Scribd
Upload
9 views2 pages

Staff Selection Commission Registration Details

This document is a draft registration form for Harsh Kumar with registration number 20006155735. It includes personal details such as his date of birth, educational qualifications, and contact information. The registration process is incomplete and requires final submission within 14 days to avoid deletion of data.

Uploaded by

hkgupta123q
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
9 views2 pages

Staff Selection Commission Registration Details

This document is a draft registration form for Harsh Kumar with registration number 20006155735. It includes personal details such as his date of birth, educational qualifications, and contact information. The registration process is incomplete and requires final submission within 14 days to avoid deletion of data.

Uploaded by

hkgupta123q
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

STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 20006155735

BASIC DETAILS
1a. AADHAAR NUMBER 921139876557
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME HARSH KUMAR
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME UMANATH GUPTA
4a. MOTHER'S NAME MAMTA KUMARI
5a. DATE OF BIRTH (DD/MM/YYYY) 01/09/2005
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD CENTRAL BOARD OF SECONDARY
EDUCATION (CBSE)
(ii). ROLL NUMBER 22174869
(iii). YEAR OF PASSING 2021
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION HIGHER SECONDARY (10+2)
9. MOBILE NUMBER 8789544677
10. EMAIL ID harshtehta@[Link]

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS A SMALL BLACK SPOT ON LEFT SIDE OF THE


WAIST
14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO
MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS TEHTA
15b. STATE/ UT BIHAR

DRAFT PRINT TAKEN ON 28/11/2023 8:28:18 AM


15c. DISTRICT JEHANABAD
15d. PIN CODE 804427
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS TEHTA


17b. STATE/ UT BIHAR

17c. DISTRICT JEHANABAD


17d. PIN CODE 804427
18. CONTACT DETAILS FOR OTHER NATIONALS -

NOTE
THIS IS A DRAFT VIEW OF YOUR [Link] PROCESS IS NOT YET [Link]
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 28/11/2023 8:28:18 AM

You might also like