STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 50000656149

BASIC DETAILS
1a. AADHAAR NUMBER 721337530690
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME TATSAM YADAV
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME MUKESH KUMAR
4a. MOTHER'S NAME VINA YADAV
5a. DATE OF BIRTH (DD/MM/YYYY) 24/02/1994
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD CENTRAL BOARD OF SECONDARY
EDUCATION (CBSE)
(ii). ROLL NUMBER 6183361
(iii). YEAR OF PASSING 2010
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
9. MOBILE NUMBER 9871777643
10. EMAIL ID tatsam26@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE AT CHEST

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS 647/11 A DEVLI LAL DORA PUSHPA BHAWAN
SOUTH DELHI 110062
15b. STATE/ UT DELHI

DRAFT PRINT TAKEN ON 11/09/2019 9:34:49 PM

15c. DISTRICT SOUTH DELHI
15d. PIN CODE 110062
16. IS PERMANENT ADDRESS SAME AS PRESENT -
ADDRESS?

17a. PRESENT ADDRESS 587 RK PURAM SECTOR 12

17b. STATE/ UT DELHI

17c. DISTRICT SOUTH WEST DELHI

17d. PIN CODE 110022
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 11/09/2019 9:34:52 PM