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MPSC - Online Application System

The document is an application for the State Services Preliminary Examination 2022. It contains details of the applicant such as personal information, qualifications, experience, and a declaration. Key details include the applicant's name (Jitendra Ravindra Avhad), date of birth (11/04/1996), caste category (NT-D), and qualifications including SSC (2012), HSC (2014), and B.E. Mechanical Engineering (2018). The applicant has applied for the State Services Preliminary Examination 2022 to be held on June 24, 2022 at the Jalgaon exam center.

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Harshal Avhad
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0% found this document useful (0 votes)
234 views3 pages

MPSC - Online Application System

The document is an application for the State Services Preliminary Examination 2022. It contains details of the applicant such as personal information, qualifications, experience, and a declaration. Key details include the applicant's name (Jitendra Ravindra Avhad), date of birth (11/04/1996), caste category (NT-D), and qualifications including SSC (2012), HSC (2014), and B.E. Mechanical Engineering (2018). The applicant has applied for the State Services Preliminary Examination 2022 to be held on June 24, 2022 at the Jalgaon exam center.

Uploaded by

Harshal Avhad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Applications Details

Advt. Number 045 Application ID 01504520220106220172605 Applied On 01/06/2022 9:01 PM

Advertisement (English) State Services Preliminary Examination 2022 Advertisement (Marathi) राज्य सेवा पूर्व परीक्षा 2022

Start Date of Application 12/05/2022 Last Date of Application 24/06/2022

Exam Name State Services Preliminary Examination 2022

Exam Center

1 Jalgaon

You are eligible for following post(s)

1 State Services Preliminary Examination 2022 | राज्य सेवा पूर्व परीक्षा 2022

Personal Details

Full Name(English) AVHAD JITENDRA RAVINDRA Full Name(Devnagari) जितेंद्र रविंद्र आव्हाड

Surname AVHAD Date Of Birth 11/04/1996 Mother Tongue MARATHI

First Name JITENDRA Email ID [email protected]

Middle Name RAVINDRA Mobile Number 98XXXXXX14 Read Marathi Yes

Mother's Name CHHAYABAI RAVINDRA AVHAD Nationality Indian Speak Marathi Yes

Gender Male Marital Status Unmarried Write Marathi Yes

Whether your name is changed/updated after 10th or equivalent qualification or after marriage No

Aadhar Details

Are you holding an Aadhar card? Yes Aadhar Number XXXXXX2789

Name in English JITENDRA RAVINDRA AVHAD

Physical Measurement

Height In Cms. 171 Weight In Kgs. 58 Chest Deflated In Cms. 80 Chest Inflated In Cms. 85

Caste / Category Details

Category NT-D Caste Certificate No 321/1375 Issuing District Aurangabad

Issuing Date 20/09/2007

Do you belong to Non-creamy Layer? Yes NCL Certificate Number 41353234832 Issuing Date of Latest NCL 02/03/2020

Do you have Caste Validity Certificate? No

Persons with Benchmark Disabilities Details

Are you a person with permanent benchmark disabilities? No

Sports Details
Are you a Meritorious Sports Person? No

Ex-serviceman

Are you ex-serviceman of the regular Armed Forces? No

Government of Maharashtra Employee Details

Are you an employee of Government of Maharashtra? No

Are you an employee of B.M.CAre you an employee of B.M.C.? No Are you an employee of B.E.S.T? No

Domicile Details

Maharashtra Domicile Certificate? Yes Issuing District Aurangabad

Domicile Certificate No Available Certificate Number 399

Domicile Issuing Date 25/12/2021

Orphan Details

Do you want to take advantage for Orphan reservation? No

Address Information

Permanent Address Correspondence Address

Address Line 1 At. Pimpla Address Line 1 At. Pimpla

Address Line 2 Post. Jamthi Address Line 2 Post. Jamthi

Address Line 3 Tal. Soegaon Address Line 3 Tal. Soegaon

Landmark Jamthi Landmark Jamthi

State / Union Territory MAHARASHTRA State / Union Territory MAHARASHTRA

District Aurangabad District Aurangabad

Taluka Soegaon Taluka Soegaon

Village / City Pimpla Village / City Pimpla

Pincode 431118 Pincode 431118

Other Information

Other Details

Whether any prosecution is pending in any Court of Law against you? No Whether any disciplinary action has been initiated by Government/Semi-
Government Organisations against you?
No

Whether disciplinary or any other similar action is initiated by Bar Council Was any Court Case filed against you? No
or Medical Council or Association or other Professional/Vocational
Institution?
No

Whether debarred or Black Listed for Examination / Selection held by SSC


Board / University / MPSC / Other P.S.C/ UPSC or any other Organisations?
No
Qualification Information

Percentage /
CGPA (For Grade Number
Subject / Date of add respective of
Sr Qualification Name of Stream / qualification percentage academic Class / Compulsory Optional
No Type Qualification Branch Board / University completion Attempts value) months Grade Mode Subjects Subjects

1 SSC SSC State Board 13/06/2012 1 80.91 12 First Class Traditional MARATHI SCIENC
with / Regular HINDI E
Distinction ENGLISH SOCIAL
SCIENC
E MATH

2 HSC HSC Science State Board 02/06/2014 1 65.08 12 First Class Traditional MARATHI GEOGR
/ Regular ENGLISH APHY
PHYSICS
CHEMISTRY
MATHEMAT
HICS AND
STATISTICS

3 Graduate B.E. Mechanical Kavayitri Bahinabai 08/07/2018 1 68.88 48 First Class Traditional
Engineering Chaudhary North / Regular
Maharashtra
University, Jalgaon

4 Certifications MSCIT 03/10/2012 88 3

5 Certifications GCC -
English 30
WPM

6 Certifications GCC -
English 40
WPM

7 Certifications GCC -
Marathi 30
WPM

Experience Information

Whether
Full selected
Sr Institution / Department / Designation Nature Of Nature Time / Pay Band / Pay Scale / Grade Monthly Gross From To from
No Organisation / Court (Post Held) Appointment Of Job Other Professional Charge Pay Salary / Income Date Date Years Months Days MPSC?

Declaration

I AVHAD JITENDRA RAVINDRA here by declare that I have read the advertisement/notification for the post(s) and Last Updated on 01/06/2022
read the information about the post(s) carefully. I accept it. I have assured for myself that I fulfill all the terms and
conditions mentioned in the advertisement/notification. All the information, provided in this application is true and Location Jalgaon
correct to the best of my knowledge. I am aware that I will be liable for appropriate action (including loss of the job)
if the information provided is found to be incorrect. I the undersigned hereby authorize and give consent to M.P.S.C.
for using my Aadhar details for verification of my identity.

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