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Application Form Rca

The document is an application for the RCA-CCCP for the Civil Services Examination submitted by Amat Us Sabur Talbia, a female candidate from Telangana, India. It includes personal details, academic records, and extracurricular activities, as well as payment information for the application fee. The candidate has achieved high marks in her education and has a reservation category as a Minority Muslim.

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AMAT US SABUR TALBIA
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8 views2 pages

Application Form Rca

The document is an application for the RCA-CCCP for the Civil Services Examination submitted by Amat Us Sabur Talbia, a female candidate from Telangana, India. It includes personal details, academic records, and extracurricular activities, as well as payment information for the application fee. The candidate has achieved high marks in her education and has a reservation category as a Minority Muslim.

Uploaded by

AMAT US SABUR TALBIA
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application for RCA-CCCP for Civil Services Examination

Registration No.: JMI2026411645 Application No. : 2026407621CP1 ABC ID: 587188102849 Print On: 04-May-2026 13:53:04

Candidate Name AMAT US SABUR TALBIA


Father's/Guardian's
Name
MD JOHN
Mother's Name S YASMEEN
Date Of Birth 27-Mar-2004
Gender Female
Mobile Number 6268367065
Email Id talbiaamatussabur2004@[Link]
Domicile State Telangana
Nationality indian
Blood Group B+ Religion Islam
OBC (Non-
Social Category Family Income Rs.5,00,000/- to Rs.8,00,000/-
Creamy)
english olympiad bronze medal , essay writing ,
Medium of Answer Hindi Prizes,Medals, Scholarships etc.
article writing , spell bee
Position(s) of distinction
Optional Subject. sociology Leadership held in School/College
mandala art , best out of waste, writing poems
Other extracurricular activities and
interests(Such as hobbies etc.)
mandala art , best out of waste, writing poems

Correspondence Address Permanent Address

Address Line 1 street 68 quarter 6c Address Line 1 street 68 quarter 6c


Address Line 2 sector 6 bhilai durg Address Line 2 sector 6 bhilai durg
District/City Durg District/City Durg
State Chhattisgarh State Chhattisgarh
Country India Country India
Pin Code 490006 Pin Code 490006
Mobile No 6268367065 Mobile No 6268367065

Academic Record
Max Obtd.
Degree/Certificate Board / Year of
Qualifications Marks/ Marks/ Marks(%) Status
Name University Passing
CGPA CGPA

Matric/S.S.C. CLASS 10 CBSE 2019 100 94.2 94.2 Passed


Out
Max Obtd.
Degree/Certificate Board / Year of
Qualifications Marks/ Marks/ Marks(%) Status
Name University Passing
CGPA CGPA

Inter./Sr. Secondary CLASS 12 CBSE 2021 100 94.2 94.2 Passed


Out

Graduation CIVIL ENGG CSVTU 2025 10 9.2 9.2 Passed


(B.A./[Link]./[Link]./B.E./[Link]./etc Out
).

Test Centre and Category Information


Reservation Category Minority Muslim
Test Centre 1 Delhi

Payment details
Mode of Payment date of Payment Bank Ref. No. Amount

UPI_ICICI 04-05-2026 13:52:51 260504269752569 1325/-

UNDERTAKING

I hereby declare that all the particulars given in this application form by me are true and no fact has been suppressed or tempered. I have read the
Admission process to Admission Bulletin/notice and the terms & conditions given therein and satisfied myself that I fulfill all the admission
eligibility requirements. In case any information furnished by me is found wrong, my candidature for admission be cancelled outright without
giving any opportunity and further that any disciplinary action be also taken against me.

Signature

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