slowing
down the performance?
No No No
Fee Amount Transaction-ID Transaction Date
Fee Paid

Do you want to make available your personal information for accessing job opportunity in terms of Dop&T's O.M.
No.39020/1/2016-Estt.(B) dated 21.06.2016 ?
No

Educational Qualification
Course Subject Percentage of marks Medium
MATRICULATION FROM A ANY SUBJECT 70.00 Hindi
RECOGNIZED BOARD OR
EQUIVALENT.

Details of Work Experience / Govt. Service rendered)


Name of Organization(s) Designation Nature of Duty(ies) Period of Service
-
-
-

Address Detail
Communication Address Permanent Address
VILL SIHABARI POST DHARMAATPUR DIST GHAZIPUR U P VILL SIHABARI POST DHARMAGATPUR DIST GHAZIPUR
233300
SIHABARI , GHAZIPUR District:
UTTAR PRADESH,233300 State: Uttar Pradesh
Pin Code: 233300

Declaration
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge
and belief. 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

Printed on:(mm/dd/yyyy): 10/09/2018 10:52:28

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