7/29/2017 Applicant Print

JHARKHAND STAFF SELECTION COMMISSION

INDERMEDIATE LEVEL JOINT COMPETITIVE EXAMINATION-2017
(ISCCE-2017)

APPLICATION FORM

Registration No. : 17406206

Are you an Indian Citizen? : YES

Are you local resident of Jharkhand? : YES

Unique Certificate number of your local

: JHRC2017998355
residence of jharkhand

Date of issue of your certificate of local

: 20-07-2017
residence

Issuing Authority : SDO

Your District of local residence : GIRIDIH

Date of Birth (DD-MM-YYYY) : 09-08-1995

Applicant Name : SANDEEP MANDAL

Father's Name : MADAN MANDAL

Mother's Name : JHALIYA DEVI

Gender : MALE

Marital Status : No

Reservation Category : EBC-1

Certificate Number : JHCC2017926789

Date of issue of the
21-07-2017
certificate :
Issuing Authority : SDO

Are you ex-serviceman-Army/AirForce/Navy? : NO

Are you physically handicapped? : NO

Visible Identification Mark 1 : A SMALL SIGN OF CUT MARKS ON LEFT CHICK

Visible Identification Mark 2 : A MOLE ON LEFT HAND

Option for Language paper-II : ENGLISH

Educational Details

Year of
Exam Course Name School/College Board/Council/University Percentage
Passing

SUBHASH
10th -- PUBLIC C.B.S.E. 70.3 2011
SCHOOL

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12th/intermediate -- CAMBRIAN C.B.S.E. 72.6 2014

PUBLIC
SCHOOL

B.SC DORANDA
UG RANCHI UNIVERSITY 57.38 2017
MATHEMATICS COLLEGE

Communication Details

Address For Correspondence : CHAITA BAGAN

: MADHUBAN
: PO-SHIKHARJEE
:
City : MADHUBAN
District : GIRIDIH
State : JHARKHAND
Pincode : 825329

Permanent Address : CHAITA BAGAN

: MADHUBAN
: PO-SHIKHARJEE
:
City/Village : MADHUBAN
District : GIRIDIH
State : JHARKHAND
Pincode : 825329

Mobile No : 9931801317

E-Mail ID : sandeep.mandal342@gmail.com

Job Applying Preference Details

S.No JobName Choosen Your Preference

1 LDC-DISTRICT CADRE(COLLECTERIAT) Second Preference

2 PANCHAYAT SECRETARY First Preference

3 LDC-TREASURY CLERK Third Preference

4 LDC-COMMERCIAL TAX DEPARTMENT Fourth Preference

5 LDC-FOOD PUBLIC DISTRIBUTION Fifth Preference

6 STENOGRAPHER Sixth Preference

District Preference Details(LDC-DISTRICT CADRE(COLLECTORATE))

Preference-1 Preference-2 Preference-3 Preference-4 Preference-5 Preference-6

GIRIDIH DHANBAD HAZARIBAGH RAMGARH BOKARO DEOGHAR

Preference-7 Preference-8 Preference-9 Preference-10 Preference-11

KODERMA PALAMU CHATRA GODDA GHARWA

District (PANCHAYAT SECRETARY) Details

Applied District : GIRIDIH

Vacancy Type : BOTH FOR REGULAR AND BACKLOG VACANCY

Payment Details

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Transaction ID Transaction Date Transaction Amount

DU71860381 28-07-2017 460

   Declaration :
       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 false at any stage or not satisfying the eligibility criteria according to the
requirements of the post, my candidature/ appointment is liable to be cancelled/terminated.

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