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Staff Selection Commission (Block No. 12, CGO-Complex, Lodhi Road, New Delhi 110003 ) Combined Graduate Level Examination-2017 Registration No: 60000914512 Application Status: Application provisionally submitted

Name of the Examination Centre NWR-Shimla(1203) NWR-Chandigarh(1601) NWR-Hamirpur(1202) Candidate's Full Name RANJANA

Examination Centre Code 1203 1601 1202

Father's Name GOPAL KRISHAN

Mother's Name MEENA SHARMA

Date of Birth 1990-10-03

Gender Female

Nationality Indian

Fee Fee Exempted

Category General

Whether Ex-serviceman

If,ExS,whether seeking reservation?

Length of Service

Date of Discharge

No Whether PH?

If yes,indicate code

Whether seeking Age relaxation? No

If yes,indicate code

Do you possess EQ for the Posts of Junior Statistical Officer? No

Are you applying for the Post of AAO?

Do you possess EQ for the Posts of AAO?

Yes

Yes

No Preference for Group of Posts: CA

Are you applying for the Posts of Junior Statistical Officer? No

Whether belong to Minority Communities as per Govt. Orders?

Age as on (01.08.2017) 26.10

If yes,indicate medium

Mark of visible identification

No

If VH/Celebral Palsy/Locomotor candidate,whether scribe is required? No

Mode of Fee Payment

Amount

Transaction-ID

Transaction Date

Educational Qualiication(Please note that possession of Graduate Qualification is a pre-requisite to apply for this examination,However you may indicate your highest qualification) Indicate Code B.Tech

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

Details of Work Experience/Govt. Service rendered Name of the Organization

Designation

Nature of Duty(ies)

Period of Service -

Address Detail Communication Address VPO KUNIHAR HAT KOT NEAR NEW BUS STAND TEHSIL ARKI DISTT. SOLAN HIMACHAL PRADESH City: KUNIHAR District: SOLAN State: Himachal Pradesh Pin Code: 173207

Permanent Address VPO KUNIHAR HAT KOT NEAR NEW BUS STAND TEHSIL ARKI DISTT. SOLAN HIMACHAL PRADESH State: Himachal Pradesh Pin Code: 173207 Mobile No.: 9805259991 Email Id: [email protected]

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