HIGH COURT OF BOMBAY
Application Form for The Post of PEON/HAMAL/FARASH
Registration-ID :- PEN80768
Name of Establishment :- Principal Seat, Bombay
for which applied
Name of the Applicant :- Shri. DIVYESH ANIL CHASKAR
Address for correspondence :- NARAYAN BHAVSAR
CHAWL 4/1, KAJU TEKADI,
KONDAJI BABA DERE
MARG, GANESH MANDIR,
GHATKOPAR WEST
District of Postal Address :- MUMBAI - 400084
Aadhar Card No. :- 493384257603
Mobile No. :- 7738810740
Email :- divyeshchaskar12@[Link]
Nationality :- Indian
Is the Candidate Domicile :- Yes
of Maharashtra
Gender :- Male
Religion, Category/Caste :- Hindu, Other Backward Class (KUNBI)
Date of Birth :- 05/04/2000
Place of Birth :- MUMBAI
Age as on 08/12/2025 :- 25 Years 8 Months 3 Days
Marital Status :- Single
Whether Candidate is :- No
Differently-abled Person?
Does the candidate have 7 :- Yes
Standard (passed)
marksheet issued by the
School Authority?
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Educational Qualification :-
Course/Degree Board/University Year of Marks Out of Class Percent
Passing Obtained Marks %
Below S.S.C. (7th DYANAPRAKAS 2014 55 100 IInd 55.00
STD.) H
S.S.C. (S.S.C.) MAHARASHTRA 2018 214 500 IInd 42.80
H.S.C. (Arts) MAHARASHTRA 2020 241 650 IInd 37.08
Special Skills :- Yes ( MS-CIT )
Language Known :-
Read Write Speak
Marathi Yes Yes Yes
Hindi Yes Yes Yes
English Yes Yes Yes
Does candidate work in any :- No
Government Department ?
Whether candidate has :- No
enrolled his/her name at
Employment Exchange?
(a) Is there any criminal :- No
proceeding pending against
the candidate?
(b) Is he/she convicted by a :- No
Criminal Court?
(c) Is he/she facing :- No
disciplinary/deparment
enquiry?
Whether permanently :- No
debarred or disqualified by
any Court/MPSC/UPSC or
any State Service
Commission from
appearing in any
examination conducted by
them?
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Name and address of two :- 1) KIRAN JYOTIRAM LANDAGE
respectable persons who MLA
know the candidate. 9930513335
SHIVASENA NAGARSEVAK PRABHAG NO.160,
ASALFA 400084
2) VIKAS GAYKAR
DOCTOR
9975767959
SHOP NO.12, SITARARM YADAV CHAWL, NR U.P.
RESTAURANT, CHIRAGNAGAR, GHATKOPAR
WEST 400086
Fee Details :- Payment Gateway:- SBI Collect
Payment Type :- ePayment
SBCollect Ref. No.
:- DUP0308384
Date :- 02/01/2026
Amount :- Rs. 1000
Signature of Applicant
FOR OFFICE USE
Affix your
passport size
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Signature of Applicant
Printed on 02/01/2026 20:06:35
Page 3/4
DECLARATION - I
1) I the applicant, Shri. DIVYESH ANIL CHASKAR do hereby declare that no criminal prosecution pending against
me or I have not been convicted by a Criminal Court or held guilty or facing disciplinary enquiry.
2) I further affirm that all the details filled in the application are true and correct as per my knowledge. If any
information is found to be false/incorrect, I will be liable to be disqualified from the process of selection and if
selected/appointed, my services would be liable to be terminated without any notice.
DIVYESH ANIL CHASKAR
Place : MUMBAI
Date : 02/01/2026
Name and Signature of Applicant
DECLARATION - II
Form-A
(See Rule 4 of Maharashtra Civil Services (Declaration of Small Family) Rules, 2005)
I, Shri./Smt./Kum. Shri. DIVYESH ANIL CHASKAR son/daughter/wife of Shri ANIL CHASKAR aged 25 years,
resident of MUMBAI do hereby declare are follows :
1) That I have filled my application for the post of Peon/Hamal/Farash.
2) I have -NA- (Number) living children as on today. Out of which -NA- No. of children born after 28/03/2005 is
-NA- (mentioned dates of birth, if any)
3) I am aware that, if any total number of living children are more than two due to the children born after 28/03/2005, I
am liable to be disqualified for the same post.
DIVYESH ANIL CHASKAR
Place : MUMBAI
Date : 02/01/2026
Name and Signature of Applicant
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