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The document is a draft registration form for Tushar Dhananjay Sontakke with registration number 50002971235. It includes personal details such as name, date of birth, educational qualifications, and contact information. The registration process is incomplete and requires a final submission within 14 days to avoid deletion of data.

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Tushar Sontakke
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7 views3 pages

Draft Print

The document is a draft registration form for Tushar Dhananjay Sontakke with registration number 50002971235. It includes personal details such as name, date of birth, educational qualifications, and contact information. The registration process is incomplete and requires a final submission within 14 days to avoid deletion of data.

Uploaded by

Tushar Sontakke
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 : 50002971235


BASIC DETAILS
1a. AADHAAR NUMBER 246986591958
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME TUSHAR DHANANJAY SONTAKKE
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME DHANANJAY SONTAKKE
4a. MOTHER'S NAME SUNITA SONTAKKE
5a. DATE OF BIRTH (DD/MM/YYYY) 01/04/2002
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
(ii). ROLL NUMBER J079563
(iii). YEAR OF PASSING 2017
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
9. MOBILE NUMBER 8788429359
10. EMAIL ID tusharsontakke959@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY SC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS BLACK MOLE ON CHIN

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


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS NEAR ZULEKHA COLLEGE SHANTINAGAR
NAGPUR-440002

DRAFT PRINT TAKEN ON 22/01/2021 10:12:06 AM


15b. STATE/ UT MAHARASHTRA
15c. DISTRICT NAGPUR
15d. PIN CODE 440002
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS NEAR ZULEKHA COLLEGE SHANTINAGAR


NAGPUR-440002
17b. STATE/ UT MAHARASHTRA

17c. DISTRICT NAGPUR


17d. PIN CODE 440002
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 22/01/2021 10:12:06 AM


DRAFT PRINT TAKEN ON 22/01/2021 10:12:06 AM

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