Thanks to visit codestin.com
Credit goes to www.scribd.com

0% found this document useful (0 votes)
118 views3 pages

CGPSC - Preview Registration Form

1. Abhishek Akela has applied for the Civil Judge (Entry Level) Exam-2023 with application ID CJP230801102958 and paid application status. 2. He has provided his personal details including name, father's name, date of birth, address, education qualifications of 10+2 from CBSE and LLB from Rajiv Gandhi National University of Law. 3. He has declared that he does not have any work experience and meets the qualification criteria of a Bachelor's Degree in Law from a recognized University.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
118 views3 pages

CGPSC - Preview Registration Form

1. Abhishek Akela has applied for the Civil Judge (Entry Level) Exam-2023 with application ID CJP230801102958 and paid application status. 2. He has provided his personal details including name, father's name, date of birth, address, education qualifications of 10+2 from CBSE and LLB from Rajiv Gandhi National University of Law. 3. He has declared that he does not have any work experience and meets the qualification criteria of a Bachelor's Degree in Law from a recognized University.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Submission Date:- 11-06-2023

Post Details

Applied Post/Name of Exam : Civil Judge (Entry Level) Exam-2023

Application ID : CJP230801102958 Application Status : Submitted Payment Status : Paid

Basic Information

Candidate's Name : ABHISHEK AKELA Mobile No. : 9113396344 Email Id :


abhishekakela0007[at]rediffmail[dot]
com

Chhattisgarh Residence Detail

Is Candidate Domicile Of : No Locality? : Rural


Chhattisgarh?

Personal Information

Candidate's Name : ABHISHEK AKELA Father Name : BIJAY CHANDRA JHA Mother's Name : BIBHA JHA

Nationality : INDIAN Gender : MALE Date of Birth : 26-10-1994 (29 Years, 2


Months, 6 Days)

Birth Place : AKAUR Religion : Hindu

Document to be submit by you as : 10th MarkSheet Roll No./Certificate No. shown on : 5115660 Marital Status : No
proof of date of birth Document to be submitted as
proof of date of birth

Category

Category : UR (Un-Reserved)

Permanent Address Details

Permanent Address : VILLAGE AKAUR POST AKAUR, State/UT : BIHAR District : Madhubani
POLICE STATION BENIPATTI

PINCODE : 847230 Nearest Police Station : Benipatti

Correspondence Address Details

Present Address : VILLAGE AKAUR POST AKAUR, State/UT : BIHAR District : Madhubani
POLICE STATION BENIPATTI

PINCODE : 847230 Nearest Police Station : Benipatti

PH Certificate Details

Are you Differently Abled Person(PH/Divyang)? : No

Other Details

Are you Govt Employee of Chhattisgarh or Employed in : No


board/corporation of Chhattisgarh state at present (Not for Shiksha
Karmi, Home Guard, Ex-Serviceman, Chhatani Employee, Contract
Employee of Chhattisgarh)?

Are you Contract-Based Govt Employee of Chhattisgarh at present (Not : No


for Shiksha Karmi, Home Guard, Ex-Serviceman, Chhatani Employee,
Govt Employee of Chhattisgarh) ?

Are you ever excluded from : No Is candidate ever terminated or Punished during : No Are you ever declared guilty In any criminal case? : No
examination/selection by any authority/ the term of service?
Institution ?

Qualifications Details

Qualification Type : Intermediate(10+2) Name of : 10+2 Board/University : CBSE


Course/Degree

Institute Name : PUBLIC SCHOOL DARBHANGA Result Status : PASSED Marks type : MARKS

Percentage : 60.00 Passing Year : 2011

Qualification Type : Graduation degree result Name of : BALLB Board/University : RAJIV GANDHI NATIONAL
awaited Course/Degree UNIVERSITY OF LAW

Institute Name : RAJIV GANDHI NATIONAL Result Status : PASSED Marks type :-
UNIVERSITY OF LAW PUNJAB

Percentage :

मैं प्रमाणित करता/करती हूं कि इस पृष्ठ पर मैंने कक्षा 12 वीं/ डिप्लोमा से लेकर आवेदित पद हेतु विज्ञापन में दर्शित आवश्यक शैक्षणिक अर्हता तक तथा मेरे द्वारा धारित अन्य शैक्षणिक : Yes
अर्हताओं की वर्षवार सहीं प्रविष्टि कर दी है। दस्तावेज सत्यापन के समय मेरे द्वारा इस पृष्ठ पर प्रविष्ट की गई समस्त शैक्षणिक अर्हताओं संबंधी समस्त मूल दस्तावेज प्रस्तुत किए जाएंगे तथा
मेरे द्वारा प्रस्तुत जानकारी व/या घोषणा के अनुपयुक्त, अपूर्ण या असत्य पाए जाने पर मुझे चयन के किसी भी स्तर पर आयोग द्वारा अनर्ह घोषित किया जा सके गा जो मुझे मान्य होगा।

Work Experience

Have you any work experience? : No

मैं प्रमाणित करता/करती हूं कि इस पृष्ठ पर मैंने अपने द्वारा पूर्व में की गई सेवा संबंधी तथा आवेदित पद हेतु विज्ञापन में दर्शित आवश्यक अनुभव (यदि विज्ञापन में दर्शित हो) अर्हता संबंधी : Yes
वर्षवार सहीं प्रविष्टि कर दी है। दस्तावेज सत्यापन के समय मेरे द्वारा इस पृष्ठ पर प्रविष्ट किए गए समस्त अनुभव संबंधी समस्त मूल दस्तावेज प्रस्तुत किए जाएंगे तथा मेरे द्वारा प्रस्तुत
जानकारी व/या घोषणा के अनुपयुक्त, अपूर्ण या असत्य पाए जाने पर मुझे चयन के किसी भी स्तर पर आयोग द्वारा अनर्ह घोषित किया जा सके गा जो मुझे मान्य होगा।

Qualification Details

a)Bachelor Degree in Law from recognized University. : Yes

मै प्रमाणित करता/करती हूॅ कि मैंने Qualification Details, Tab में शैक्षणिक अर्हता तथा : Yes
Work Experience, Tab में अनुभव (जहां लागू हो) उक्तानुसार प्रविष्टि कर दी है, ऐसा नहीं
किए जाने पर आयोग द्वारा मुझे अनर्ह घोषित किए जाने का निर्णय लिया जा सके गा, जो मुझे
मान्य होगा।

Certificate & Document

Signature

Photo

Centre Preference

Centre Preference : RAIPUR

Transaction Details

Date : 11-06-2023 15:54:39 Gateway : HDFC Transaction Id : 7cda80ed428b5d188164

Gateway Transaction : 112907596115 Amount : 447.20 Status : PAID


Id

Declaration

I hereby declare that I have carefully read the relevant Advertisement and all the terms and conditions indicated therein and undertake to abide by the terms & condition of
the Advertisement for participating in any stage of selection process. The Information provided by me herein is true and correct to the best of my knowledge. I further undertake that I
shall not claim any benefit of any category/subcategory/relaxation/reservation that I have not specially indicated in this online application form. Further, I am aware that I will be liable
for appropriate panel action and will be disqualified from the Examination process, if the information provided by me is proved to be incorrect/incomplete at any stage. I will not claim
any relaxation or benifit on the basis of acceptance of my application with wrong /misleading/incomplete information provided by me. I will not claim acceptance of my application as
eligibility for applied post with correct/incorrect data on failure or lack of any validation rule.

Candidate Signature

You might also like