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ON-LINE APPLICATION FOR Recruitment of Probationary Officers

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ON-LINE APPLICATION FOR Recruitment of Probationary Officers

32037

Registration #:

3283268

Full Name:

Dilip Basnet Chetry

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VH and OH both hands affected by cerebral palsy) : Category Code : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Ex-Serviceman : No of chances appeared in past : Centre of Examination Centre code : Application Fee / Postal Charges Details : Deposit Journal No : SBI Branch Name : SBI Branch Code : Deposit Date : Amount :

GENERAL NO --NO 10 NO NO -NO Itanagar 47

005682162 Daporijo 05818 31-05-2011 500

Personal Details :
Date of Birth : Age as on on 01.05.2011. : Gender : Husband's Name / Father's Name : 19-12-1986 24 MALE Sri Resham Lal Kshetry

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Mother's Name : Address for Correspondence : Smt Sakuntala Kena Kshetry C/O Amit Triphati Associate Prof Dept Of Zoology Life Science Dept RGU Doimukh District State : Pin : Permanent Address : Papumpare ARUNACHAL PRADESH 791111 C/O R L Kshetry UDC Judicial Branch Daporijo District State : Pin : Upper Subansiri ARUNACHAL PRADESH 791122

Contact Details:
Phone No : Mobile No: Email ID : 03792-224823 9615340160 mindubnet@gmail.com

Educational and Professional Qualification(as on 01.05.2011): 12th Std : Diploma course after 10th : YES --

Exams Passed
12th / Diploma : Graduation : Post Graduation : Other Details :

Subject/Stream
Bio Science Bsc Zoology Honours Msc Life Science

Year of Passing
2005 2008 2010

% of Marks
53.80 70.40 68.90

Whether desirous of taking Pre-Exam Training (SC/ ST/Religious Minority Community) : If Yes Centre for Training :

---

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 untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment & Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.

Place: Date: 03-06-2011 Signature of Applicant

Dilip Basnet Chetry


Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank

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