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PSC - Candidate's Application Detals(Ragistration ID: 12904744267)
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Application details of Registration ID : 12304744257 for Combined Defence Services
Examination (1) - 2023
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Name / =
Full Nome / E15
Gender / 0:
Date of Birth /
Fathers Name / fs 7-1
Mother’ Name / a 18
Do you belong to Minority /# a ere #
Mobile No. / gS A
email /¢te
Aterative e-mail / Bae Eke
PART =1/ Mm =r
OTR (One Time Registration) Detalls / stare (xr even eran) fro,
0171 NEG
OTT NEGI
Female
20-09-2001
MEHARAN SINGH NEGE
No
7619346949
aettnesinte gmail.com
[email protected]
Navonatty =m
Martal status ta 2A
Community /
Fee Remission Claimed / 3 am
dares /
Prone No. / Ba ahs 3 ru
Educational Qualification / er thet
Photo Identity Card / et Sear
Commercial Pio Licence issued by OGCALTnso)
cnt cree evar hee (a) ee oe
Preferences / ea
Whether hoving/tikely to hove NCCC’ Certcate Se
Divsion{army/Navy/AFA)
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Frome tees a een b
Whether Serving in Armed Forces / tae # ca &
Whether belong to Seinik School / Sau tar aE wa
wate
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Unmaries
ceneral
Chow 1 gally 2
‘hanivawote denrocun
District : Dehradun
State/UT : Uttrakhand
Pincode : 24800
0135 7618346969
Passed/eppeared/appearing the final year degree or eau
‘exam wih other subjects (ve other than those mentioned
against 01 ane 02 above),
‘achaar Card / VID of Aadhaar Card - x20000004409,
Note: Please provide the Photo Identity
card number in Online Application Form
and remember to carry the same at the
time of Personality Test/Examination
venus
No
MOA: © | INA: 0 | AFA: 0 | OTA: 1
None
No
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1 ‘v2, 7:12PM LUPSC - Candidate's Application Details (Registration ID: 12304744257)
PART -11 / sm— 11
[Photograph, Signature, Photo Identity Card Document & Examination Centre of Registration-Id: 12304744257]
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Photo Tdentit
Photograph / | Signature / BRT&R| Card / " Examination
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Document
Uploaded Dehradun
Declaration
2. thereby declare that all tatements made in this application are true, compete and correct to
vc best of my knowledge one beet inthe event sf any information being found false or
Incorrect, or Melgity being detected before er efter tre examination, action canbe taken
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Brae oe qe ee ave ees tng cet 8 ater teky Qed sal ga are see oak Se
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}2. 1 have read the provisions in the rules and the notice of the Commission carefully and hereby
lundertake to abide by them. I further declare that I fulfl all the conditions of eligibility regarding
agg, educalgnal quaiictions etc, prescribed for sdmigsign to the examination,
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}3. I have informed my Head of Office/Depart ment in writing that I am applying for this
Jexamination.*
* Applicable for those who are already in government service/similar organizations or government}
Jowned industrial undertakings whether in permanent or temporary capacity or as work charged
gpeeyees ether tan casual or daly rated emlcyees er hase saving under publ enterpises.
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[seam 8 ee omer oneal ear a steer fea over Shen ot oR ereieg woreateah a doh a ee aE
ete a oe worefzn ated & auc aries Ba a eae) orca all @1
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