Application Form
Application Form
APPLICATION INFORMATION :
Department REVENUE-A Designation NAIB-TEHSILDAR
Exam Centre Station Preference # BILASPUR,HAMIRPUR,MANDI
FEE INFORMATION :
Fee Status FEE PAID
Transaction ID 12850014016 Transaction Date 13 JAN 2022
Amount 400 Currency INR
CONTACT INFORMATION :
Mobile Number 8894098329 Email Address kartikbhardwaz479@gmail.com
Correspondence Address VILL BHATOLI PO MORSINGHI TEH GHUMARWIN DISTT BILASPUR HP 174026, District- BILASPUR
, State- HIMACHAL PRADESH, Pincode- 174026
Permanent Address VILL BHATOLI PO MORSINGHI TEH GHUMARWIN DISTT BILASPUR HP 174026, District- BILASPUR
, State- HIMACHAL PRADESH, Pincode- 174026
EDUCATIONAL QUALIFICATIONS :
Qualificati Qualificati Board/Uni Institution Name Subjects Opted Result Passing Percentag Certificate Certificate
on on versity Status Year e of Marks No. Issue Date
Specialisa
tion
10TH GENERAL CBSE DAV PUBLIC SCHOOL ENGLISH HINDI Pass 2011 72 1187363 01-06-
GHUMARWIN MATH SCIENCE 2011
SST
12TH OR MEDICAL HPBOSE MINERVA SSS ENGLISH PHYSICS Pass 2013 86.08 840965 06-05-
EQUIVALE GHUMARWIN CHEMISTRY MATH 2013
NT PHYSICAL EDU
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B.E. / CIVIL HPTU JAWAHAR LAL NEHRU CIVIL ENGINEERING Pass 2019 57.17 193356 30-10-
B.TECH ENGINEE GOVT ENGINEERING 2020
RING COLLEGE
SUNDERNAGAR
MANDI
DOCUMENTS :
SrNo. Document Status
Qualification:
1 10TH Uploaded
2 B.E. / B.TECH Uploaded
Declaration!
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct to the best of my
knowledge and belief. I undertake that in the event of any information being found false or incorrect at any stage, my candidature is liable to be
cancelled and if appointed, appointment itself shall be liable to be cancelled. I also solemnly declare that I do not suffer from any of the
disqualifications shown in the advertisement for the post and I am eligible in all respects according to eligibility criteria prescribed.
It is certified that I have checked the preview of all the requisite uploaded documents and I am satisfied that documents are legible, readable
and true. That I shall not object to rejection of my candidature based on the sole reason of uploaded documents being non readable/ poor
quality of scanning.
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