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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 30000838025


BASIC DETAILS
1a. AADHAAR NUMBER -
1b. TYPE OF ID SCHOOL/COLLEGE ID CARD
1c. ID NUMBER 1600015
2a. NAME AMBER YADAV
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME BHOOPENDRA PAL SINGH
4a. MOTHER'S NAME RAJNI YADAV
5a. DATE OF BIRTH (DD/MM/YYYY) 19/09/1998
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD CENTRAL BOARD OF SECONDARY
EDUCATION (CBSE)
(ii). ROLL NUMBER 5630955
(iii). YEAR OF PASSING 2014
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
9. MOBILE NUMBER 8090781256
10. EMAIL ID amberyadav8090@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE ON LEFT SIDE OF FOREHEAD

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


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS R 75 JAFRI MOHALLA KANPUR ROAD
FATEHGARH
15b. STATE/ UT UTTAR PRADESH

DRAFT PRINT TAKEN ON 08/11/2019 5:50:34 PM


15c. DISTRICT FARUKKHABAD
15d. PIN CODE 209601
16. IS PERMANENT ADDRESS SAME AS PRESENT -
ADDRESS?

17a. PRESENT ADDRESS 158/1 VASUNDHRA 16B


17b. STATE/ UT UTTAR PRADESH

17c. DISTRICT GHAZIABAD


17d. PIN CODE 201012
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 08/11/2019 5:50:34 PM

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