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Registration Form Print - Scholarship Management System

Prashant Singh has applied for the Combined Defence Services Examination (II) - 2017. He is an unmarried, general category male from Jaunpur, Uttar Pradesh. He has paid the application fee of Rs. 200 and selected Delhi as his examination center. His educational qualification is passing/appearing the final year of a degree program with Physics and Mathematics at the 10+2 level. His preferences for the defense services are IMA (2), NA (0), AFA (1), and OTA (4).

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121 views

Registration Form Print - Scholarship Management System

Prashant Singh has applied for the Combined Defence Services Examination (II) - 2017. He is an unmarried, general category male from Jaunpur, Uttar Pradesh. He has paid the application fee of Rs. 200 and selected Delhi as his examination center. His educational qualification is passing/appearing the final year of a degree program with Physics and Mathematics at the 10+2 level. His preferences for the defense services are IMA (2), NA (0), AFA (1), and OTA (4).

Uploaded by

prashantsingh singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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08/09/2017 UPSC - Candidate's Application Details (Registration-Id: 11732786332)

Application details of Registration-Id: 11732786332 for Combined Defence Services Examination (II) - 2017
पंजीकरण सं ा 11732786332 के संयु र ा सेवा परी ा (II) - 2017 के िलए आवेदन िववरण

PART - I / भाग - I

Name / नाम : PRASHANT SINGH

Gender / िलंग : Male

Date of Birth / ज ितिथ : 10-07-1995

Father's Name / िपता का नाम : SHASHIKANT SINGH

Mother's Name / माता का नाम : REETA SINGH

Nationality / नाग रकता : Indian

Marital Status / वैवािहक थित : Unmarried


Community / समुदाय : General

Do you belong to Minority / ा आप अ सं कह: No


Fee Remission Claimed / शु माफ : No
Village and post Nizamuddinpur
MACHHALISAHAR JAUNPUR
Address / पता :
JAUNPUR
Uttar Pradesh - 222127
Mobile No. :9015783352
e-mail / ई-मेल : [email protected]
Passed/Appeared/Appearing the final year degree or
Educational Qualification / शैि क यो ता : equivalent examination (with Physics and Mathematics at
10+2 level
Commercial Pilot Licence issued by DGCA(India)
No
कॉमिशयल पायलट लाइसस डीजीसीए (भारत) ारा जारी :
Preferences: IMA: 2 | NA: 0 | AFA: 1 | OTA: 4
Whether having/likely to have NCC 'C' Certificate Sr.
None
Division(Army/Navy/AFA):
Whether Serving in Armed Forces: No
Whether belong to Sainik School: No

PART - II / भाग - II
[Fee Payment Details,Examination Center,Photograph & Signature of Registration-Id: 11732786332]
[पंजीकरण सं ा :11732786332 का शु भुगतान िववरण, परी ा क , फोटो ाफ और ह ा र ]

Fee Payment Details (Subject to verification)


शु भुगतान िववरण (स ापन के अधीन)
Registration-Id / पंजीकरण सं ा: 11732786332
Examination Center
Transaction-Id / लेनदे न सं ा: 201725133234770
परी ा क
Transaction Date / लेनदे न की ितिथ : 08-09-2017
Fee Paid (in Rs) / भुगतान िकया गया शु ( म) Delhi
200
: Signature / ह ा र
Agency Name / एजसी का नाम : State Bank of India
Mode of Payment / भुगतान का मा म: Credit/Debit Card Photograph / फोटो ाफ

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08/09/2017 UPSC - Candidate's Application Details (Registration-Id: 11732786332)

Declaration
1. I hereby declare that all statements made in this application are true, complete and correct to the best of my
knowledge and belief. In the event of any information being found false or incorrect, or ineligibilty being detected
before or after the examination, action can be taken against me by the Commission as per the provision given in the
notification.
म एत ारा घोिषत करता ं िक इस आवेदन म मेरे ारा िदए गए सभी कथन मेरी जानकारी और िव ास के अनुसार सही ह। यिद कोई सूचना गलत अथवा
अस पाई जाती है अथवा परी ा से पहले अथवा इसके बाद अपा ता सामने आने पर आयोग ारा अिधसूचना म िदए गए ावधान के अंतगत मेरे िव
कारवाई की जा सकती है ।

2. I have read the provisions in the rules and the notice of the Commission carefully and hereby undertake to abide by
them. I further declare that I fulfil all the conditions of eligibility regarding age limits, educational qualifications etc.
prescribed for admission to the examination.
मने िनयमों और आयोग के नोिटस म िदए गए ावधानों को ानपूवक पढ़ िलया है और एत ारा इनके अनुपालन का वचन दे ता ं । म यह भी घोिषत करता ं
िक म, परी ा म वेश हे तु िनधा रत आयु सीमा, शैि क यो यता आिद के संबंध म पा ता की सभी शत को पूरा करता ं ।

3. I have informed my Head of Office/Department in writing that I am applying for this examination.*
* Applicable for those who are already in government service/similar organizations or government owned industrial
undertakings whether in permanent or temporary capacity or as work charged employees other than casual or daily
rated employees or those serving under public enterprises.
मने अपने कायालय/ िवभाग के अ को िल खत म सूिचत कर िदया है िक म इस परी ा के िलए आवेदन कर रहा ं । *
* उन उ ीदवारों के मामले म लागू, जो पहले से ही सरकारी सेवा/समान संगठन अथवा सरकारी ािम ं वाले औ ोिगक उप मों म थायी अथवा अ थायी
प से अथवा अिनयिमत अथवा दै िनक भ े पर कायरत कमचा रयों की ेणी से इतर काय आधा रत भ े पर कायरत कमचारी ह अथवा सावजिनक े ों के
उ मों म कायरत कम ह।

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