ಕರ್ನಾಟಕ ಲೋಕಸೇವಾ ಆಯೋಗ, ಉದ್ಯೋಗ ಸೌಧ, ಬೆಂಗಳೂರು

Karnataka Public Service Commission, Udyoga Soudha, Bangalore

This is Enrollment cum Registration form only - Not Applied Application Form

Personal Details
Full Name KAVERI S NOOLIN Enrollment No. 20240300109666
Father Name/Guardian Name Sharanappa
Mother's Name/Guardian Name Jayashree Gender FEMALE
Are you married ? Yes Spouse Name
Date of Birth(As in SSLC/10th
13/07/2000 Age as on Date 23 years 8 months and 22 days.
marks card.)
Mobile Number 8217787302 Landline No. 0
Email-Id AJITKUMARMASUTI@GMAIL.COM

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Permanent Address
HIRUR HIRUR Bijapur Karnataka-586214

Correspondence Address or
tF
C/O Shivappa masuti,near Bus stop ,Hangaragi
,KARNATAKA,VIJAYAPURA,BASAVANA BAGEWADI-586216
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Reservation Category Details

Category Category I I I (B) Sub Caste Veerashaiva Lingayat
Issuing District ವಿಜಯಾಪುರ Issuing Date 03/04/2024
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Certificate No. RD1219127026837 Valid Upto Date 02/04/2029

Differently Abled Details

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Are you Differently abled Person(PH)? No

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Other Details
Nationality Indian
Are you Ex-Serviceman ? No
Are you a dependant of a Battle Casualty Military
Person(Battle casualty cases where Military personnel are No
killed or disabled during war/war like operations ?
Are you Government Employee ? No
Are you claiming Rural reservation ? Yes
Are you claiming Kannada Medium Student reservation ? No
Are you claiming Project displaced person reservation ? No
Are you claiming Hyderabad-Karnataka Region
No
Reservation ?
Are you a candidate who has been released from the
National Cadet Corps after service as whole time Cadet No
Instructor ?
Are you a candidate who is or was a village Group
Inspector appointed in a Rural Industrialisation Scheme No
sponsored by the State Government ?
Are you a candidate who is or was holding a post under
the Census Organisation of the Government of India in No
this State ?
Are You a candidate who is bonded labourer ? No
Are you a widow ? (Must have not remarried) No
Black List
Have you been convicted in any criminal cases ? No
Whether Currently Debarred or Black Listed From KPSC
No
or Any Selection Authorities ?

Qualification Details
SL Result Marks Marks Percentage Course
Name of Degree Course Subject Grade CGPA Boa
No. Status Obtained Outof (%) Duration
1 SSLC/10th/NIOS/KOS -- -- Passed 569 625 91.04 -- -- -- KSE
KSE
2 PUC/12th/10+2/HSC/NIOS Science Mathematics,Physics,Chemistry,Biology Passed 543 600 90.5 -- -- --
BO
Bachelor
Ran
3 Graduate/Degree of CHEMISTRY,PHYSICS,MATHEMATICS Passed 4409 5000 88.18 -- -- 3
Un
Science

Kannada Language Test

Have you passed Kannada Language Test conducted by KPSC from 29-11-2022
No
onwards?

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