Rrr
Rrr
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Personal Details
Present Address
Community Details
Community OBC (Other Backward Do you come under OBC Non-Creamy Layer? Yes
Classes)
Certificate No 643243036678
Issuing Authority Tehsildar
Issuing State/UT UTTAR PRADESH
Date of issue 07/10/2024
Payment Details
Payment ONLINE Merchant order_PBD7K6Qu8P5fi5 Payment 20/10/2024 Transaction TRXNG2010202406442255 Transaction 500
Mode PAY Reference Date ID Amount
No
Bank name UNION BANK OF INDIA A/C Holder Name AJAY KUMAR Account Number 686702010002538 IFSC Code UBIN0568678
Scribe Details
Do you need a scribe if your writing ability is affected in accordance No
with provisions of section 2(s) of RPwD Act 2016 (refer para D 11.4(g)
of page 18)?
Ex Servicemen Details
Declaration
I hereby declare that I have gone through the eligibility criteria for the post(s) applied for and that I meet the requisite eligibility conditions.I understand that in case any
information submitted by me is incorrect or concealed, I shall be liable for immediate disqualification or any other action as per extant rules. I also declare that I have
never been dismissed from any Government service (excluding the Defence services under the Union of India).
Place : MACHHALISHAHAR
Date : 20/10/2024
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