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SASHASTRA SEEMA BAL RECRUITMENT
R E C R U I T M E N T F O R C o n s t a b l e ( Ve t e r i n a r y ) E X A M I N AT I O N , 2 0 1 8
ACKNOWLEDGEMENT
REGISTRATION ID : 20865605 DATE & TIME : 25-11-2020 [Link]
POST APPLIED FOR : CONSTABLE (VETERINARY) APPLICANT NAME : SUPRIYA NIVRUTTI KOLHE
FATHER'S NAME : NIVRUTTI MOTHER'S NAME : SEEMA
DATE OF BIRTH : 23-07-1997 GENDER : FEMALE
RELIGION : HINDU MARITAL STATUS : UNMARRIED
NATIONALITY : INDIAN CATEGORY : OBC
IDENTITY CARD NO : GQRPK0910A (PAN CARD) IDENTIFICATION MARKS : MOLE ON RIGHT HAND
MOBILE NUMBER : 9022530080 EMAIL ADDRESS : SUPRIYA.2371997@[Link]
COMMUNITY BELONGING TO ANY : NO
WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO
WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
WHETHER EX-SERVICEMAN : NO
WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS NO
SERVICE IN CENTRAL GOVERNMENT :
EDUCATION QUALIFICATION DETAILS
AGGREGATE
SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF CERTIFICATE DATE OF
EXAM PASSED EXAM ROLL NO NO ISSUED SUBJECT PERCENTAGE OF
INSTITUTE
MARKS/ GRADING
MATRICULATION MSBTE 2012 E071558 1236 01-03-2012 10TH 77.64
ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
VILLAGE/TOWN AMBARNATH VILLAGE/TOWN AMBARNATH
POST OFFICE NETAJI BAZAR POST OFFICE NETAJI BAZAR
TEHSIL AMBARNATH TEHSIL AMBARNATH
POLICE STATION AMBARNATH POLICE STATION AMBARNATH
DISTRICT THANE DISTRICT THANE
STATE MAHARASHTRA STATE MAHARASHTRA
PIN CODE 421505 PIN CODE 421505
DECLARATION OF CRIMINAL CASES
HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO
CRIMINAL PROCEEDING DETAILS, IF ANY
A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO
B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?
C) HAVE YOU EVER BEEN ARRESTED/DETAINED IN ANY CRIMINAL CASE(S)? NO
D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO
E) HAVE YOU EVER BEEN TRIED & CONVICTED BY THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? NO
DECLARATION BY THE CANDIDATE
I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM
WELL AWARE OF THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL
THE BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.
DATE : 25-11-2020 [Link]
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