STAFF SELECTION COMMISSION
BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI
110003
JUNIOR HINDI TRANSLATOR, JUNIOR TRANSLATOR,
SENIOR HINDI TRANSLATOR AND HINDI
PRADHYAPAK EXAMINATION 2019
REGISTRATION NO: 40000691443
APPLICATION IS PROVISIONALLY ACCEPTED
1. NAME AS PER 2. NEW/ CHANGED 3. FATHER'S NAME 4. MOTHER'S NAME
MATRICULATION NAME
CERTIFICATE
RAGHU RAJ ANAND - VIJAY KUMAR VANDANA ANAND
5. DATE OF BIRTH 6. AGE AS ON
7. GENDER 8. CATEGORY
(DD/MM/YYYY) 01/01/2020
21/06/1990 29.6 MALE UNRESERVED
9. WHETHER PERSON WITH DISABILITY (PWD) ? 9.1 IF YES, TYPE OF DISABILITY (OH, HH,VH, OTHERS)
NO -
10. NATIONALITY 11. MARK OF VISIBLE IDENTIFICATION
CITIZEN OF INDIA MARK IN LEFT STOMACH
12. MATRICULATION (10th CLASS) EXAMINATION 13. MATRICULATION (10th 14. MATRICULATION (10th
BOARD CLASS) ROLL NO CLASS) YEAR OF PASSING
PUNJAB SCHOOL EDUCATION BOARD 223223 2007
15. PREFERENCE OF EXAMINATION CENTERS
EXAMINATION CENTER ( FIRST ) EXAMINATION CENTER ( SECOND ) EXAMINATION CENTER ( THIRD )
JALANDHAR ( 1402 ) CHANDIGARH ( 1601 ) MOHALI ( 1406 )
[Link] EX- 16.1. HAVE YOU ALREADY 16.2. LENGTH OF SERVICE IN 16.3. DATE OF DISCHARGE
SERVICEMAN (ESM)? JOINED A CIVIL POST BY ARMED FORCES ( IN YEARS ) FROM ARMED FORCES
AVAILING BENEFIT OF (DD/MM/YYYY)
RESERVATION FOR EX-
SERVICEMAN (ESM) :?
NO - - -
17. DO YOU HAVE A PHYSICAL LIMITATION TO WRITE AND SCRIBE IS REQUIRED TO WRITE ON YOUR BEHALF
(CERTIFICATE TO THIS EFFECT FROM THE CHIEF MEDICAL OFFICER/ CIVIL SURGEON & MEDICAL
SUPERINTENDENT OF A GOVERNMENT HEALTH CARE INSTITUTION AS PER NOTICE OF THE EXAMINATION
WOULD BE REQUIRED AT THE TIME OF EXAMINATION)?
NO
17.1 WHETHER SCRIBE IS REQUIRED 17.2 WILL YOU MAKE YOUR OWN 17.3 IF SCRIBE IS TO BE ARRANGED
ARRANGEMENT OF SCRIBE? BY SSC, INDICATE MEDIUM
NO - -
18. WHETHER SEEKING AGE RELAXATION? 18.1 IF YES,INDICATE CODE
NO -
19. QUALIFICATION DETAILS 20. DO YOU BELONG TO ECONOMICALLY WEAKER
SECTIONS (EWS) ?
M. SC. (27) NO
21. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
NO
ADDRESS DETAIL
22. POSTAL ADDRESS 23. PERMANENT ADDRESS
123 A RANI KA BAGH AMRITSAR 123 A RANI KA BAGH AMRITSAR
DISTRICT: AMRITSAR DISTRICT:AMRITSAR
STATE: PUNJAB STATE: PUNJAB
PIN : 143001 PIN : 143001
MOBILE NO: 7837064653 EMAIL: raghuraj783@[Link]
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 - -
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF
THE NOTICE OF THE EXAMINATION.
2. 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 SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING
DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 27/08/2019 10:22:14 PM