HIGH COURT OF BOMBAY
Testing Application Form for The Post of CLERK
Registration-ID :- CLK87005
Name of the Applicant :- SONALI SUKDEO SONAWANE
Address for correspondence :- Devgiri apt, A wing, room no.
101, behind Darshan Marriage
Hall, Atmaram Nagar, Kalyan
East
District of Postal Address :- THANE - 421306
Aadhar No. :- 598007992676
Contact Nos. :- Mobile :- 9594549517
Email :- tejusurya999@gmail.com
Nationality :- Indian
Gender :- Female
Religion, Category/Caste :- Hindu, Schedule Tribes (Tokare koli)
Date of Birth :- 20/02/1987
Age as on 23/12/2021 :- 34 Years 10 Months 3 Days
Marital Status :- Married
No. of Living Child/Children 1
Child/Children born after 28/03/2005 1
Whether Candidate is :- No
Differently-abled Person?
Educational Qualification :-
Course/Degree Board/University Year of Marks out of Percent
Passing Obtained Marks %
S.S.C. PUNE 2002 540 750 72.00
H.S.C. (Science) PUNE 2004 366 600 61.00
Graduate (B.A.) NASHIK 2015 692 1200 57.67
Is the Candidate Domicile :- Yes
of Maharashtra
Language Known :-
Marathi Hindi English
Yes Yes Yes
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Does candidate work in any :- No
State/Central Govt.
Department ?
Does Candidate have :- Yes
experience related to post / Name and Addr. Designation Nature of Period
any other experience ? of Organisation work From To
BOMBAY HIGH WILLIN TYPIST 05/03/2020 09/03/2021
COURT GNESS
CLERK
Typing/Shorthand :-
Qualification Name of the Course Certificate Marks Out of Grade Date of
Issued by Obtained Marks Passing
English 40 w.p.m. G.C.C. 77 100 A 11/08/2006
Details of Computer :-
Courses Name of Certificate Duration Marks Out of Grade Date of
the Course Issued by (months) Obtained Marks Passing
mscit MS-CIT 6 66 100 A 01/06/2003
Other technical :- No
qualification, if any
Whether candidate has :- No
enrolled his name at
Employment Exchange?
Is there any criminal :- No
proceeding held/pending
against the candidate or is
he convicted by Criminal
Court or held guilty/facing
disciplinary enquiry?
Fee Details :- Payment Gateway:- SBI Collect
Payment Type :- ePayment
SBCollect Ref. No.
:- DUI3491696
Date :- 05/01/2022
Amount :- Rs. 25
Signature of Applicant
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FOR OFFICE USE
Affix your
passport size
photo here
Signature of Applicant
Printed on 05/01/2022 22:27:34
Page 3/4
DECLARATION
1) I the applicant SONALI SUKDEO SONAWANE
do hereby declare that I have not been arrested or convicted or held guilty or facing disciplinary enquiry for any offence
and that no case is pending against me in any Criminal Court for any offence.
2) I also affirm that all the details filled up in the application are true and correct as per my knowledge. If any
information is found to be false/incorrect, I will be liable to be disqualified from the process of selection and if
selected/appointed, my services would be liable to be terminated without any notice.
3) I have 1 (Number) living children as on today. Out of which No. 1 of children born after 28th March, 2005 is
14/03/2008 (mentioned dates of birth, if any).
4) I am aware that, if any total number of living children are more than two due to the children born after 28th March
2006, I am liable to be disqualified for the same post.
Place: THANE
Date: 05/01/2022
SONALI SUKDEO SONAWANE
Name and Signature of Applicant
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