8/11/2019 100340104666997

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100340104666997Application Number

Token / Transaction 1401003401394677

1. Exam Details

1.2 Examination Post

1.1 Examination Name

1.3 District Head Quarter for Exam AJMER

LECTURER MECHANICAL ENGINEERING

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: 09/08/2014 2:35 PM

LECTURER MECHANICAL ENGINEERING TECH EDU 2014

Reference Application 100340104666997:

1.4 General Subjects (PRE) MECHANICAL ENGINEERING:

Application Filled DatePayment Mode

Bank Ref. No

Netbanking

CP08776658

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Application Form

1.5 Optional Subjects (PRE) :

:1.6 General Subjects (MAINS)

:1.7 Optional Subjects (MAINS)

1.9 Medium Of Exam :

2. Department Preferences

2.1 Department Preference :

3.1 Applicant's Full Name

3.2 Applicant's Father Full Name

4. Other Special Categories

4.2 Specific Category for Female

4.3 Other Category

4.1 Category for Disabled Candidates

5. Correspondence Details

5.3 Phone

5.4 Mobile

5.2 Email

5.1 Address

6. Qualification

6.2 Sr. Secondary

6.3 Graduation6.4 Post Graduation

6.1 Secondary

7. Additional Qualifications/Specifications

7.4 Experience

7.3 Internship Period

7.1 Other Specification/Qualification

7.2 Examination passed

8. Identification

8.1 Body Mark

I 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 the ineligibilitybeing 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 and I herebyundertake 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 ScreeningTest/Interview. Also I accept SMS facility provided by the Commission.

Anshul Kumar Panchbhaiya

LP Panchbhaiya

B 7/4 Modipuram, Meerut, U.P- 250110,Meerut,Tehsil : Meerut,City/Village : Meerut - 250110Dist : Meerut, State : UTTAR PRADESH

Photo & SignatureOf Candidate

mole in wrist

2002 First2004 First

2008 First Passed2012 First Passed

Year Division/Grade

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Year :Months :Days :

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9. Disclaimer

9610838793

ansh_panch@yahoo.co.in

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3.9 Home District

3.7 Category

3.3 Applicant's Mother Full Name

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Rani

3.5 Gender

General/OBC( Creamy Layer )

Unmarried

MALE

3.8 Home State (Bonafide Resident)

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: UTTAR PRADESH

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3.6 Marital Status

3.4 Date Of Birth (dd/mm/yyyy) 22/10/1986

3. Applicant's Details

Imp. Note - Candidates are advised to make permissible corrections on-line, on RPSC Online portal, using Edit facility with-in 30 days from last date of application submission. Nofurther online corrections would be accepted by RPSC in any case.(Refer General Instructions for Applicants on RPSC Online Portal/RPSC Web site.)

Rajasthan Public Service CommissionGhooghara Ghati, Jaipur Road, AjmerPhone : +91+145+ 5151200, 5151240 & 5151090Help Line : 0145-5151212

Nodal Officer: Mr. Akhilesh Mittal, System Analyst (Joint Director)