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RCA-CCCP Civil Services Exam Application

The document is an application for the RCA-CCCP for the Civil Services Examination submitted by Thakur Khushboo Sarvesh, a female candidate from Uttar Pradesh. She has completed her secondary education with high marks and is currently pursuing a B.Sc. in Computer Science, with results awaited. The application includes personal details, academic records, and payment information, along with a declaration of the truthfulness of the provided information.

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arshrza003
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50 views2 pages

RCA-CCCP Civil Services Exam Application

The document is an application for the RCA-CCCP for the Civil Services Examination submitted by Thakur Khushboo Sarvesh, a female candidate from Uttar Pradesh. She has completed her secondary education with high marks and is currently pursuing a B.Sc. in Computer Science, with results awaited. The application includes personal details, academic records, and payment information, along with a declaration of the truthfulness of the provided information.

Uploaded by

arshrza003
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

Application for RCA-CCCP for Civil Services Examination

Registration No.: JMI2025418169 Application No. : 2025414004CP1 ABC ID: 358055394543 Print On: 28-May-2025 11:07:08

Candidate Name THAKUR KHUSHBOO SARVESH


Father's/Guardian's Name SARVESHKUMAR THAKUR
Mother's Name BABY
Date Of Birth 18-Sep-2003
Gender Female
Mobile Number 9557425310
Email Id khushboothakur9373@[Link]
Domicile State Uttar Pradesh
Nationality Indian
Blood Group A+ Religion Hinduism
Social Category OBC (Non-Creamy) Family Income Less than Rs.5,00,000/-
Medium of Answer English Prizes,Medals, Scholarships etc. No scholarship or prize
Position(s) of distinction Leadership held in
Optional Subject. Philosophy School/College
Travelling
Other extracurricular activities and interests(Such as
hobbies etc.)
Travelling

Correspondence Address Permanent Address

Address Line 1 Mohalla bhangarapura Address Line 1 Mohalla bhangarapura


Address Line 2 Shergarh bangar Chhata Address Line 2 Shergarh bangar Chhata
District/City Mathura District/City Mathura
State Uttar Pradesh State Uttar Pradesh
Country India Country India
Pin Code 281404 Pin Code 281404
Mobile No 7060666310 Mobile No 7060666310

Academic Record
Max Obtd.
Degree/Certificate Board / Year of
Qualifications Marks/ Marks/ Marks(%) Status
Name University Passing
CGPA CGPA

Graduation BSC(C.S) DBRAU 2025 Result


(B.A./[Link]./[Link]./B.E./[Link]./etc UNIVERSITY AGRA Awaited
).
Max Obtd.
Degree/Certificate Board / Year of
Qualifications Marks/ Marks/ Marks(%) Status
Name University Passing
CGPA CGPA

Inter./Sr. Secondary SR MAHARASHTRA 2022 600 544 90.67 Passed


SECONDARY BOARD Out
SCHOOL

Matric/S.S.C. SECONDARY MAHARASHTRA 2020 500 489 97.80 Passed


SCHOOL BOARD Out

Competitive Examinations Appeared AT


Whether you have ever appeared for Civil Services Examination
Yes
(U.P.S.C.)
Title Yes/No Year Result No. of attempts

Whether you appeared in Preliminary Exam Yes 2025 Result Awaited 1


Whether you appeared in Main Exam
Whether you appeared in The Interview
If yes service
Whether you were recommended for appointment
Allocated

Test Centre and Category Information


Reservation Category Women
Test Centre 1 Delhi

Payment details
Mode of Payment date of Payment Bank Ref. No. Amount

UPI_ICICI 28-05-2025 11:06:50 250528229656445 1200/-

UNDERTAKING

I hereby declare that all the particulars given in this application form by me are true and no fact has been suppressed or tempered. I have read the
Admission process to Admission Bulletin/notice and the terms & conditions given therein and satisfied myself that I fulfill all the admission
eligibility requirements. In case any information furnished by me is found wrong, my candidature for admission be cancelled outright without
giving any opportunity and further that any disciplinary action be also taken against me.

Signature

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