HIGH COURT OF BOMBAY
Application Form for The Post of PEON/HAMAL/FARASH
Registration-ID :- PEN44910
Name of Establishment :- Principal Seat, Bombay
for which applied
Name of the Applicant :- Smt. SHILPA ANANDA KARANDE
Address for correspondence :- ROOM NO - B14,REWA FORT
COLONY,KALAKILLA,DHAR
AVI,
District of Postal Address :- MUMBAI - 400017
Aadhar Card No. :- 545480636869
Mobile No. :- 7517060723
Email :- shilpakarande372122@[Link]
Nationality :- Indian
Is the Candidate Domicile :- Yes
of Maharashtra
Gender :- Female
Religion, Category/Caste :- Hindu, Schedule Castes (CHAMBAR)
Date of Birth :- 07/08/1993
Place of Birth :- MUMBAI
Age as on 08/12/2025 :- 32 Years 4 Months 1 Days
Marital Status :- Married
No. of Living Child/Children 2
Child/Children born after 28/03/2005 2
Date of births of child/children born after 28/03/2005. 22/06/2014,21/06/2016
Whether Candidate is :- No
Differently-abled Person?
Does the candidate have 7 :- No
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 MAHARASHTRA 2005 50 100 IInd 50.00
STD.) STATE BO
S.S.C. (S.S.C.) MAHARASHTRA 2008 349 650 IInd 53.69
STATE BO
H.S.C. (Arts) MAHARASHTRA 2013 265 600 PASS 44.17
STATE BO
Special Skills :- No
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) SHRUTI BABU DAMODAR
respectable persons who HOUSE WIFE
know the candidate. 9769764529
ROOM NO - B4,REWA FORT
COLONY,KALAKILLA,DHARAVI,MUMBAI -
400017
2) REKHA SHIKHRE
HOUSE WIFE
9324084883
ROOM NO - B2,REWA FORT
COLONY,KALAKILLA,DHARAVI,MUMBAI -
400017
Fee Details :- Payment Gateway:- SBI COLLECT
Payment Type :- EPAYMENT
SBCollect Ref. No.
:- DUP0091538
Date :- 30/12/2025
Amount :- Rs. 1000
Signature of Applicant
FOR OFFICE USE
Affix your
passport size
photo here
Signature of Applicant
Printed on 30/12/2025 13:27:34
Page 3/4
DECLARATION - I
1) I the applicant, Smt. SHILPA ANANDA KARANDE 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.
SHILPA ANANDA KARANDE
Place : MUMBAI
Date : 30/12/2025
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. Smt. SHILPA ANANDA KARANDE son/daughter/wife of Shri ANANDA KARANDE aged 32
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 2 (Number) living children as on today. Out of which 2 No. of children born after 28/03/2005 is
22/06/2014,21/06/2016 (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.
SHILPA ANANDA KARANDE
Place : MUMBAI
Date : 30/12/2025
Name and Signature of Applicant
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