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The document is a draft registration form for an individual named Shraddha, with a registration number of 50006899123. It includes personal details such as date of birth, educational qualifications, and contact information, confirming that she is a citizen of India and belongs to the unreserved category. The registration process is incomplete and requires final submission within 14 days to avoid automatic deletion of the data.

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sanjaysahane12345
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9 views2 pages

Draft Print

The document is a draft registration form for an individual named Shraddha, with a registration number of 50006899123. It includes personal details such as date of birth, educational qualifications, and contact information, confirming that she is a citizen of India and belongs to the unreserved category. The registration process is incomplete and requires final submission within 14 days to avoid automatic deletion of the data.

Uploaded by

sanjaysahane12345
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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STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 50006899123


BASIC DETAILS
1a. AADHAAR NUMBER 602558948720
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME SHRADDHA
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME SANJAY
4a. MOTHER'S NAME NANDABAI
5a. DATE OF BIRTH (DD/MM/YYYY) 17/05/2005
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
(ii). ROLL NUMBER K123143
(iii). YEAR OF PASSING 2021
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 8600040319
10. EMAIL ID sanjaysahane12345@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY UNRESERVED

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS TIL

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS SIRASAGAON MANDAP
15b. STATE/ UT MAHARASHTRA

DRAFT PRINT TAKEN ON 28/03/2023 8:16:14 AM


15c. DISTRICT JALNA
15d. PIN CODE 431135
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS SIRASAGAON MANDAP


17b. STATE/ UT MAHARASHTRA

17c. DISTRICT JALNA


17d. PIN CODE 431135
18. CONTACT DETAILS FOR OTHER NATIONALS -

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 28/03/2023 8:16:14 AM

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