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0% found this document useful (0 votes)
76 views4 pages

Google 1

Bejeje

Uploaded by

rajaditya037100
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
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Government of India

Staff Selection Commission

Print Form
STAFF SELECTION COMMISSION
BLOCK NO. 12, CGO COMPLEX, LODHI ROAD, NEW DELHI

110003

Combined Higher Secondary Level (10+2) Examination 2024


REGISTRATION NO: 10011256975

Application Completed(Contents Not Verified)

1. CANDIDATE'S NAME (AS PER THE MATRICULATION 2. NEW/ CHANGED


3. GENDER 4. CATEGORY
CERTIFICATE) NAME
ADITYA RAJ - Male UR
7. DATE OF BIRTH (DD/MM/YYYY)
5. FATHER'S NAME 6. MOTHER'S NAME
(AS PER THE MATRICULATION CERTIFICATE)
ABHIMANU SHARMA MEERA DEVI 31/03/2006
8. AGE AS ON 01/08/2024 9. NATIONALITY 10. VISIBLE IDENTIFICATION MARK
18 Years 4 Months 3 Days Citizen of India CUT MARK IN RIGHT LEG
11. WHETHER A PERSON WITH BENCHMARK DISABILITY (PwBD) ? 11.1. IF YES, TYPE OF DISABILITY (OH, HH, VH, OTHERS)
No -
13. MATRICULATION (10th CLASS) YEAR OF 14. MATRICULATION (10th CLASS) ROLL
12. MATRICULATION (10th CLASS) EXAMINATION BOARD
PASSING NO.
Bihar School Examination Board 2021 2100212

ADDRESS DETAILS
15.1 CORRESPONDENCE ADDRESS 16.1 PERMANENT ADDRESS
VILL PO PS - PAIBIGHA DIST- GAYA VILL PO PS - PAIBIGHA DIST- GAYA
15.2. STATE: Bihar 16.2. STATE: Bihar
15.3. DISTRICT: Gaya 16.3. DISTRICT: Gaya
15.4. PIN: 804424 16.4. PIN: 804424
17. EMAIL radaditya03710@gmail.com 18. MOBILE NUMBER 6201949145

19. HIGHEST EDUCATIONAL QUALIFICATION


Higher Secondary (10+2)
20. DETAILS OF QUALIFYING EDUCATIONAL QUALIFICATION
20.1. EQ STATUS 20.2. PASSING YEAR 20.3. STATE/ UT of BOARD/ UNIVERSITY
Passed 2023 Bihar
20.4. NAME OF BOARD/ UNIVERSITY
BIHAR SCHOOL EXAMINATION BOARD
20.5. ROLL NUMBER 20.6. PERCENTAGE 20.7. CGPA
23010064 68.4

21. WHETHER YOU ARE AN EX-SERVICEMAN (ESM) OR SERVING IN THE ARMED FORCES? 21.1 DATE OF JOINING THE ARMED FORCES (DD/MM/YYYY)
No -
21.2. DATE OF DISCHARGE FROM ARMED FORCES (DD/MM/YYYY)? 21.3. LENGTH OF SERVICE IN ARMED FORCES
- -
21.4. HAVE YOU ALREADY JOINED A CIVIL POST BY AVAILING BENEFIT OF RESERVATION FOR EX-SERVICEMAN (ESM) ? 21.5. DATE OF JOINING TO CIVIL POST (DD/MM/YYYY)
No -
22. WHETHER SEEKING AGE RELAXATION ? 22.1. IF YES, AGE RELAXATION CODE
No
23. DO YOU WANT TO MAKE YOUR PERSONAL INFORMATION AVAILABLE FOR ACCESSING JOB OPPORTUNITIES IN TERMS OF DOP&T'S OM NO.39020/1/2016-ESTT.(P) DATED 21/06/2016?
No

24. PREFERENCE OF EXAMINATION CENTER


24.1. EXAMINATION CENTER (FIRST PREFERENCE ) 24.2. EXAMINATION CENTER (SECOND PREFERENCE ) 24.3. EXAMINATION CENTER (THIRD PREFERENCE )
CR-Gaya(3203) CR-Patna (3206) CR-Muzaffarpur (3205)

25. MEDIUM FOR COMPUTER BASED EXAMINATION (CBE): 26. MEDIUM FOR TYPING TEST:
01 - Hindi English
27.1. ARE YOU A PERSON WITH BENCHMARK DISABILITIES (40% OR MORE) IN THE CATEGORY OF BLINDNESS (VH)?
No
27.2. ARE YOU A PERSON WITH BENCHMARK DISABILITIES (40% OR MORE) IN THE CATEGORY OF OH-BOTH ARMS AFFECTED (OH-BA) OR OH-CEREBRAL PALCY (OH-CP)?
No
27.3. DO YOU HAVE PHYSICAL LIMITATION TO WRITE AS PER PARA 7.2 OR 7.3 OF THE NOTICE?
(CERTIFICATE TO THIS EFFECT FROM COMPETENT ATHORITY AS PER FORMAT AT ANNEXURE-1/ANNEXURE-1A TO THE NOTICE OF EXAMINATION, WOULD BE REQUIRED AT THE TIME OF
EXAMINATION)?
No
27.4. WHETHER SCRIBE IS REQUIRED?
No
27.5. WILL YOU MAKE YOUR ARRANGEMENT OF SCRIBE?
No
27.6. IF SCRIBE IS TO BE ARRANGED BY SSC, THEN INDICATE MEDIUM?
-
28. WHETHER 12TH STANDARD PASS IN SCIENCE STREAM WITH MATHEMATICS AS A SUBJECT FROM A RECOGNISED BOARD OR EQUIVALENT?
(FOR DEOs IN DEPARTMENT/MINISTRY MENTIONED AT PARA 8.1 OF THE NOTICE)
Yes
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 24047ef84cf832986c 07/05/2024
DECLARATION
1. I HAVE READ THE NOTICE OF EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS MENTIONED THEREIN.
2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT
OF ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE
TO BE CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
3. I AGREE TO AUTHORIZE SSC TO USE MY AADHAR DATA FOR VERIFICATION PURPOSE.

PRINT TAKEN ON: 07-05-2024 7:21 AM IP ADDRESS: 2409:40e4:31:4493:c53e:7fd1:453a:75e0

NUMBER OF ATTEMPT: 1

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