STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 71000008487

BASIC DETAILS
1a. AADHAAR NUMBER 642015006027
1c. AADHAAR ENROLMENT NUMBER -
1d. TYPE OF ID -
1e. ID NUMBER -
2a. NAME KHADAR BASHA L
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME ABDUL LATHEF D
4a. MOTHER'S NAME SHAKILA L
5a. DATE OF BIRTH (DD/MM/YYYY) 27/08/1990
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD KARNATAKA SECONDARY EDUCATION
EXAMINATION BOARD
(ii). ROLL NUMBER 20060765815
(iii). YEAR OF PASSING 2006
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
9. MOBILE NUMBER 8095940544
10. EMAIL ID l.khadarbasha1990@gmail.com

ADDITIONAL DETAILS
11a. CATEGORY OBC
12. NATIONALITY CITIZEN OF INDIA
13. IDENTIFICATION MARKS MOLE ON RIGHT EYE
14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO
MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

14d. UPLOADED DISABILITY CERTIFICATE

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CONTACT DETAILS
15a. PERMANENT ADDRESS 1224, NEAR ROYAL ENGLISH SCHOOL,
RAMAIAH GARDEN, KADUGODI, BANGALORE
15b. STATE/ UT KARNATAKA
15c. DISTRICT BENGALURU
15d. PIN CODE 560067
16. IS PERMANENT ADDRESS SAME AS PRESENT -
ADDRESS?

17a. PRESENT ADDRESS 1224, NEAR ROYAL ENGLISH SCHOOL,

RAMAIAH GARDEN, KADUGODI, BANGALORE
17b. STATE/ UT KARNATAKA

17c. DISTRICT BENGALURU

17d. PIN CODE 560067
18. CONTACT DETAILS FOR OTHER NATIONALS -

PHOTO, SIGNATURE AND BIOMETRIC IMPRESSION

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

21. UPLOADED LEFT HAND THUMB IMPRESSION (LTI)/

BIOMETRIC IMPRESSION

22. IF LTI IS NOT AVAILABLE DUE TO DISABILITY,

BIOMETRIC IMPRESSION OF RIGHT THUMB
IMPRESSION/LEFT GREAT TOE/RIGHT GREAT TOE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 7 (SEVEN) DAYS OF GENERATION OF YOUR REGISTRATION NUMBER,
FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

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