State Recruitment Portal L Recruitment Details/ ff FAUT Recruitment Name/ 4 1 AT ‘CLERK [Link] AND JUNIOR ASSISTANT DIRECT RECRUITMENT - 2024 Post Applied/SiTafea 1 ‘One Tie Regstation (OTR) No. 027919768790 ‘Application No./ TRG WEA 7202433600682 4 fe ‘Applicaton Submitted Date/ST@a Pe ATR 17-MAR2024 12:21:40 PM . nu Ith Nie Previous Application No ST WET 202225082339 ‘Application Printing Date/- 1a7-MAR 2024 12:21:41 PM. PAddress/-_ 137.2583541 SS01D_ai982kumar 2. Applicant's Details/S1Aae 1 FAaTTT [candidate Name/SiE @TATH [DEEPA KUMARI ender Fr ema Fathers Name ter aT frum wat Mathers Nate TAT TAT AKUNTALA DEVI pate of siren area psocriss cance ago/ STE A TGA akon [33 VEARS 2 MONTHS & DAYS [ostanaozah,\f ategony oR, Ec recat abled category fam era Bt Nor ApPucAsLe [su speciaty bie Caterory rae trea oft va mayer Disabty Ko =f eigion An wou [mortal status re FRU anaes pause Name ARATE TATE [EET KUMAR WARAWAR [Mobite wo area, sasioseoue iastspp Mobile No TEE pitarea 7. va Jemaieter fo1seiKumani@Gmal..com \adhar 1g/STUR TEST Foonc00s080 ve OF ving chielBorn before 01/06/20001/SHet aT aH Tea 01/06/2002 AUER Gare A aT EST bor [sie soay mark ove ow FOREHEAD Applying For/% FAG omreeat bo you belong to Scheduled area of Rajasthan 2/UT ST TORAH & area eS eres fro Correspondence Address/TATa aT Padres ine 1/ RT WR bs [adress Line 27 a2 RAN vinAR VisTAR caress ine 3/4RT WR 3 [riven WaGaR sane era alasTHAN piste fe fiipur iy /viage TER / Tt [Arun pincode firs ts [sozois Phone No./ ta aR 9352994944 Candidate Verification Status Verification From Aad! [aachar Number focooxs040 satus 3, Personal Details /SUteheTa FACT Nationay/ TAT froin home seater ere aasTuan ome bisiey Fire baru ome Biock Te er Na rensycny Teeter / RET Ika vitage fa Na [Settied in india from Other Country/G#_ No. From Which Country FOR GTA Na Fenfira Special Category/FaaTa TOT[ARE VOU EX SERVICEMAN ITT ATR Be ry ake YOU OUTSTANDING SPORTS PERSONS?/AT GPE RECT? No [ake YOU NCC CADET NSTRUCTON?/AT OTT GRA Re MARAT Ko [Ae YOU excPRSONERT/aT OTT ATH aT? No ae YOU EXISTING STATE GOVERNMENT EMPLOYEE 7/8 Se Hoel eed WOT W eo ho Do you want any additional age relaxation ? [NOT APPLICABLE 4, Education Qualification Details /PRrant Ghrere FART wane of sto vearot soars) h vercentage/Grade | name ottxam/_| subject croup/ retinod | rep) | ems covinite/ aS econvafeera/3] status peat wierenme | ea see gens | ais | et rat wear "aa aera So ee ratte ea / SR 7 [econ eae] a Tose Date |e | — 05 ae 2 | aseronanE aie y rose riaeesof wenn] 2007 = | seosaonrtasnaen] SEMETEY | uveasrvor | cea | pocenane | amu0 sos : coaacr | ARRAN Tay ae eae a forte aserinscance| UMMBBTVOT | rei | pecenge | « (6 Declaration/STeTT clare that fulfil te elit rer ae per the advervement, andl the statements made inthis application ae compte ante to thebestof my bel and frowiesg. also acknowledge my fll consant to apa forthe recruitment through the E Mitra holder, 2nd any ero or esrepanc found nthe agltion ed by me through E pra ei be considered as my own mistake. understand that any information provided by me's ound a belncovtet or false a any stage or ido nat meet the elgbty cndions spect inthe gudeines, my appcton/ Candiature willbe canelled/erminated at my own responibity, And the ation can be taken agtinst me under Seton 182 of Pe eo encarta remem tee re ge ame AR ea ar yore ter Re Ee fer ve aera RE oe he ere re aE ge meh Sah a AR ea fe et aM Ae a ee AeA Ferret te rr ee 8 ce ey Nt ah ae a te Gu ever a rae ey ETA FA ec gh ha ee a 2 ee Re oe DEEPIKA KUMARI