Competitive Pre-Examination Training Portal
Application Form
Application Date :
PRN : CE2519010569
06-Oct-2025
Personal Details
Name : Arjun Suresh Shelake Candidate Photo
Email : arjunshelake333@[Link]
Mobile No. : 8668753408
Aadhaar No. : XXXXXXXX0298
Date Of Birth : 11-Jun-2005
st
Age as of (1 August 2025) : 20(years) 1(months) 21(days)
Gender : Male
Category : Scheduled Tribes
Caste / Tribe : (1) Andh
Marital Status : Single
Have you ever changed your name? : No
Father's Name : Suresh Dashrath Shelake
Mother's Name : Suvarna Suresh Shelake
Are you a Government Employee? : No
Are you an Orphan? : No
Do you have any Disability? : No
Height : 172 cm.
Chest Unexpanded : 82 cm.
Chest Expanded : 88 cm.
Applied Schemes
Sr. No. Application No Scheme Name
1 POL2519010569 Physical Training Cum Coaching for Police Examination
Examination Center
Sr. No. City Name City Priority
1 Nanded Priority-1
2 Hingoli Priority-2
3 Parbhani Priority-3
4 Washim Priority-4
5 Chhatrapati Sambhajinagar Priority-5
Address Details
Permanent Address Details
Village : Sirli B.O Taluka : Kalamnuri
District : Hingoli
Address:
At. Rajwadi Post Shirli Tq. Vasmat
Page No: 1
Permanent Residence ATC : Amravati Permanent Residence PO : Kalamnuri
Office Office
Is Communication Address same as Permanent Address? Yes
Communication Address Details
Village : Sirli B.O Taluka : Kalamnuri
District : Hingoli
Address:
At. Rajwadi Post Shirli Tq. Vasmat
Qualification Details
SSC/10th Grade
Qualification : SSC/10th Grade Board of Education : MSBSHSE
Passing Year : 2021 School/College Name : Raje sambhaji bhosle sainiki
school and jr college
aurangabad
Method of Evaluation : Percentage Total Marks : 500
Obtained Marks : 400 Percentage : 80.00%
HSC/12th Grade
Qualification : HSC/12th Grade Board of Education : MSBSHSE
Passing Year : 2023 School/College Name : Raje sambhaji bhosle sainiki
school and jr college
aurangabad
Method of Evaluation : Percentage Total Marks : 600
Obtained Marks : 355 Percentage : 59.17%
Other Details
Domicile Details
Domicile of Maharashtra : Yes Domicile Cert. Available? : Yes
Domicile Cert. Number : 41153279449 Domicile Issuing District : Hingoli
(Barcode Number)
Caste/Tribe Details
Caste/Tribe Certificate : Yes Caste/Tribe Certificate : 41153360536
Available Number (Barcode Number)
Issuing District : Hingoli Issuing Taluka : Basmath
Issuing Authority : Sub Divisional Officer
Basmath
Caste/Tribe Validity Certificate Details
Caste/Tribe Validity : Yes Validity Certificate : 363863
Certificate Available Number(Barcode No.)
Issuing Authority : Scheduled Tribe Certificate Scrutiny Committee, Chhatrapati Sambhajinagar
Income Details
Family Annual Income (Rs) : 70000/- Income Cert. : 41153429008
Number(Barcode No.)
Issuing District : Hingoli Issuing Taluka : Basmath
Issuing Authority : Tahsildar
Uploaded Document Details
Page No: 2
Aadhaar Card :
Domicile Certificate :
Birth Certificate :
Caste/Tribe Certificate :
Caste/Tribe Validity Certificate :
Income Certificate :
th
10 / SSC Marksheet / Passing Certificate :
th
12 / HSC Marksheet & Passing Certificate :
Page No: 3
Privacy Policy
The Tribal Research & Training Institute (TRTI) shall collect and process the personal information of applicants solely for purposes
of training, verification, monitoring, and statutory reporting in accordance with Government regulations. All data shall be maintained
with due confidentiality and safeguarded against unauthorized access. Information may be shared only with competent authorities
or designated training partners as required under policy. Submission of this application shall be deemed as consent to the
aforementioned terms of data usage.
Personal Data Purpose
Applicant Name Candidate Name will be captured to verify the documents uploaded
Date of Birth To check the applicant's eligibility for the application
Email Address To send application related communication
Mobile Number To send application related communication
Gender To check the applicant's eligibility for the Parallel Reservation
I Arjun Suresh Shelake the applicant declare that the information furnished above is true and correct to the best of my
knowledge.
Place: Parbhani
IP Address: [Link]
Date & Time: 06-Oct-2025 14:41:40 PM Applicant Name: Arjun Suresh Shelake
Page No: 4