25/03/2024, 21:33 about:blank

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ಕರ್ನಾಟಕ ಲೋಕಸೇವಾ ಆಯೋಗ, ಉದ್ಯೋಗ ಸೌಧ, ಬೆಂಗಳೂರು

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Karnataka Public Service Commission, Udyoga Soudha, Bangalore

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

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Personal Details
Full Name SAHANA M Enrollment No. 20230900021148

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Father Name/Guardian Name
Mother's Name/Guardian Name
MUNI NARAYANA
GOWRAMMA V Gender FEMALE
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Are you married ? No
Date of Birth(As in SSLC/10th marks
11/08/1996 Age as on Date 27 years 7 months and 14 days.
card.)
Mobile Number 9110654287 Landline No. 0
Email-Id SAHANAM933@GMAIL.COM

Permanent Address
C/O: Muninarayana Peramachanahalli Chikkaballapur Karnataka-563128

Correspondence Address
peramachanahalli bangalore-chinthamani road ,,
,KARNATAKA,CHIKKABALLAPURA,CHINTHAMANI-563128

Reservation Category Details

Category Category I I (A) Sub Caste Kuruba
Issuing District ಚಿಕ್ಕ ಬಳ್ಳಾ ಪುರ Issuing Date 13/02/2023
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Certificate No. RD0038317164030 Valid Upto Date 12/02/2028

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Differently Abled Details

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Are you Differently abled Person(PH)? No

Other Details
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Nationality Indian
Are you Ex-Serviceman ? No
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Are you a dependant of a Battle Casualty Military Person(Battle

casualty cases where Military personnel are killed or disabled No
during war/war like operations ?
Are you Government Employee ? No
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Are you claiming Rural reservation ? No

Are you claiming Kannada Medium Student reservation ? No
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Are you claiming Project displaced person reservation ? No

Are you claiming Hyderabad-Karnataka Region Reservation ? No
Are you a candidate who has been released from the National
No
Cadet Corps after service as whole time Cadet Instructor ?
Are you a candidate who is or was a village Group Inspector
appointed in a Rural Industrialisation Scheme sponsored by the No
State Government ?
Are you a candidate who is or was holding a post under the Census
No
Organisation of the Government of India in 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 or Any
No
Selection Authorities ?

Qualification Details
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SL Result Marks Marks Percentage Course

Name of Degree Course Subject Grade CGPA Board / Univers
No. Status Obtained Outof (%) Duration
1 SSLC/10th/NIOS/KOS -- -- Passed 566 625 90.56 -- -- -- 10TH
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SL Result Marks Marks Percentage Course
Name of Degree Course Subject Grade CGPA Board / Univers
No. Status Obtained Outof (%) Duration
KSEEB/KSEAB/(
2 PUC/12th/10+2/HSC/NIOS Science Physics,Chemistry,Mathematics,Biology Passed 501 600 83.5 -- -- --

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BOARD)
Visvesvaraya
3 Graduate/Degree BE Computer Science Engineering Passed 4763 6800 70.04 -- -- 4 Technological

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University(VTU)

Kannada Language Test

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Have you passed Kannada Language Test conducted by KPSC
Yes
from 29-11-2022 onwards?
Date of Examination
En 25/02/2023 Register Number 5017152

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